
An artificial intelligence (AI) algorithm written by a Canadian radiologist and a U.S. medical student was awarded first place in the RSNA Pneumonia Detection Challenge, a competition sponsored by the RSNA to foster the development of AI algorithms.
The winning algorithm was developed by Dr. Alexandre Cadrin-Chênevert, a practicing radiologist in Lanaudière, Quebec, Canada, and Ian Pan, a third-year medical student at Brown University in Providence, RI. Their algorithm received the highest score on a leaderboard hosted by Kaggle, an online community for data scientists that's owned by Google.
Now in its second year, the RSNA's machine-learning challenge is designed to spur AI researchers to develop algorithms for solving specific clinical tasks. This year, the challenge targeted pneumonia, a condition that accounts for 15% of all deaths of children younger than age 5, the RSNA noted. Diagnosing pneumonia can be difficult due to a variety of issues, and AI could help.
Algorithms entered into the challenge were trained and evaluated on a dataset of chest radiography images published by the U.S. National Institutes of Health and annotated by radiology experts. The challenge took place in two phases: training and evaluation. During the training phase, participants used the training portion of the dataset to develop algorithms that duplicated the annotations provided by the radiologist observers. In the evaluation phase, participants used their algorithms on the testing portion of the dataset, from which the annotations were withheld.
Cadrin-Chênevert and Pan's algorithm received a score of 0.25475 on the Kaggle leaderboard, winning them the top prize of $12,000 in the field of 346 entries. They edged out an algorithm developed by Dmytro Poplavskiy, a software engineer from Australia, who won the $7,000 second-place prize and was also named competition grandmaster for demonstrating outstanding performance in the event. The third-place entry by Dr. Phillip Cheng, a radiologist at the Keck School of Medicine at the University of Southern California, won $4,000. The algorithms that placed fourth through 10th won $1,000 each.













![A normal mammogram confirmed by three-year radiologic follow-up illustrates reader-marked regions of interest (ROIs) during (A) unaided (round 1) and (B) artificial intelligence (AI)–assisted (round 2) reading. Each colored dot represents an ROI for recall by a human reader. Readers could mark more than one ROI per case, represented by multiple dots of the same color. During AI-assisted reading, the AI system displayed three visible prompts: two with suspicion of malignancy scores of 35% (left mediolateral oblique [L MLO] and craniocaudal [L CC]) and one with a suspicion of malignancy score of 10% (right craniocaudal [R CC]), shown as polygonal overlays. Without AI, six of 10 readers (60%) marked a false-positive ROI. With AI assistance, this fell to two of 10 (20%). R MLO = right mediolateral oblique.](https://img.auntminnie.com/mindful/smg/workspaces/default/uploads/2026/07/2026-07-14-radiology-mammogram-ai-auto-bias.H0bYO8QlWs.jpg?auto=format%2Ccompress&fit=crop&h=112&q=70&w=112)





