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Automated Midline Shift and Intracranial Pressure Estimation based on Brain CT Images
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Identifying Fatal Head Injuries on Postmortem Computed Tomography Using Convolutional Neural Network/Deep Learning: A

Jack Garland1, Benjamin Ondruschka2, Simon Stables3

  • 1Forensic and Analytical Science Service, 480 Weeroona Rd, Lidcombe, NSW, 2141, Australia.

Journal of Forensic Sciences
|July 9, 2020
PubMed
Summary
This summary is machine-generated.

Artificial intelligence (AI) shows promise in analyzing postmortem CT scans to detect fatal head injuries. This deep learning approach achieved 70-92.5% accuracy, aiding forensic pathology diagnostics.

Keywords:
SAHautopsyconvoluted neural networkdeep learningforensic radiologyheadinjuriespostmortem computed tomographysubarachnoid hemorrhagetraumatic brain injury

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Area of Science:

  • Forensic pathology
  • Medical imaging
  • Artificial intelligence

Background:

  • Postmortem computed tomography (PMCT) is an emerging tool in forensic pathology.
  • Artificial intelligence (AI) is increasingly explored for medical imaging applications, including diagnostics.

Purpose of the Study:

  • To investigate the feasibility of using a convolutional neural network (CNN), a type of deep learning AI, to differentiate fatal head injuries from controls using PMCT head imaging.

Main Methods:

  • A CNN was developed using Keras and trained on PMCT head images from 25 fatal head injury cases and 25 controls.
  • The dataset was divided into training and testing sets for model evaluation.

Main Results:

  • The CNN achieved an accuracy of 70% to 92.5% in differentiating head injuries.
  • Challenges were noted in identifying subarachnoid hemorrhage and distinguishing congested vessels/prominent falx from actual injury.

Conclusions:

  • AI, specifically deep learning CNNs, demonstrates potential as a screening tool or for computer-assisted diagnostics in forensic analysis of PMCT head scans.
  • Further development is needed to address current limitations for improved accuracy in identifying specific injury indicators.