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Machine-learning-based multiple abnormality prediction with large-scale chest computed tomography volumes.

Rachel Lea Draelos1, David Dov2, Maciej A Mazurowski3

  • 1Computer Science Department, Duke University, LSRC Building D101, 308 Research Drive, Duke Box 90129, Durham, North Carolina 27708-0129, United States of America; School of Medicine, Duke University, DUMC 3710, Durham, North Carolina 27710, United States of America.

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|October 31, 2020
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Summary
This summary is machine-generated.

This study presents the largest annotated medical imaging dataset for chest CT scans, enabling better machine learning models in radiology. Automated labeling and a deep learning model achieved high accuracy in detecting abnormalities.

Keywords:
chest computed tomographyconvolutional neural networkdeep learningmachine learningmultilabel classification

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Area of Science:

  • Radiology
  • Medical Imaging
  • Machine Learning
  • Artificial Intelligence

Background:

  • Machine learning in radiology requires large, high-quality labeled datasets for abnormality detection.
  • Existing datasets are often limited in size and annotation scope.
  • Chest computed tomography (CT) data is crucial for diagnosing a wide range of thoracic conditions.

Purpose of the Study:

  • To create the largest multiply-annotated volumetric medical imaging dataset for chest CT.
  • To develop and validate automated methods for extracting abnormality labels from radiology reports.
  • To train and evaluate a deep convolutional neural network (CNN) for multi-organ, multi-disease classification of chest CT volumes.

Main Methods:

  • Curated and analyzed a chest CT dataset comprising 36,316 volumes from 19,993 patients.
  • Developed a rule-based method for automated extraction of abnormality labels from free-text radiology reports, achieving an average F-score of 0.976.
  • Trained a deep convolutional neural network (CNN) for classification of 83 abnormalities in chest CT volumes.

Main Results:

  • The automated labeling method demonstrated high accuracy (average F-score 0.976).
  • The CNN model achieved an area under the receiver operating characteristic curve (AUROC) >0.90 for 18 abnormalities and an average AUROC of 0.773 for all 83 abnormalities.
  • Increasing the number of training labels significantly improved model performance, with a 10% AUROC increase for a subset of 9 labels when trained on all 83.

Conclusions:

  • The developed dataset and automated labeling methods represent a significant advancement for machine learning in radiology.
  • The study demonstrates the feasibility of training effective deep learning models on large-scale, unfiltered volumetric CT data.
  • Publicly releasing the code and dataset will facilitate further research and development in AI-driven medical imaging analysis.