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X-ray Imaging01:24

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German physicist Wilhelm Röntgen (1845–1923) was experimenting with electrical current when he discovered that a mysterious and invisible "ray" would pass through his flesh but leave an outline of his bones on a screen coated with a metal compound. In 1895, Röntgen made the first durable record of the internal parts of a living human: an "X-ray" image (as it came to be called) of his wife’s hand. Scientists worldwide quickly began their own experiments with...
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Anonymizing Radiographs Using an Object Detection Deep Learning Algorithm.

Bardia Khosravi1, John P Mickley1, Pouria Rouzrokh1

  • 1From the Orthopedic Surgery Artificial Intelligence Laboratory, Department of Orthopedic Surgery (B.K., J.P.M., P.R., M.J.T., A.N.L., C.C.W.), Radiology Informatics Laboratory, Department of Radiology (B.K., P.R., B.J.E.), Department of Orthopedic Surgery (M.J.T., A.N.L., C.C.W.), and Department of Clinical Anatomy (C.C.W.), Mayo Clinic, 200 1st St SW, Rochester, MN 55905.

Radiology. Artificial Intelligence
|December 11, 2023
PubMed
Summary
This summary is machine-generated.

A deep learning algorithm effectively removes radiographic markers from medical images, enabling de-identified data sharing. This supervised learning approach ensures patient privacy while retaining useful information like laterality markers.

Keywords:
Conventional RadiographyConvolutional Neural Network (CNN)Experimental InvestigationsSkeletal-AxialSupervised LearningThoraxTransfer Learning

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Area of Science:

  • Medical Imaging
  • Computer Vision
  • Artificial Intelligence

Background:

  • Radiographic markers in medical images contain protected health information.
  • Removal of this data is crucial for de-identified data sharing and research.
  • Existing methods may not be efficient or accurate enough for comprehensive de-identification.

Purpose of the Study:

  • To develop and validate a deep learning algorithm for localizing and removing radiographic markers.
  • To enable secure de-identified data sharing of medical radiographs.
  • To assess the algorithm's accuracy and effectiveness on internal and external datasets.

Main Methods:

  • Annotation of 2000 hip and pelvic radiographs for training an object detection model.
  • Utilizing a two-pass approach involving marker localization and characterization.
  • Employing supervised learning and transfer learning with a convolutional neural network (CNN).
  • Validation on an external dataset of chest radiographs with fine-tuning.

Main Results:

  • Achieved an area under the precision-recall curve of 0.96 on the internal test set.
  • Demonstrated 100% de-identification accuracy and 93% retention accuracy for laterality markers on internal data.
  • External validation showed 96% de-identification accuracy, improving to 99.6% after fine-tuning.
  • The algorithm effectively removed identifying information while preserving clinically relevant markers.

Conclusions:

  • The developed deep learning algorithm is highly effective for de-identifying radiographic images.
  • The two-pass approach offers a robust solution for removing protected health information from medical data.
  • This technology facilitates secure data sharing for research and clinical advancements.