深度学习算法的专家为中心的评估,用于大脑瘤细分
Katharina V Hoebel1, Christopher P Bridge1, Sara Ahmed1
1From the Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology (K.V.H., C.P.B., A.K., K.I.L., K.C., J.P., B.R.R., E.R.G., J.K.C.), and Stephen E. and Catherine Pappas Center for Neuro-Oncology (O.A., A.K., K.I.L., E.R.G.), Massachusetts General Hospital, 149 13th St, Charlestown, MA 02129; Harvard-MIT Division of Health Sciences and Technology, Massachusetts Institute of Technology, Cambridge, Mass (K.V.H., K.C., J.P.); MGH and BWH Center for Clinical Data Science, Boston, Mass (C.P.B., J.K.C.); Department of Radiation Oncology, Division of Radiation Oncology (S.A., C.C.); Department of Diagnostic Radiology, Division of Diagnostic Imaging (C.C.), and Department of Neuroradiology (J.M.J.), Division of Diagnostic Imaging, The University of Texas MD Anderson Cancer Center, Houston, Tex; Departments of Radiology (R.Y.H.) and Neurology (T.T.B.), Brigham and Women's Hospital, Boston, Mass; Department of Radiology and Advanced Imaging Research Center, University of Texas Southwestern Medical Center, Dallas, Tex (M.P.); and Department of Ophthalmology, University of Colorado Anschutz Medical Campus, Aurora, Colo (J.K.C.).
对脑瘤细分的深度学习显示出希望,但目前的评估指标与专家的临床感知不一致. 需要进一步的研究来改善癌症患者的质量评估.
科学领域:
- 医学成像分析 医学成像分析
- 在瘤学中使用人工智能
- 神经外科和放射科的神经外科和放射科
背景情况:
- 深度学习算法越来越多地用于脑瘤细分.
- 目前的评估实践往往依赖于定量指标,仅限于包括临床专家评估.
- 评估细分质量对于有效的癌症治疗计划至关重要.
研究的目的:
- 为了调查评估深度学习细分算法对脑瘤的现有实践.
- 调查专家对细分质量的看法及其与定量指标的相关性.
- 突出癌症研究中自动化指标和临床判断之间的差距.
主要方法:
- 对180篇关于脑瘤细分算法的文献调查.
- 收集了医疗专业人员对60例脑瘤细分病例的质量评级.
- 分析了评价者之间的一致性和专家评价与标准指标 (迪斯,豪斯多夫距离) 之间的相关性.
主要成果:
- 子得分,灵敏度和豪斯多夫距离是常见的指标,但专家评估很少 (2,8%的文章).
- 在质量感知专家之间达成的低互评分协议 (Krippendorff α = 0.34).
- 在专家评级和定量指标之间发现了弱相关性 (迪斯:0.23,豪斯多夫:0.51).
结论:
- 专家对脑瘤细分的质量评级因模糊的界限和个体差异而变化很大.
- 现有的定量指标不足以捕捉对细分质量的临床感知.
- 开发更好地与癌症患者的临床相关性保持一致的评估方法至关重要.
更多相关视频
12:50Lesion Explorer: A Video-guided, Standardized Protocol for Accurate and Reliable MRI-derived Volumetrics in Alzheimer's Disease and Normal Elderly
Published on: April 14, 2014
04:25Author Spotlight: Bridging Gaps in Anatomy and Establishing a Foundation for Algorithmic Studies
Published on: December 15, 2023
