通过使用深度学习在MRI上自动检测自体主导多囊性病中的胰腺囊
Sophie J Wang1, Zhongxiu Hu1, Collin Li1
1Department of Radiology, Weill Cornell Medicine, New York, NY 10065, USA.
概括
自动化的深度学习模型可以检测自身主导多囊性病 (ADPKD) 患者的胰腺囊,改善放射科医生的同意. 为了提高诊断准确度,需要进一步提高图像质量.
科学领域:
- 放射学和医学成像学 医学成像学
- 人工智能在医学中的应用
- 遗传学和基因组学 遗传学和基因组学
背景情况:
- 自体主导多囊性病 (ADPKD) 的胰腺囊与PKD2突变有关.
- 这些囊在放射学评估中经常被忽视.
- 需要自动检测方法来改善识别.
研究的目的:
- 开发和评估一种自动化的深度学习系统,用于使用腹部MRI检测ADPKD患者的胰腺囊.
- 将自动检测性能与专家放射科医生的性能进行比较.
主要方法:
- 八个基于nnU-Net的深度学习模型 (2D/3D) 在T2加权的MRI上训练了146名ADPKD患者.
- 模型被训练在数据集上,只有阳性或阳性和阴性病例.
- 在内部,外部和测试-重新测试数据集上评估性能.
主要成果:
- 性能最好的2D模型实现了0.7 ± 0.5 (内部) 和0.8 ± 0.4 (外部) 的最佳子得分.
- 与专家观察者相比,该模型显示出更高的可重复性 (83%的同意) (77%的同意).
- 观察到高特异性 (94%/100%),但敏感性是有限的 (20%/24%).
结论:
- 自动化的深度学习模型显示出在ADPKD中检测胰腺囊的前景.
- 放射科医生对标签的协议是具有挑战性的,突出了需要人工智能协助的需要.
- 建议进一步改善MRI图像质量,以提高检测准确度.
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