论文标题
基于深度学习的检测和颅内动脉瘤在计算机断层扫描中
Deep Learning Based Detection and Localization of Intracranial Aneurysms in Computed Tomography Angiography
论文作者
论文摘要
目的:开发CADIA,这是一个基于区域建议网络的监督深度学习模型,再加上通过计算机断层扫描(CTA)检测和定位的假阳性还原模块,用于检测和定位颅内动脉瘤(IA),并评估我们模型的性能到类似的检测网络。方法:在这项回顾性研究中,我们评估了来自两个单独的机构的1,216名患者,他们接受了CT的固定IA> = 2.5 mm。实施了一个两步模型:用于初始动脉瘤检测的3D区域建议网络和用于假阳性降低的3D densenets,并进一步确定可疑IA。还进行了自由反应接收器手术特性(FROC)曲线和病变/患者/患者水平的性能,以确定的每体积假阳性(FPPV)。 Fisher的精确测试用于与类似的可用模型进行比较。结果:CADIA的敏感性为0.25和1 FPPV分别为63.9%和77.5%。我们的模型的性能随尺寸和位置而异,并且在5-10毫米和前交通动脉的IA中实现了最佳性能,敏感性分别为95.8%和94%。与可用模型为0.25 FPPV和最佳F-1分数相比,我们的模型在统计学上显示出更高的患者级准确性,灵敏度和特异性(P <= 0.001)。在1 FPPV阈值时,我们的模型显示出更好的准确性和特异性(P <= 0.001)和等效灵敏度。结论:CADIA在IA的检测任务中表现优于一个可比网络。添加假阳性还原模块是改善IA检测模型的可行步骤。
Purpose: To develop CADIA, a supervised deep learning model based on a region proposal network coupled with a false-positive reduction module for the detection and localization of intracranial aneurysms (IA) from computed tomography angiography (CTA), and to assess our model's performance to a similar detection network. Methods: In this retrospective study, we evaluated 1,216 patients from two separate institutions who underwent CT for the presence of saccular IA>=2.5 mm. A two-step model was implemented: a 3D region proposal network for initial aneurysm detection and 3D DenseNetsfor false-positive reduction and further determination of suspicious IA. Free-response receiver operative characteristics (FROC) curve and lesion-/patient-level performance at established false positive per volume (FPPV) were also performed. Fisher's exact test was used to compare with a similar available model. Results: CADIA's sensitivities at 0.25 and 1 FPPV were 63.9% and 77.5%, respectively. Our model's performance varied with size and location, and the best performance was achieved in IA between 5-10 mm and in those at anterior communicating artery, with sensitivities at 1 FPPV of 95.8% and 94%, respectively. Our model showed statistically higher patient-level accuracy, sensitivity, and specificity when compared to the available model at 0.25 FPPV and the best F-1 score (P<=0.001). At 1 FPPV threshold, our model showed better accuracy and specificity (P<=0.001) and equivalent sensitivity. Conclusions: CADIA outperformed a comparable network in the detection task of IA. The addition of a false-positive reduction module is a feasible step to improve the IA detection models.