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

Wu, Dufan, Montes, Daniel, Duan, Ziheng, Huang, Yangsibo, Romero, Javier M., Gonzalez, Ramon Gilberto, Li, Quanzheng

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.

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