Computer-Aided Diagnosis for Detection of Lacunar Infarcts on MR Images: ROC Analysis of Radiologists' Performance.

The purpose of this study was to retrospectively evaluate radiologist performance in detection of lacunar infarcts on T- and T-weighted images, without and with the use of a computer-aided diagnosis (CAD) scheme. Thirty T-weighted and 30 T-weighted MR images obtained from 30 patients were used for a...

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Publicado en:Journal of Digital Imaging Vol. 25; no. 4; pp. 497 - 504
Autores principales: Uchiyama, Yoshikazu, Asano, Takahiko, Kato, Hiroki, Hara, Takeshi, Kanematsu, Masayuki, Hoshi, Hiroaki, Iwama, Toru, Fujita, Hiroshi
Formato: diagnostic images research tables/charts Journal Article
Publicado: Springer Nature Aug2012
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
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        atl: Computer-Aided Diagnosis for Detection of Lacunar Infarcts on MR Images: ROC Analysis of Radiologists' Performance.
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        au:
          Uchiyama, Yoshikazu
          Asano, Takahiko
          Kato, Hiroki
          Hara, Takeshi
          Kanematsu, Masayuki
          Hoshi, Hiroaki
          Iwama, Toru
          Fujita, Hiroshi
        affil: Department of Computer and Control Engineering, Oita National College of Technology, 1666 Maki Oita City 870-0512 Japan
      sug:
        subj:
          Diagnosis, Computer Assisted
          Stroke Diagnosis
          Clinical Competence
          Magnetic Resonance Imaging
          Radiologists
          Retrospective Design
          ROC Curve
          P-Value
          T-Tests
          Analysis of Variance
          Comparative Studies
          Observational Methods
          Middle Age
          Aged
          Aged, 80 and Over
          Female
          Male
          Human
          Funding Source
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Female
          Male
      ab: The purpose of this study was to retrospectively evaluate radiologist performance in detection of lacunar infarcts on T- and T-weighted images, without and with the use of a computer-aided diagnosis (CAD) scheme. Thirty T-weighted and 30 T-weighted MR images obtained from 30 patients were used for assessing observer performance. These images were acquired using the fast spin-echo sequence with a 1.5-T MR imaging scanner. The group included 15 patients (age range, 48-83 years; mean age, 67.2 years; 10 men and five women) with a lacunar infarct and 15 patients (age range, 39-76 years; mean age, 64.0 years; eight men and seven women) without lacunar infarcts. Nine radiologists participated in the study. The radiologists initially interpreted the T- and T-weighted images without and then with the use of CAD, which indicated their confidence levels regarding the presence (or absence) of lacunar infarcts and the most likely position of a lesion on each MR scan. The observers' performance without and with the computer output was evaluated by performing receiver operating characteristic analysis. For the nine radiologists, the mean area under the best-fit binormal receiver operating characteristic curve plotted for unit square values of radiologists who interpreted the images without and with the scheme were 0.891 and 0.937, respectively. The performance of the radiologists improved significantly when they used the computer output ( p = 0.032). The CAD scheme has potential to improve the accuracy of radiologists' performance in detection of lacunar infarcts.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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