Machine Learning Interface for Medical Image Analysis.

TensorFlow is a second-generation open-source machine learning software library with a built-in framework for implementing neural networks in wide variety of perceptual tasks. Although TensorFlow usage is well established with computer vision datasets, the TensorFlow interface with DICOM formats for...

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Published in:Journal of Digital Imaging Vol. 30; no. 5; pp. 615 - 622
Main Authors: Zhang, Yi, Kagen, Alexander
Format: research tables/charts Journal Article
Published: Springer Nature Oct2017
Online Access:View this record in EBSCOhost
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      dt: Oct2017
      vid: 30
      iid: 5
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10278-016-9910-0
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        atl: Machine Learning Interface for Medical Image Analysis.
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        au:
          Zhang, Yi
          Kagen, Alexander
        affil: Translational and Molecular Imaging Institute , Icahn School of Medicine at Mount Sinai , 1470 Madison Avenue, 1st Floor New York 10029 USA
      sug:
        subj:
          Neural Networks (Computer)
          DICOM
          Image Processing, Computer Assisted
          Parkinson Disease Radiography
          Parkinson Disease Diagnosis
          Software
          Algorithms
          Validation Studies
          Confidence Intervals
          Sensitivity and Specificity
          Human
      ab: TensorFlow is a second-generation open-source machine learning software library with a built-in framework for implementing neural networks in wide variety of perceptual tasks. Although TensorFlow usage is well established with computer vision datasets, the TensorFlow interface with DICOM formats for medical imaging remains to be established. Our goal is to extend the TensorFlow API to accept raw DICOM images as input; 1513 DaTscan DICOM images were obtained from the Parkinson's Progression Markers Initiative (PPMI) database. DICOM pixel intensities were extracted and shaped into tensors, or n-dimensional arrays, to populate the training, validation, and test input datasets for machine learning. A simple neural network was constructed in TensorFlow to classify images into normal or Parkinson's disease groups. Training was executed over 1000 iterations for each cross-validation set. The gradient descent optimization and Adagrad optimization algorithms were used to minimize cross-entropy between the predicted and ground-truth labels. Cross-validation was performed ten times to produce a mean accuracy of 0.938 ± 0.047 (95 % CI 0.908-0.967). The mean sensitivity was 0.974 ± 0.043 (95 % CI 0.947-1.00) and mean specificity was 0.822 ± 0.207 (95 % CI 0.694-0.950). We extended the TensorFlow API to enable DICOM compatibility in the context of DaTscan image analysis. We implemented a neural network classifier that produces diagnostic accuracies on par with excellent results from previous machine learning models. These results indicate the potential role of TensorFlow as a useful adjunct diagnostic tool in the clinical setting.
      pubtype: Academic Journal
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        research
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      ougenre: Article
    language: English
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