Automated classification of solid renal masses on contrast-enhanced computed tomography images using convolutional neural network with decision fusion.

Objectives: To develop a deep learning-based method for automated classification of renal cell carcinoma (RCC) from benign solid renal masses using contrast-enhanced computed tomography (CECT) images.Methods: This institutional review board-approved retrospective study evaluated CECT in 315 patients...

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Publicado en:European Radiology Vol. 30; no. 9; pp. 5183 - 5191
Autores principales: Zabihollahy, Fatemeh, Schieda, Nicola, Krishna, Satheesh, Ukwatta, Eranga
Formato: diagnostic images research tables/charts Journal Article
Publicado: Springer Nature Sep2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2020
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00330-020-06787-9
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        atl: Automated classification of solid renal masses on contrast-enhanced computed tomography images using convolutional neural network with decision fusion.
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          Zabihollahy, Fatemeh
          Schieda, Nicola
          Krishna, Satheesh
          Ukwatta, Eranga
        affil: Department of Systems and Computer Engineering, Carleton University, 339 Riversedge Crescent, K1V 0Y6, Ottawa, ON, Canada
      sug:
        subj:
          Tomography, X-Ray Computed Methods
          Adenoma
          Neoplasms, Adipose Tissue
          Kidney Neoplasms
          Carcinoma, Renal Cell
          Image Interpretation, Computer Assisted Methods
          Kidney Neoplasms Pathology
          Algorithms
          Diagnosis, Differential
          Carcinoma, Renal Cell Pathology
          Retrospective Design
          Contrast Media
          Neoplasms, Adipose Tissue Pathology
          Adenoma Pathology
          Human
      ab: Objectives: To develop a deep learning-based method for automated classification of renal cell carcinoma (RCC) from benign solid renal masses using contrast-enhanced computed tomography (CECT) images.Methods: This institutional review board-approved retrospective study evaluated CECT in 315 patients with 77 benign (57 oncocytomas, and 20 fat-poor angiomyolipoma) and 238 malignant (RCC: 123 clear cell, 69 papillary, and 46 chromophobe subtypes) tumors identified consecutively between 2015 and 2017. We employed a decision fusion-based model to aggregate slice level predictions determined by convolutional neural network (CNN) via a majority voting system to evaluate renal masses on CECT. The CNN-based model was trained using 7023 slices with renal masses manually extracted from CECT images of 155 patients, cropped automatically around kidneys, and augmented artificially. We also examined the fully automated approach for renal mass evaluation on CECT. Moreover, a 3D CNN was trained and tested using the same datasets and the obtained results were compared with those acquired from slice-wise algorithms.Results: For differentiation of RCC versus benign solid masses, the semi-automated majority voting-based CNN algorithm achieved accuracy, precision, and recall of 83.75%, 89.05%, and 91.73% using 160 test cases, respectively. Fully automated pipeline yielded accuracy, precision, and recall of 77.36%, 85.92%, and 87.22% on the same test cases, respectively. 3D CNN reported accuracy, precision, and recall of 79.24%, 90.32%, and 84.21% using 160 test cases, respectively.Conclusions: A semi-automated majority voting CNN-based methodology enabled accurate classification of RCC from benign neoplasms among solid renal masses on CECT.Key Points: • Our proposed semi-automated majority voting CNN-based algorithm achieved accuracy of 83.75% for the diagnosis of RCC from benign solid renal masses on CECT images. • A fully automated CNN-based methodology classified solid renal masses with moderate accuracy of 77.36% using the same test images. • Employing 3D CNN-based methodology yielded slightly lower accuracy for renal mass classification compared with the semi- automated 2D CNN-based algorithm (79.24%).
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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