An Open-Source, Vender Agnostic Hardware and Software Pipeline for Integration of Artificial Intelligence in Radiology Workflow.

Although machine learning (ML) has made significant improvements in radiology, few algorithms have been integrated into clinical radiology workflow. Complex radiology IT environments and Picture Archiving and Communication System (PACS) pose unique challenges in creating a practical ML schema. Howev...

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Publicado en:Journal of Digital Imaging Vol. 33; no. 4; pp. 1041 - 1047
Autores principales: Sohn, Jae Ho, Chillakuru, Yeshwant Reddy, Lee, Stanley, Lee, Amie Y, Kelil, Tatiana, Hess, Christopher Paul, Seo, Youngho, Vu, Thienkhai, Joe, Bonnie N
Formato: algorithm diagnostic images pictorial research tables/charts Journal Article
Publicado: Springer Nature Aug2020
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10278-020-00348-8
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        atl: An Open-Source, Vender Agnostic Hardware and Software Pipeline for Integration of Artificial Intelligence in Radiology Workflow.
      aug:
        au:
          Sohn, Jae Ho
          Chillakuru, Yeshwant Reddy
          Lee, Stanley
          Lee, Amie Y
          Kelil, Tatiana
          Hess, Christopher Paul
          Seo, Youngho
          Vu, Thienkhai
          Joe, Bonnie N
        affil: Radiology and Biomedical Imaging, University of California San Francisco (UCSF), 505 Parnassus Ave, 94143, San Francisco, CA, USA
      sug:
        subj:
          Radiology Service
          Workflow
          Machine Learning
          Algorithms
          Software Design
          Computer Hardware
          Radiology Information Systems
          Systems Integration
          Human
          Artificial Intelligence
          Breast Tissue Density
          Mammography
          Hospitals, Community
      ab: Although machine learning (ML) has made significant improvements in radiology, few algorithms have been integrated into clinical radiology workflow. Complex radiology IT environments and Picture Archiving and Communication System (PACS) pose unique challenges in creating a practical ML schema. However, clinical integration and testing are critical to ensuring the safety and accuracy of ML algorithms. This study aims to propose, develop, and demonstrate a simple, efficient, and understandable hardware and software system for integrating ML models into the standard radiology workflow and PACS that can serve as a framework for testing ML algorithms. A Digital Imaging and Communications in Medicine/Graphics Processing Unit (DICOM/GPU) server and software pipeline was established at a metropolitan county hospital intranet to demonstrate clinical integration of ML algorithms in radiology. A clinical ML integration schema, agnostic to the hospital IT system and specific ML models/frameworks, was implemented and tested with a breast density classification algorithm and prospectively evaluated for time delays using 100 digital 2D mammograms. An open-source clinical ML integration schema was successfully implemented and demonstrated. This schema allows for simple uploading of custom ML models. With the proposed setup, the ML pipeline took an average of 26.52 s per second to process a batch of 100 studies. The most significant processing time delays were noted in model load and study stability times. The code is made available at "http://bit.ly/2Z121hX". We demonstrated the feasibility to deploy and utilize ML models in radiology without disrupting existing radiology workflow.
      pubtype: Academic Journal
      doctype:
        algorithm
        diagnostic images
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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