Novel Autosegmentation Spatial Similarity Metrics Capture the Time Required to Correct Segmentations Better Than Traditional Metrics in a Thoracic Cavity Segmentation Workflow.

Automated segmentation templates can save clinicians time compared to de novo segmentation but may still take substantial time to review and correct. It has not been thoroughly investigated which automated segmentation-corrected segmentation similarity metrics best predict clinician correction time....

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Publicado en:Journal of Digital Imaging Vol. 34; no. 3; pp. 541 - 554
Autores principales: Kiser, Kendall J., Barman, Arko, Stieb, Sonja, Fuller, Clifton D., Giancardo, Luca
Formato: pictorial research tables/charts Journal Article
Publicado: Springer Nature Jun2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2021
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10278-021-00460-3
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        atl: Novel Autosegmentation Spatial Similarity Metrics Capture the Time Required to Correct Segmentations Better Than Traditional Metrics in a Thoracic Cavity Segmentation Workflow.
      aug:
        au:
          Kiser, Kendall J.
          Barman, Arko
          Stieb, Sonja
          Fuller, Clifton D.
          Giancardo, Luca
        affil: Department of Radiation Oncology, Washington University School of Medicine in St. Louis, St. Louis, MO, USA
      sug:
        subj:
          Radiography, Thoracic
          Workflow
          Automation
          Image Processing, Computer Assisted Methods
          Human
          Neural Networks (Computer)
          Spearman's Rank Correlation Coefficient
          Mann-Whitney U Test
          Descriptive Statistics
          Machine Learning
          Time
          Tomography, X-Ray Computed
      ab: Automated segmentation templates can save clinicians time compared to de novo segmentation but may still take substantial time to review and correct. It has not been thoroughly investigated which automated segmentation-corrected segmentation similarity metrics best predict clinician correction time. Bilateral thoracic cavity volumes in 329 CT scans were segmented by a UNet-inspired deep learning segmentation tool and subsequently corrected by a fourth-year medical student. Eight spatial similarity metrics were calculated between the automated and corrected segmentations and associated with correction times using Spearman's rank correlation coefficients. Nine clinical variables were also associated with metrics and correction times using Spearman's rank correlation coefficients or Mann–Whitney U tests. The added path length, false negative path length, and surface Dice similarity coefficient correlated better with correction time than traditional metrics, including the popular volumetric Dice similarity coefficient (respectively ρ = 0.69, ρ = 0.65, ρ = − 0.48 versus ρ = − 0.25; correlation p values < 0.001). Clinical variables poorly represented in the autosegmentation tool's training data were often associated with decreased accuracy but not necessarily with prolonged correction time. Metrics used to develop and evaluate autosegmentation tools should correlate with clinical time saved. To our knowledge, this is only the second investigation of which metrics correlate with time saved. Validation of our findings is indicated in other anatomic sites and clinical workflows. Novel spatial similarity metrics may be preferable to traditional metrics for developing and evaluating autosegmentation tools that are intended to save clinicians time.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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