Deep-learning 2.5-dimensional single-shot detector improves the performance of automated detection of brain metastases on contrast-enhanced CT.

Purpose: This study aims to develop a 2.5-dimensional (2.5D) deep-learning, object detection model for the automated detection of brain metastases, into which three consecutive slices were fed as the input for the prediction in the central slice, and to compare its performance with that of an ordina...

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Publicado en:Neuroradiology Vol. 64; no. 8; pp. 1511 - 1519
Autores principales: Takao, Hidemasa, Amemiya, Shiori, Kato, Shimpei, Yamashita, Hiroshi, Sakamoto, Naoya, Abe, Osamu
Formato: diagnostic images research tables/charts Journal Article
Publicado: Springer Nature Aug2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2022
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00234-022-02902-3
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        atl: Deep-learning 2.5-dimensional single-shot detector improves the performance of automated detection of brain metastases on contrast-enhanced CT.
      aug:
        au:
          Takao, Hidemasa
          Amemiya, Shiori
          Kato, Shimpei
          Yamashita, Hiroshi
          Sakamoto, Naoya
          Abe, Osamu
        affil: Department of Radiology, Graduate School of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, 113-8655, Tokyo, Japan
      sug:
        subj:
          Brain Neoplasms Radiography
          Neoplasm Metastasis Radiography
          Tomography, X-Ray Computed Methods
          Image Processing, Computer Assisted
          Deep Learning
          Contrast Media Diagnostic Use
          Predictive Value of Tests Evaluation
          Human
          Predictive Validity
          Sensitivity and Specificity
          Descriptive Statistics
          Confidence Intervals
          T-Tests
      ab: Purpose: This study aims to develop a 2.5-dimensional (2.5D) deep-learning, object detection model for the automated detection of brain metastases, into which three consecutive slices were fed as the input for the prediction in the central slice, and to compare its performance with that of an ordinary 2-dimensional (2D) model. Methods: We analyzed 696 brain metastases on 127 contrast-enhanced computed tomography (CT) scans from 127 patients with brain metastases. The scans were randomly divided into training (n = 79), validation (n = 18), and test (n = 30) datasets. Single-shot detector (SSD) models with a feature fusion module were constructed, trained, and compared using the lesion-based sensitivity, positive predictive value (PPV), and the number of false positives per patient at a confidence threshold of 50%. Results: The 2.5D SSD model had a significantly higher PPV (t test, p < 0.001) and a significantly smaller number of false positives (t test, p < 0.001). The sensitivities of the 2D and 2.5D models were 88.1% (95% confidence interval [CI], 86.6–89.6%) and 88.7% (95% CI, 87.3–90.1%), respectively. The corresponding PPVs were 39.0% (95% CI, 36.5–41.4%) and 58.9% (95% CI, 55.2–62.7%), respectively. The numbers of false positives per patient were 11.9 (95% CI, 10.7–13.2) and 4.9 (95% CI, 4.2–5.7), respectively. Conclusion: Our results indicate that 2.5D deep-learning, object detection models, which use information about the continuity between adjacent slices, may reduce false positives and improve the performance of automated detection of brain metastases compared with ordinary 2D models.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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