Deep Learning-driven classification of external DICOM studies for PACS archiving.

Objectives: Over the course of their treatment, patients often switch hospitals, requiring staff at the new hospital to import external imaging studies to their local database. In this study, the authors present MOdality Mapping and Orchestration (MOMO), a Deep Learning-based approach to automate th...

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Publicado en:European Radiology Vol. 32; no. 12; pp. 8769 - 8777
Autores principales: Jonske, Frederic, Dederichs, Maximilian, Kim, Moon-Sung, Keyl, Julius, Egger, Jan, Umutlu, Lale, Forsting, Michael, Nensa, Felix, Kleesiek, Jens
Formato: algorithm diagnostic images research tables/charts Journal Article
Publicado: Springer Nature Dec2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2022
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00330-022-08926-w
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        atl: Deep Learning-driven classification of external DICOM studies for PACS archiving.
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          Jonske, Frederic
          Dederichs, Maximilian
          Kim, Moon-Sung
          Keyl, Julius
          Egger, Jan
          Umutlu, Lale
          Forsting, Michael
          Nensa, Felix
          Kleesiek, Jens
        affil: Institute of AI in Medicine (IKIM), University Hospital Essen, Girardetstraße 2, 45131, Essen, Germany
      sug:
        subj:
          Magnetic Resonance Imaging Methods
          Resource Databases
          Algorithms
      ab: Objectives: Over the course of their treatment, patients often switch hospitals, requiring staff at the new hospital to import external imaging studies to their local database. In this study, the authors present MOdality Mapping and Orchestration (MOMO), a Deep Learning-based approach to automate this mapping process by combining metadata analysis and a neural network ensemble.Methods: A set of 11,934 imaging series with existing anatomical labels was retrieved from the PACS database of the local hospital to train an ensemble of neural networks (DenseNet-161 and ResNet-152), which process radiological images and predict the type of study they belong to. We developed an algorithm that automatically extracts relevant metadata from imaging studies, regardless of their structure, and combines it with the neural network ensemble, forming a powerful classifier. A set of 843 anonymized external studies from 321 hospitals was hand-labeled to assess performance. We tested several variations of this algorithm.Results: MOMO achieves 92.71% accuracy and 2.63% minor errors (at 99.29% predictive power) on the external study classification task, outperforming both a commercial product (82.86% accuracy, 1.36% minor errors, 96.20% predictive power) and a pure neural network ensemble (72.69% accuracy, 10.3% minor errors, 99.05% predictive power) performing the same task. We find that the highest performance is achieved by an algorithm that combines all information into one vote-based classifier.Conclusion: Deep Learning combined with metadata matching is a promising and flexible approach for the automated classification of external DICOM studies for PACS archiving.Key Points: • The algorithm can successfully identify 76 medical study types across seven modalities (CT, X-ray angiography, radiographs, MRI, PET (+CT/MRI), ultrasound, and mammograms). • The algorithm outperforms a commercial product performing the same task by a significant margin (> 9% accuracy gain). • The performance of the algorithm increases through the application of Deep Learning techniques.
      pubtype: Academic Journal
      doctype:
        algorithm
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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