Using Transfer Learning of Convolutional Neural Network on Neck Radiographs to Identify Acute Epiglottitis.

Acute epiglottitis (AE) is a life-threatening condition and needs to be recognized timely. Diagnosis of AE with a lateral neck radiograph yields poor reliability and sensitivity. Convolutional neural networks (CNN) are powerful tools to assist the analysis of medical images. This study aimed to deve...

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Publicado en:Journal of Digital Imaging Vol. 36; no. 3; pp. 893 - 902
Autores principales: Lin, Yang-Tse, Shia, Ben-Chang, Chang, Chia-Jung, Wu, Yueh, Yang, Jheng-Dao, Kang, Jiunn-Horng
Formato: diagnostic images research tables/charts Journal Article
Publicado: Springer Nature Jun2023
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Using Transfer Learning of Convolutional Neural Network on Neck Radiographs to Identify Acute Epiglottitis.
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          Lin, Yang-Tse
          Shia, Ben-Chang
          Chang, Chia-Jung
          Wu, Yueh
          Yang, Jheng-Dao
          Kang, Jiunn-Horng
        affil: Department of Emergency Medicine, Hsinchu Cathay General Hospital, 30060, Hsinchu City, Taiwan
      sug:
        subj:
          Epiglottitis Diagnosis
          Acute Disease Diagnosis
          Convolutional Neural Networks Utilization
          Artificial Intelligence
          Neck Radiography
          Human
          Retrospective Design
          Descriptive Statistics
          Data Analysis Software
          Emergency Medicine
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          Middle Aged: 45-64 years
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      ab: Acute epiglottitis (AE) is a life-threatening condition and needs to be recognized timely. Diagnosis of AE with a lateral neck radiograph yields poor reliability and sensitivity. Convolutional neural networks (CNN) are powerful tools to assist the analysis of medical images. This study aimed to develop an artificial intelligence model using CNN-based transfer learning to identify AE in lateral neck radiographs. All cases in this study are from two hospitals, a medical center, and a local teaching hospital in Taiwan. In this retrospective study, we collected 251 lateral neck radiographs of patients with AE and 936 individuals without AE. Neck radiographs obtained from patients without and with AE were used as the input for model transfer learning in a pre-trained CNN including Inception V3, Densenet201, Resnet101, VGG19, and Inception V2 to select the optimal model. We used five-fold cross-validation to estimate the performance of the selected model. The confusion matrix of the final model was analyzed. We found that Inception V3 yielded the best results as the optimal model among all pre-train models. Based on the average value of the fivefold cross-validation, the confusion metrics were obtained: accuracy = 0.92, precision = 0.94, recall = 0.90, and area under the curve (AUC) = 0.96. Using the Inception V3-based model can provide an excellent performance to identify AE based on radiographic images. We suggest using the CNN-based model which can offer a non-invasive, accurate, and fast diagnostic method for AE in the future.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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