Automating Angle Measurements on Foot Radiographs in Young Children: Feasibility and Performance of a Convolutional Neural Network Model.

Measurement of angles on foot radiographs is an important step in the evaluation of malalignment. The objective is to develop a CNN model to measure angles on radiographs, using radiologists' measurements as the reference standard. This IRB-approved retrospective study included 450 radiographs from...

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Publicado en:Journal of Digital Imaging Vol. 36; no. 4; pp. 1419 - 1431
Autores principales: Patton, Daniella, Ghosh, Adarsh, Farkas, Amy, Sotardi, Susan, Francavilla, Michael, Venkatakrishna, Shyam, Bose, Saurav, Ouyang, Minhui, Huang, Hao, Davidson, Richard, Sze, Raymond, Nguyen, Jie
Formato: diagnostic images equations & formulas research tables/charts Journal Article
Publicado: Springer Nature Aug2023
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Automating Angle Measurements on Foot Radiographs in Young Children: Feasibility and Performance of a Convolutional Neural Network Model.
      aug:
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          Patton, Daniella
          Ghosh, Adarsh
          Farkas, Amy
          Sotardi, Susan
          Francavilla, Michael
          Venkatakrishna, Shyam
          Bose, Saurav
          Ouyang, Minhui
          Huang, Hao
          Davidson, Richard
          Sze, Raymond
          Nguyen, Jie
        affil: Department of Radiology, Children's Hospital of Philadelphia, Philadelphia, PA, USA
      sug:
        subj:
          Convolutional Neural Networks Evaluation
          Foot Radiography
          Diagnosis, Computer Assisted
          Pediatric Care
          Human
          Child
          Pilot Studies
          Retrospective Design
          Record Review
          Descriptive Statistics
          Machine Learning
          Clubfoot
          Child: 6-12 years
      ab: Measurement of angles on foot radiographs is an important step in the evaluation of malalignment. The objective is to develop a CNN model to measure angles on radiographs, using radiologists' measurements as the reference standard. This IRB-approved retrospective study included 450 radiographs from 216 patients (< 3 years of age). Angles were automatically measured by means of image segmentation followed by angle calculation, according to Simon's approach for measuring pediatric foot angles. A multiclass U-Net model with a ResNet-34 backbone was used for segmentation. Two pediatric radiologists independently measured anteroposterior and lateral talocalcaneal and talo-1st metatarsal angles using the test dataset and recorded the time used for each study. Intraclass correlation coefficients (ICC) were used to compare angle and paired Wilcoxon signed-rank test to compare time between radiologists and the CNN model. There was high spatial overlap between manual and CNN-based automatic segmentations with dice coefficients ranging between 0.81 (lateral 1st metatarsal) and 0.94 (lateral calcaneus). Agreement was higher for angles on the lateral view when compared to the AP view, between radiologists (ICC: 0.93–0.95, 0.85–0.92, respectively) and between radiologists' mean and CNN calculated (ICC: 0.71–0.73, 0.41–0.52, respectively). Automated angle calculation was significantly faster when compared to radiologists' manual measurements (3 ± 2 vs 114 ± 24 s, respectively; P < 0.001). A CNN model can selectively segment immature ossification centers and automatically calculate angles with a high spatial overlap and moderate to substantial agreement when compared to manual methods, and 39 times faster.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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