Artificial Intelligence Model Trained with Sparse Data to Detect Facial and Cranial Bone Fractures from Head CT.

The presence of cranial and facial bone fractures is an important finding on non-enhanced head computed tomography (CT) scans from patients who have sustained head trauma. Some prior studies have proposed automatic cranial fracture detections, but studies on facial fractures are lacking. We propose...

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Publicado en:Journal of Digital Imaging Vol. 36; no. 4; pp. 1408 - 1419
Autores principales: Wang, Huan-Chih, Wang, Shao-Chung, Yan, Jiun-Lin, Ko, Li-Wei
Formato: diagnostic images research tables/charts Journal Article
Publicado: Springer Nature Aug2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2023
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      pub: Springer Nature
      place: New York, New York
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        atl: Artificial Intelligence Model Trained with Sparse Data to Detect Facial and Cranial Bone Fractures from Head CT.
      aug:
        au:
          Wang, Huan-Chih
          Wang, Shao-Chung
          Yan, Jiun-Lin
          Ko, Li-Wei
        affil: Division of Neurosurgery, Department of Surgery, National Taiwan University Hospital, Chungshan Rd, No. 7, Taipei City 100, Taiwan
      sug:
        subj:
          Automation
          Artificial Intelligence
          Skull Fractures
          Head Injuries
          Tomography, X-Ray Computed
          Human
          Chi Square Test
          Data Analysis Software
          Sensitivity and Specificity
          Deep Learning
      ab: The presence of cranial and facial bone fractures is an important finding on non-enhanced head computed tomography (CT) scans from patients who have sustained head trauma. Some prior studies have proposed automatic cranial fracture detections, but studies on facial fractures are lacking. We propose a deep learning system to automatically detect both cranial and facial bone fractures. Our system incorporated models consisting of YOLOv4 for one-stage fracture detection and improved ResUNet (ResUNet++) for the segmentation of cranial and facial bones. The results from the two models mapped together provided the location of the fracture and the name of the fractured bone as the final output. The training data for the detection model were the soft tissue algorithm images from a total of 1,447 head CT studies (a total of 16,985 images), and the training data for the segmentation model included 1,538 selected head CT images. The trained models were tested on a test dataset consisting of 192 head CT studies (a total of 5,890 images). The overall performance achieved a sensitivity of 88.66%, a precision of 94.51%, and an F1 score of 0.9149. Specifically, the cranial and facial regions were evaluated and resulted in a sensitivity of 84.78% and 80.77%, a precision of 92.86% and 87.50%, and F1 scores of 0.8864 and 0.8400, respectively. The average accuracy for the segmentation labels concerning all predicted fracture bounding boxes was 80.90%. Our deep learning system could accurately detect cranial and facial bone fractures and identify the fractured bone region simultaneously.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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