Visual Image Annotation for Bowel Obstruction: Repeatability and Agreement with Manual Annotation and Neural Networks.

Bowel obstruction is a common cause of acute abdominal pain. The development of algorithms for automated detection and characterization of bowel obstruction on CT has been limited by the effort required for manual annotation. Visual image annotation with an eye tracking device may mitigate that limi...

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Publicado en:Journal of Digital Imaging Vol. 36; no. 5; pp. 2179 - 2194
Autor principal: Murphy, Paul M.
Formato: algorithm diagnostic images pictorial research tables/charts Journal Article
Publicado: Springer Nature Oct2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2023
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10278-023-00825-w
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        atl: Visual Image Annotation for Bowel Obstruction: Repeatability and Agreement with Manual Annotation and Neural Networks.
      aug:
        au: Murphy, Paul M.
        affil: University of California–San Diego, 9500 Gilman Dr, 92093, La Jolla, CA, USA
      sug:
        subj:
          Data Curation
          Intestinal Obstruction Pathology
          Diagnostic Imaging
          Neural Networks (Computer)
          Tomography, X-Ray Computed Methods
          Human
          Tomography, X-Ray Computed
          Retrospective Design
          Cleavage Stage, Ovum
          Confidence Intervals
          Descriptive Statistics
          Health Insurance Portability and Accountability Act
          Female
          Male
          Middle Age
          Middle Aged: 45-64 years
          Female
          Male
      ab: Bowel obstruction is a common cause of acute abdominal pain. The development of algorithms for automated detection and characterization of bowel obstruction on CT has been limited by the effort required for manual annotation. Visual image annotation with an eye tracking device may mitigate that limitation. The purpose of this study is to assess the agreement between visual and manual annotations for bowel segmentation and diameter measurement, and to assess agreement with convolutional neural networks (CNNs) trained using that data. Sixty CT scans of 50 patients with bowel obstruction from March to June 2022 were retrospectively included and partitioned into training and test data sets. An eye tracking device was used to record 3-dimensional coordinates within the scans, while a radiologist cast their gaze at the centerline of the bowel, and adjusted the size of a superimposed ROI to approximate the diameter of the bowel. For each scan, 59.4 ± 15.1 segments, 847.9 ± 228.1 gaze locations, and 5.8 ± 1.2 m of bowel were recorded. 2d and 3d CNNs were trained using this data to predict bowel segmentation and diameter maps from the CT scans. For comparisons between two repetitions of visual annotation, CNN predictions, and manual annotations, Dice scores for bowel segmentation ranged from 0.69 ± 0.17 to 0.81 ± 0.04 and intraclass correlations [95% CI] for diameter measurement ranged from 0.672 [0.490–0.782] to 0.940 [0.933–0.947]. Thus, visual image annotation is a promising technique for training CNNs to perform bowel segmentation and diameter measurement in CT scans of patients with bowel obstruction.
      pubtype: Academic Journal
      doctype:
        algorithm
        diagnostic images
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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