An AI-Based Image Quality Control Framework for Knee Radiographs.

Image quality control (QC) is crucial for the accurate diagnosis of knee diseases using radiographs. However, the manual QC process is subjective, labor intensive, and time-consuming. In this study, we aimed to develop an artificial intelligence (AI) model to automate the QC procedure typically perf...

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Published in:Journal of Digital Imaging Vol. 36; no. 5; pp. 2278 - 2290
Main Authors: Sun, Hongbiao, Wang, Wenwen, He, Fujin, Wang, Duanrui, Liu, Xiaoqing, Xu, Shaochun, Zhao, Baolian, Li, Qingchu, Wang, Xiang, Jiang, Qinling, Zhang, Rong, Liu, Shiyuan, Xiao, Yi
Format: diagnostic images research tables/charts Journal Article
Published: Springer Nature Oct2023
Online Access:View this record in EBSCOhost
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          Sun, Hongbiao
          Wang, Wenwen
          He, Fujin
          Wang, Duanrui
          Liu, Xiaoqing
          Xu, Shaochun
          Zhao, Baolian
          Li, Qingchu
          Wang, Xiang
          Jiang, Qinling
          Zhang, Rong
          Liu, Shiyuan
          Xiao, Yi
        affil: https://ror.org/0103dxn66 Department of Radiology, Shanghai Changzheng Hospital, Naval Medical University, No.415 Fengyang Road, Huangpu District, 200003, Shanghai, China
      sug:
        subj:
          Knee Radiography
          Radiographic Image Enhancement
          Artificial Intelligence Utilization
          Theory Construction
          Quality Control (Technology)
          Human
          Prospective Studies
          Intraclass Correlation Coefficient
          Deep Learning
          Funding Source
      ab: Image quality control (QC) is crucial for the accurate diagnosis of knee diseases using radiographs. However, the manual QC process is subjective, labor intensive, and time-consuming. In this study, we aimed to develop an artificial intelligence (AI) model to automate the QC procedure typically performed by clinicians. We proposed an AI-based fully automatic QC model for knee radiographs using high-resolution net (HR-Net) to identify predefined key points in images. We then performed geometric calculations to transform the identified key points into three QC criteria, namely, anteroposterior (AP)/lateral (LAT) overlap ratios and LAT flexion angle. The proposed model was trained and validated using 2212 knee plain radiographs from 1208 patients and an additional 1572 knee radiographs from 753 patients collected from six external centers for further external validation. For the internal validation cohort, the proposed AI model and clinicians showed high intraclass consistency coefficients (ICCs) for AP/LAT fibular head overlap and LAT knee flexion angle of 0.952, 0.895, and 0.993, respectively. For the external validation cohort, the ICCs were also high, with values of 0.934, 0.856, and 0.991, respectively. There were no significant differences between the AI model and clinicians in any of the three QC criteria, and the AI model required significantly less measurement time than clinicians. The experimental results demonstrated that the AI model performed comparably to clinicians and required less time. Therefore, the proposed AI-based model has great potential as a convenient tool for clinical practice by automating the QC procedure for knee radiographs.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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