Deep Learning–Assisted Identification of Femoroacetabular Impingement (FAI) on Routine Pelvic Radiographs.

To use a novel deep learning system to localize the hip joints and detect findings of cam-type femoroacetabular impingement (FAI). A retrospective search of hip/pelvis radiographs obtained in patients to evaluate for FAI yielded 3050 total studies. Each hip was classified separately by the original...

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Published in:Journal of Digital Imaging Vol. 37; no. 1; pp. 339 - 347
Main Authors: Hoy, Michael K., Desai, Vishal, Mutasa, Simukayi, Hoy, Robert C., Gorniak, Richard, Belair, Jeffrey A.
Format: diagnostic images research tables/charts Journal Article
Published: Springer Nature Feb2024
Online Access:View this record in EBSCOhost
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      pub: Springer Nature
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        atl: Deep Learning–Assisted Identification of Femoroacetabular Impingement (FAI) on Routine Pelvic Radiographs.
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          Hoy, Michael K.
          Desai, Vishal
          Mutasa, Simukayi
          Hoy, Robert C.
          Gorniak, Richard
          Belair, Jeffrey A.
        affil: https://ror.org/00ysqcn41 Thomas Jefferson University, Philadelphia, PA, USA
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        subj:
          Femoracetabular Impingement Diagnosis
          Pelvic Bones Radiography
          Tomography, X-Ray Computed Methods
          Diagnostic Tests, Routine
          Deep Learning
          Human
          Descriptive Statistics
          Data Analysis Software
          Case Control Studies
          Retrospective Design
          Health Insurance Portability and Accountability Act
          Neural Networks (Computer)
          Machine Learning
          Male
          Female
          Child
          Adolescence
          Young Adult
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Child: 6-12 years
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: To use a novel deep learning system to localize the hip joints and detect findings of cam-type femoroacetabular impingement (FAI). A retrospective search of hip/pelvis radiographs obtained in patients to evaluate for FAI yielded 3050 total studies. Each hip was classified separately by the original interpreting radiologist in the following manner: 724 hips had severe cam-type FAI morphology, 962 moderate cam-type FAI morphology, 846 mild cam-type FAI morphology, and 518 hips were normal. The anteroposterior (AP) view from each study was anonymized and extracted. After localization of the hip joints by a novel convolutional neural network (CNN) based on the focal loss principle, a second CNN classified the images of the hip as cam positive, or no FAI. Accuracy was 74% for diagnosing normal vs. abnormal cam-type FAI morphology, with aggregate sensitivity and specificity of 0.821 and 0.669, respectively, at the chosen operating point. The aggregate AUC was 0.736. A deep learning system can be applied to detect FAI-related changes on single view pelvic radiographs. Deep learning is useful for quickly identifying and categorizing pathology on imaging, which may aid the interpreting radiologist.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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