Computer Aided Detection for Pulmonary Embolism Challenge (CAD-PE)
Ferdowsi University of Mashhad（马什哈德菲尔多西大学）；Universidad de Alicante（阿利坎特大学）；Sierra Research S.L.（塞拉研究有限公司）；Unidad de Radiodiagnostico, Madrid（马德里放射诊断科）；CIBERBBN（西班牙生物医学网络研究中心）；Brigham and Women’s Hospital（布里格姆妇女医院）；Corades S.L.（科拉德斯有限公司）；LNM Institute of Information Technology（LNM信息技术学院）；Arizona State University（亚利桑那州立大学）
Germán González, Daniel Jimenez-Carretero, Sara Rodríguez-López, Carlos Cano-Espinosa, Miguel Cazorla, Tanya Agarwal, Vinit Agarwal, Nima Tajbakhsh, Michael B. … 展开作者
Germán González, Daniel Jimenez-Carretero, Sara Rodríguez-López, Carlos Cano-Espinosa, Miguel Cazorla, Tanya Agarwal, Vinit Agarwal, Nima Tajbakhsh, Michael B. Gotway, Jianming Liang, Mojtaba Masoudi, Noushin Eftekhari, Mahdi Saadatmand, Hamid-Reza Pourreza, Patricia Fraga-Rivas, Eduardo Fraile, Frank J. Rybicki, Ara Kassarjian, Raúl San José Estépar, Maria J. Ledesma-Carbayo
Rationale: Computer aided detection (CAD) algorithms for Pulmonary Embolism (PE) algorithms have been shown to increase radiologists' sensitivity with a small increase in specificity. However, CAD for PE has not been adopted into clinical practice, likely because of the high number of false positives current CAD software produces. Objective: To generate a database of annotated computed tomography pulmonary angiographies, use it to compare the sensitivity and false positive rate of current algorithms and to develop new methods that improve such metrics. Methods: 91 Computed tomography pulmonary angiography scans were annotated by at least one radiologist by segmenting all pulmonary emboli visible on the study. 20 annotated CTPAs were open to the public in the form of a medical image analysis challenge. 20 more were kept for evaluation purposes. 51 were made available post-challenge. 8 submissions, 6 of them novel, were evaluated on the 20 evaluation CTPAs. Performance was measured as per embolus sensitivity vs. false positives per scan curve. Results: The best algorithms achieved a per-embolus sensitivity of 75% at 2 false positives per scan (fps) or of 70% at 1 fps, outperforming the state of the art. Deep learning approaches outperformed traditional machine learning ones, and their performance improved with the number of training cases. Significance: Through this work and challenge we have improved the state-of-the art of computer aided detection algorithms for pulmonary embolism. An open database and an evaluation benchmark for such algorithms have been generated, easing the development of further improvements. Implications on clinical practice will need further research.
With more than 60,000 deaths annually in the United States, Pulmonary Embolism (PE) is among the most fatal cardiovascular diseases. It is caused by an artery blockage in the lung; confirming its presence is time-consuming and is prone to over-diagnosis. The utilization of automated PE detection systems is critical for diagnostic accuracy and efficiency. In this study we propose a two-stage attention-based CNN-LSTM network for predicting PE, its associated type (chronic, acute) and corresponding location (leftsided, rightsided or central) on computed tomography (CT) examinations. We trained ou…
National Yang Ming Chiao Tung University（国立阳明交通大学）；National Cheng Kung University Hospital（国立成功大学医院）；National Cheng Kung University（国立成功大学）
The clinical symptoms of pulmonary embolism (PE) are very diverse and non-specific, which makes it difficult to diagnose. In addition, pulmonary embolism has multiple triggers and is one of the major causes of vascular death. Therefore, if it can be detected and treated quickly, it can significantly reduce the risk of death in hospitalized patients. In the detection process, the cost of computed tomography pulmonary angiography (CTPA) is high, and angiography requires the injection of contrast agents, which increase the risk of damage to the patient. Therefore, this study will use a deep learn…
National Chiao-Tung University（国立交通大学）；National Cheng Kung University Hospital（国立成功大学附属医院）；College of Medicine, National Cheng Kung University（国立成功大学医学院）
This study was conducted to develop a computer-aided detection (CAD) system for triaging patients with pulmonary embolism (PE). The purpose of the system was to reduce the death rate during the waiting period. Computed tomography pulmonary angiography (CTPA) is used for PE diagnosis. Because CTPA reports require a radiologist to review the case and suggest further management, this creates a waiting period during which patients may die. Our proposed CAD method was thus designed to triage patients with PE from those without PE. In contrast to related studies involving CAD systems that identify k…
Stanford University（斯坦福大学）；Duke University（杜克大学）；Arizona State University（亚利桑那州立大学）
Despite the routine use of electronic health record (EHR) data by radiologists to contextualize clinical history and inform image interpretation, the majority of deep learning architectures for medical imaging are unimodal, i.e., they only learn features from pixel-level information. Recent research revealing how race can be recovered from pixel data alone highlights the potential for serious biases in models which fail to account for demographics and other key patient attributes. Yet the lack of imaging datasets which capture clinical context, inclusive of demographics and longitudinal medica…
Instituto Tecnológico de Estudios Superiores de Monterrey（蒙特雷高等技术学院）；Instituto Nacional de Cardiología Ignacio Chávez（伊格纳西奥·查韦斯国家心脏病学研究所）
Pulmonary embolism (PE) is a highly mortal disease, currently assessed by pulmonary CT angiography. True-FISP MRI has emerged as an innocuous alternative that does not hold many of the limitations of x-ray imaging. However, True-FISP MRI is very sensitive to turbulent blood flow, generating artifacts that may resemble fake clots in the pulmonary vasculature. These misinterpretations reduce its overall diagnostic accuracy to 94%, limiting a wider use in clinical environments. A new segmentation algorithm is proposed to confirm the presence of real pulmonary clots in True-FISP MR images by quant…
PE-MVCNet: Multi-view and Cross-modal Fusion Network for Pulmonary Embolism Prediction
Hangzhou Dianzi University（杭州电子科技大学）；Dalian Polytechnic University（大连工业大学）；The Second Affiliated Hospital of The Chinese University of Hong Kong（香港中文大学第二附属医院）；Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences（中国科学院深圳先进技术研究院）；Shenzhen Institute of Information Technology（深圳信息职业技术学院）；Shenzhen Research Institute of Big Data（深圳大数据研究院）；Hangzhou Institute of Advanced Technology（杭州高等研究院）
Karlsruhe Institute of Technology（卡尔斯鲁厄理工学院）；University Hospital Heidelberg（海德堡大学医院）；German Cancer Research Center（德国癌症研究中心）；University Hospital Essen（埃森大学医院）
Detector-based spectral computed tomography is a recent dual-energy CT (DECT) technology that offers the possibility of obtaining spectral information. From this spectral data, different types of images can be derived, amongst others virtual monoenergetic (monoE) images. MonoE images potentially exhibit decreased artifacts, improve contrast, and overall contain lower noise values, making them ideal candidates for better delineation and thus improved diagnostic accuracy of vascular abnormalities. In this paper, we are training convolutional neural networks~(CNN) that can emulate the generation …
Cross-Phase Mutual Learning Framework for Pulmonary Embolism Identification on Non-Contrast CT Scans
DAMO Academy, Alibaba Group（阿里巴巴达摩院）；School of Information Science and Technology, Fudan University（复旦大学信息科学与技术学院）；College of Computer Science and Technology, Zhejiang University（浙江大学计算机科学与技术学院）；The First Affiliated Hospital of Zhejiang University School of Medicine（浙江大学医学院附属第一医院）
Abn-BLIP: Abnormality-aligned Bootstrapping Language-Image Pre-training for Pulmonary Embolism Diagnosis and Report Generation from CTPA
Department of Diagnostic Imaging, Brown University Health（布朗大学健康中心诊断影像科）；Warren Alpert Medical School of Brown University（布朗大学沃伦·阿尔珀特医学院）；Department of Biomedical Engineering, Johns Hopkins University School of Medicine（约翰霍普金斯大学医学院生物医学工程系）；Department of Radiology and Radiological Sciences, Johns Hopkins University School of Medicine（约翰霍普金斯大学医学院放射科）；Johns Hopkins University Division of Pulmonary and Critical Care Medicine（约翰霍普金斯大学肺科与重症医学科）；Department of Radiology, University of Colorado School of Medicine（科罗拉多大学医学院放射科）
Pulmonary Embolism Mortality Prediction Using Multimodal Learning Based on Computed Tomography Angiography and Clinical Data
Rhode Island Hospital（罗德岛医院）；Warren Alpert Medical School of Brown University（布朗大学沃伦·阿尔珀特医学院）；Xidian University（西安电子科技大学）；Johns Hopkins University School of Medicine（约翰斯·霍普金斯大学医学院）；University of Michigan（密歇根大学）
Athena-Research and Innovation Center in Information, Communication and Knowledge Technologies（雅典娜信息、通信与知识技术研究与创新中心）；Hellenic Open University（希腊开放大学）；Sismanogleio General Hospital（西斯马诺格利奥综合医院）
The main objective of this work is to utilize state-of-the-art deep learning approaches for the identification of pulmonary embolism in CTPA-Scans for COVID-19 patients, provide an initial assessment of their performance and, ultimately, provide a fast-track prototype solution (system). We adopted and assessed some of the most popular convolutional neural network architectures through transfer learning approaches, to strive to combine good model accuracy with fast training. Additionally, we exploited one of the most popular one-stage object detection models for the localization (through object…
Candidate generation, the first stage for most computer aided detection (CAD) systems, rapidly scans the entire image data for any possible abnormality locations, while the subsequent stages of the CAD system refine the candidates list to determine the most probable or significant of these candidates. The candidate generator creates a list of the locations and provides a size estimate for each candidate. A multiscale scale-normalized Laplacian of Gaussian (LoG) filtering method for detecting pulmonary nodules in whole-lung CT scans, presented in this paper, achieves a high sensitivity for both…
National Yang Ming Chiao Tung University（阳明交通大学）；National Cheng Kung University Hospital（成功大学附属医院）；National Cheng Kung University（成功大学）
The purpose of this research is to develop a system that generates simulated computed tomography pulmonary angiography (CTPA) images clinically for pulmonary embolism diagnoses. Nowadays, CTPA images are the gold standard computerized detection method to determine and identify the symptoms of pulmonary embolism (PE), although performing CTPA is harmful for patients and also expensive. Therefore, we aim to detect possible PE patients through CT images. The system will simulate CTPA images with deep learning models for the identification of PE patients' symptoms, providing physicians with anothe…
Arizona State University（亚利桑那州立大学）；Mayo Clinic（梅奥诊所）
Pulmonary embolism (PE) represents a thrombus ("blood clot"), usually originating from a lower extremity vein, that travels to the blood vessels in the lung, causing vascular obstruction and in some patients, death. This disorder is commonly diagnosed using CT pulmonary angiography (CTPA). Deep learning holds great promise for the computer-aided CTPA diagnosis (CAD) of PE. However, numerous competing methods for a given task in the deep learning literature exist, causing great confusion regarding the development of a CAD PE system. To address this confusion, we present a comprehensive analysis…
Yale University（耶鲁大学）；IBM Almaden Research Center（IBM阿尔马登研究中心）；New York University（纽约大学）
Pulmonary Embolism (PE) is a life-threatening disorder associated with high mortality and morbidity. Prompt diagnosis and immediate initiation of therapeutic action is important. We explored a deep learning model to detect PE on volumetric contrast-enhanced chest CT scans using a 2-stage training strategy. First, a residual convolutional neural network (ResNet) was trained using annotated 2D images. In addition to the classification loss, an attention loss was added during training to help the network focus attention on PE. Next, a recurrent network was used to scan sequentially through the fe…
Unified-protocol voxel-level pulmonary embolism annotations for three public CT angiography datasets
Technical University of Munich (TUM)（慕尼黑工业大学）；Munich Center for Machine Learning (MCML)（慕尼黑机器学习中心）；The Affiliated Hospital of Xuzhou Medical University（徐州医科大学附属医院）；The Third Affiliated Hospital of Soochow University（苏州大学附属第三医院）；The Affiliated Taizhou People’s Hospital of Nanjing Medical University（南京医科大学附属泰州人民医院）
Pulmonary embolisms (PE) are known to be one of the leading causes for cardiac-related mortality. Due to inherent variabilities in how PE manifests and the cumbersome nature of manual diagnosis, there is growing interest in leveraging AI tools for detecting PE. In this paper, we build a two-stage detection pipeline that is accurate, computationally efficient, robust to variations in PE types and kernels used for CT reconstruction, and most importantly, does not require dense annotations. Given the challenges in acquiring expert annotations in large-scale datasets, our approach produces state-o…
Henan Provincial Chest Hospital（河南省胸科医院）；Harbin Institute of Technology（哈尔滨工业大学）；Huiying Medical Technology (Beijing) Co., Ltd.（慧影医疗科技（北京）有限公司）
Objective: We propose an end-to-end CNN-based locating model for pulmonary tuberculosis (TB) diagnosis in radiographs. This model makes full use of chest radiograph (X-ray) for its improved accessibility, reduced cost and high accuracy for TB disease. Methods: Several specialized improvements are proposed for detection task in medical field. A false positive (FP) restrictor head is introduced for FP reduction. Anchor-oriented network heads is proposed in the position regression section. An optimization of loss function is designed for hard example mining. Results: The experimental results show…
X-ray2CTPA: Leveraging Diffusion Models to Enhance Pulmonary Embolism Classification
Faculty of Engineering, Tel Aviv University（工程学院，特拉维夫大学）；Division of Data-Driven and Digital Medicine, Department of Medicine, Icahn School of Medicine at Mount Sinai（数据驱动与数字医学部，医学部，Mount Sinai医学院）；Department of Diagnostic Imaging, Sheba Medical Center, Ramat Gan, Israel（诊断影像科，Sheba 医疗中心，Ramat Gan，以色列）；Department of Radiology, Icahn School of Medicine, Mount Sinai（放射科，Icahn医学院，Mount Sinai）
National Yang Ming Chiao Tung University（阳明交通大学）；National Cheng Kung University Hospital（国立成功大学医学院附设医院）；National Cheng Kung University（国立成功大学）
This study established a feature-enhanced adversarial semi-supervised semantic segmentation model to automatically annotate pulmonary embolism lesion areas in computed tomography pulmonary angiogram (CTPA) images. In current studies, all of the PE CTPA image segmentation methods are trained by supervised learning. However, the supervised learning models need to be retrained and the images need to be relabeled when the CTPA images come from different hospitals. This study proposed a semi-supervised learning method to make the model applicable to different datasets by adding a small amount of un…
University of Groningen, University Medical Center Groningen（格罗宁根大学医学中心）；Tianjin Medical University Cancer Institute and Hospital（天津医科大学肿瘤医院）；University of Twente（特温特大学）
Accurate pulmonary nodule detection is a crucial step in lung cancer screening. Computer-aided detection (CAD) systems are not routinely used by radiologists for pulmonary nodule detection in clinical practice despite their potential benefits. Maximum intensity projection (MIP) images improve the detection of pulmonary nodules in radiological evaluation with computed tomography (CT) scans. Inspired by the clinical methodology of radiologists, we aim to explore the feasibility of applying MIP images to improve the effectiveness of automatic lung nodule detection using convolutional neural netwo…
Radboud University Medical Center（拉德堡德大学医学中心）；Community Health Solutions（社区健康解决方案公司）；Interactive Research and Development（互动研究与发展机构）；The Indus Health Network（印度河健康网络）；Thirona（Thirona公司）；Universal Delft Ltd.（代尔夫特环球有限公司）
There is a growing interest in the automated analysis of chest X-Ray (CXR) as a sensitive and inexpensive means of screening susceptible populations for pulmonary tuberculosis. In this work we evaluate the latest version of CAD4TB, a commercial software platform designed for this purpose. Version 6 of CAD4TB was released in 2018 and is here tested on a fully independent dataset of 5565 CXR images with GeneXpert (Xpert) sputum test results available (854 Xpert positive subjects). A subset of 500 subjects (50% Xpert positive) was reviewed and annotated by 5 expert observers independently to obta…
SCUNet++: Swin-UNet and CNN Bottleneck Hybrid Architecture with Multi-Fusion Dense Skip Connection for Pulmonary Embolism CT Image Segmentation
Hangzhou Dianzi University（杭州电子科技大学）；Second Affiliated Hospital of the Chinese University of Hong Kong（香港中文大学第二附属医院）；Shenzhen Research Institute of Big Data（深圳市大数据研究院）
Radboud University Medical Center（拉德堡德大学医学中心）；Polytechnic University of Turin（都灵理工大学）；Istituto Nazionale di Fisica Nucleare（国家核物理研究院）；Radboud University Nijmegen（拉德堡德大学）；Radboud University（拉德堡德大学）；The Chinese University of Hong Kong（香港中文大学）；University of Pisa（比萨大学）
Automatic detection of pulmonary nodules in thoracic computed tomography (CT) scans has been an active area of research for the last two decades. However, there have only been few studies that provide a comparative performance evaluation of different systems on a common database. We have therefore set up the LUNA16 challenge, an objective evaluation framework for automatic nodule detection algorithms using the largest publicly available reference database of chest CT scans, the LIDC-IDRI data set. In LUNA16, participants develop their algorithm and upload their predictions on 888 CT scans in o…
University of California, Irvine（加州大学欧文分校）；Deep Voxel Inc.（深体素公司）
Pulmonary lobe segmentation is an important task for pulmonary disease related Computer Aided Diagnosis systems (CADs). Classical methods for lobe segmentation rely on successful detection of fissures and other anatomical information such as the location of blood vessels and airways. With the success of deep learning in recent years, Deep Convolutional Neural Network (DCNN) has been widely applied to analyze medical images like Computed Tomography (CT) and Magnetic Resonance Imaging (MRI), which, however, requires a large number of ground truth annotations. In this work, we release our manuall…
College of Physics and Information Engineering, Fuzhou University（福州大学物理与信息工程学院）；Thoracic Department, Fujian Medical University Union Hospital（福建医科大学附属协和医院胸外科）
Background and Objective:Computer-aided diagnosis (CAD) systems promote diagnosis effectiveness and alleviate pressure of radiologists. A CAD system for lung cancer diagnosis includes nodule candidate detection and nodule malignancy evaluation. Recently, deep learning-based pulmonary nodule detection has reached satisfactory performance ready for clinical application. However, deep learning-based nodule malignancy evaluation depends on heuristic inference from low-dose computed tomography volume to malignant probability, which lacks clinical cognition. Methods:In this paper, we propose a joint…
Yıldız Technical University（耶尔德兹技术大学）；İstanbul University（伊斯坦布尔大学）；Haseki Education Research Hospital（哈塞基教育研究医院）
In recent years, besides the medical treatment methods in medical field, Computer Aided Diagnosis (CAD) systems which can facilitate the decision making phase of the physician and can detect the disease at an early stage have started to be used frequently. The diagnosis of Idiopathic Pulmonary Fibrosis (IPF) disease by using CAD systems is very important in that it can be followed by doctors and radiologists. It has become possible to diagnose and follow up the disease with the help of CAD systems by the development of high resolution computed imaging scanners and increasing size of computatio…
Lung cancer has the highest mortality rate of deadly cancers in the world. Early detection is essential to treatment of lung cancer. However, detection and accurate diagnosis of pulmonary nodules depend heavily on the experiences of radiologists and can be a heavy workload for them. Computer-aided diagnosis (CAD) systems have been developed to assist radiologists in nodule detection and diagnosis, greatly easing the workload while increasing diagnosis accuracy. Recent development of deep learning, greatly improved the performance of CAD systems. However, lack of model reliability and interpret…
The City College of New York（纽约城市学院）；UMass CICS（马萨诸塞大学信息与计算机科学学院）；Google AI（谷歌人工智能）；Memorial Sloan Kettering Cancer Center（纪念斯隆凯特琳癌症中心）
Accurate detection of pulmonary nodules with high sensitivity and specificity is essential for automatic lung cancer diagnosis from CT scans. Although many deep learning-based algorithms make great progress for improving the accuracy of nodule detection, the high false positive rate is still a challenging problem which limits the automatic diagnosis in routine clinical practice. Moreover, the CT scans collected from multiple manufacturers may affect the robustness of Computer-aided diagnosis (CAD) due to the differences in intensity scales and machine noises. In this paper, we propose a novel …
Dali University（大理大学）；Liuzhou Vocational & Technical College（柳州职业技术学院）；The Second Xiangya Hospital of Central South University（中南大学湘雅二医院）；Hunan Key Laboratory of Early Diagnosis and Precise Treatment of Lung Cancer（湖南省肺癌早期诊断与精准治疗重点实验室）；Early-Stage Lung Cancer Center（早期肺癌中心）
Detection of pulmonary nodules by CT is used for screening lung cancer in early stages.omputer aided diagnosis (CAD) based on deep-learning method can identify the suspected areas of pulmonary nodules in CT images, thus improving the accuracy and efficiency of CT diagnosis. The accuracy and robustness of deep learning models. Method:In this paper, we explore (1) the data augmentation method based on the generation model and (2) the model structure improvement method based on the embedding mechanism. Two strategies have been introduced in this study: a new data augmentation method and a embeddi…
EMeRALDS: Electronic Medical Record Driven Automated Lung Nodule Detection and Classification in Thoracic CT Images
Faculty of Electrical and Electronics Engineering, University of Engineering（电气电子工程学院，工程大学）；Department of Engineering Sciences, University of Agder（工程科学系，阿格德大学）；Sheikh Zayed Institute for Pediatric Surgical Innovation, Children’s National Hospital（谢赫扎耶德小儿外科创新研究所，儿童医院）；School of Medicine and Health Sciences, George Washington University（医学与健康科学学院，乔治华盛顿大学）
