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arXiv 2012.02577cs.CVcs.LGeess.IVq-bio.QM
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深度神经网络用于腕部骨折检测的临界评价

Critical Evaluation of Deep Neural Networks for Wrist Fracture Detection

University of Oulu(奥卢大学);Oulu University Hospital(奥卢大学医院);City of Oulu(奥卢市);Ailean Technologies Oy(艾利安技术公司)
Abu Mohammed Raisuddin, Elias Vaattovaara, Mika Nevalainen, Marko Nikki, Elina Järvenpää, Kaisa Makkonen, Pekka Pinola, Tuula Palsio, Arttu Niemensivu, Osmo Ter… 展开作者

Abu Mohammed Raisuddin, Elias Vaattovaara, Mika Nevalainen, Marko Nikki, Elina Järvenpää, Kaisa Makkonen, Pekka Pinola, Tuula Palsio, Arttu Niemensivu, Osmo Tervonen, Aleksei Tiulpin

摘要:

腕部骨折是最常见的骨折类型,发病率很高。常规X线摄影(即X射线成像)通常用于腕部骨折检测,但偶尔骨折描绘会造成问题,需要通过计算机断层扫描(CT)进行额外确认以进行诊断。深度学习(DL)领域(人工智能(AI)的一个子领域)的最新进展表明,可以使用卷积神经网络自动进行手腕骨折检测。然而,以往的研究没有密切关注的困难情况下,只能通过CT成像证实。在这项研究中,我们开发并分析了一种用于腕部(桡骨远端)骨折检测的最先进的基于DL的管道- DeepWrist,并针对一个普通人群测试集和一个仅包含需要CT确认的病例的具有挑战性的测试集进行了评估。我们的研究结果表明,一个典型的最先进的方法,如DeepWrist,虽然在一般的独立测试集上具有近乎完美的性能,但在具有挑战性的测试集上的性能要低得多-平均精度分别为0.99(0.99-0.99)和0.64(0.46-0.83)。同样,ROC曲线下面积分别为0.99(0.98-0.99)和0.84(0.72-0.93)。我们的研究结果强调了在临床使用前对基于DL的模型进行细致分析的重要性,并揭示了测试医疗AI系统需要更具挑战性的设置。

英文摘要:

Wrist Fracture is the most common type of fracture with a high incidence rate. Conventional radiography (i.e. X-ray imaging) is used for wrist fracture detection routinely, but occasionally fracture delineation poses issues and an additional confirmation by computed tomography (CT) is needed for diagnosis. Recent advances in the field of Deep Learning (DL), a subfield of Artificial Intelligence (AI), have shown that wrist fracture detection can be automated using Convolutional Neural Networks. However, previous studies did not pay close attention to the difficult cases which can only be confirmed via CT imaging. In this study, we have developed and analyzed a state-of-the-art DL-based pipeline for wrist (distal radius) fracture detection -- DeepWrist, and evaluated it against one general population test set, and one challenging test set comprising only cases requiring confirmation by CT. Our results reveal that a typical state-of-the-art approach, such as DeepWrist, while having a near-perfect performance on the general independent test set, has a substantially lower performance on the challenging test set -- average precision of 0.99 (0.99-0.99) vs 0.64 (0.46-0.83), respectively. Similarly, the area under the ROC curve was of 0.99 (0.98-0.99) vs 0.84 (0.72-0.93), respectively. Our findings highlight the importance of a meticulous analysis of DL-based models before clinical use, and unearth the need for more challenging settings for testing medical AI systems.

机构、总结、中文摘要均由AI分析而来,可能存在错误,请以论文正文为准。

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