While deep learning has demonstrated considerable promise in computer-aided diagnosis for pulmonary embolism (PE), practical deployment in Computed Tomography Pulmonary Angiography (CTPA) is often hindered by "domain shift" and the prohibitive cost of expert annotations. To address these challenges, an unsupervised domain adaptation (UDA) framework is proposed, utilizing a Transformer backbone and a Mean-Teacher architecture for cross-center semantic segmentation. The primary focus is placed on enhancing pseudo-label reliability by learning deep structural information within the feature space. Specifically, three modules are integrated and designed for this task: (1) a Prototype Alignment (PA) mechanism to reduce category-level distribution discrepancies; (2) Global and Local Contrastive Learning (GLCL) to capture both pixel-level topological relationships and global semantic representations; and (3) an Attention-based Auxiliary Local Prediction (AALP) module designed to reinforce sensitivity to small PE lesions by automatically extracting high-information slices from Transformer attention maps. Experimental validation conducted on cross-center datasets (FUMPE and CAD-PE) demonstrates significant performance gains. In the FUMPE -> CAD-PE task, the IoU increased from 0.1152 to 0.4153, while the CAD-PE -> FUMPE task saw an improvement from 0.1705 to 0.4302. Furthermore, the proposed method achieved a 69.9% Dice score in the CT -> MRI cross-modality task on the MMWHS dataset without utilizing any target-domain labels for model selection, confirming its robustness and generalizability for diverse clinical environments.
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…
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…
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…
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…
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…
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…
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）
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…
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）
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）
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）
