Incidental cerebral aneurysms detected by a computer-assisted detection system based on artificial intelligence
| Autor: | Antoine Choppin, Masataka Nishimori, Akihiko Ozaki, Makoto Kosaka, Asaka Higuchi, Naoyuki Kitamura, Tetsuya Tanimoto, Arie Meir, Yuki Shimada, Yuki Shimahara |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Communicating Artery CAD Magnetic resonance angiography 03 medical and health sciences Imaging Three-Dimensional 0302 clinical medicine Aneurysm medicine.artery medicine Humans Clinical Case Report cardiovascular diseases 030212 general & internal medicine Medical diagnosis Aged Retrospective Studies Incidental Findings Missed Diagnosis medicine.diagnostic_test business.industry Medical record Intracranial Aneurysm General Medicine Middle Aged medicine.disease 030220 oncology & carcinogenesis Middle cerebral artery cardiovascular system Female Neural Networks Computer Artificial intelligence Internal carotid artery business Magnetic Resonance Angiography Software Research Article |
| Zdroj: | Medicine |
| ISSN: | 1536-5964 0025-7974 |
| DOI: | 10.1097/md.0000000000021518 |
| Popis: | Rationale: Computer-assisted detection (CAD) systems based on artificial intelligence (AI) using convolutional neural network (CNN) have been successfully used for the diagnosis of unruptured cerebral aneurysms in experimental situations. However, it is yet unclear whether CAD systems can detect cerebral aneurysms effectively in real-life clinical situations. This paper describes the diagnostic efficacy of CAD systems for cerebral aneurysms and the types of cerebral aneurysms that they can detect. Patient Concerns: From March 7, 2017 to August 26, 2018 we performed brain magnetic resonance imaging (MRI) scans for 1623 subjects, to rule out intracranial diseases. We retrospectively reviewed the medical records including the history and images for each patient. Diagnoses, interventions and outcomes: Among them, we encountered 5 cases in whom the cerebral aneurysms had been overlooked in the first and second round of imaging, and were detected for the first time by CAD. All missed aneurysms were less than 2 mm in diameter. Of the 5 aneurysms, 2 were internal carotid artery (ICA) paraclinoid aneurysms, 2 were Internal carotid-posterior communicating artery (IC-PC) aneurysms and 1 was a distal middle cerebral artery (MCA) aneurysm. Lessons: Our CAD system can detect very small aneurysms masked by the surrounding arteries and difficult for radiologists to detect. In the future, CAD systems might pave the way to substitute the workload of diagnostic radiologists and reduce the cost of human labor. |
| Databáze: | OpenAIRE |
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