Comparison and verification of two deep learning models for the detection of chest CT rib fractures
Autor: | Sun Hongbiao, Xu Shaochun, Wang Xiang, Tang YuRun, Lu Yang, Zhang Mingzi, Yang Hua, Zhao Keyang, Fu Chi-Cheng, Fang Qu, Gu Pengchen, Xiao Yi, Liu Shiyuan |
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Rok vydání: | 2022 |
Předmět: | |
Zdroj: | Acta Radiologica. 64:542-551 |
ISSN: | 1600-0455 0284-1851 |
DOI: | 10.1177/02841851221083519 |
Popis: | Background A high false-positive rate remains a technical glitch hindering the broad spectrum of application of deep-learning-based diagnostic tools in routine radiological practice from assisting in diagnosing rib fractures. Purpose To examine the performance of two versions of deep-learning-based software tools in aiding radiologists in diagnosing rib fractures on chest computed tomography (CT) images. Material and Methods In total, 123 patients (708 rib fractures) were included in this retrospective study. Two groups of radiologists with different experience levels retrospectively reviewed images for rib fractures in the concurrent mode aided with RibFrac-High Sensitivity (HS) and RibFrac-High Precision (HP). We compared their diagnostic performance against the reference standard in terms of sensitivity and positive predictive value (PPV). Results On a per-patient basis, RibFrac-HS exhibited a higher sensitivity compared with RibFrac-HP (mean difference=0.051, 95% CI=0.012–0.090; P = 0.011), whereas the latter significantly outperformed the former in terms of the PPV (mean difference=0.273, 95% CI=0.238–0.308; P Conclusion The sensitivity and efficiency of radiologists in identifying rib fractures can be improved by using RibFrac-HS and/or RibFrac-HP. With an added module for false-positive suppression, RibFrac-HP maintains the sensitivity and increases the PPV in fracture detection compared to Rib-Frac-HS. |
Databáze: | OpenAIRE |
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