scholarly journals A deep-learning method using computed tomography scout images for estimating patient body weight

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Shota Ichikawa ◽  
Misaki Hamada ◽  
Hiroyuki Sugimori

AbstractBody weight is an indispensable parameter for determination of contrast medium dose, appropriate drug dosing, or management of radiation dose. However, we cannot always determine the accurate patient body weight at the time of computed tomography (CT) scanning, especially in emergency care. Time-efficient methods to estimate body weight with high accuracy before diagnostic CT scans currently do not exist. In this study, on the basis of 1831 chest and 519 abdominal CT scout images with the corresponding body weights, we developed and evaluated deep-learning models capable of automatically predicting body weight from CT scout images. In the model performance assessment, there were strong correlations between the actual and predicted body weights in both chest (ρ = 0.947, p < 0.001) and abdominal datasets (ρ = 0.869, p < 0.001). The mean absolute errors were 2.75 kg and 4.77 kg for the chest and abdominal datasets, respectively. Our proposed method with deep learning is useful for estimating body weights from CT scout images with clinically acceptable accuracy and potentially could be useful for determining the contrast medium dose and CT dose management in adult patients with unknown body weight.

2012 ◽  
Vol 18 (2) ◽  
pp. 164-168 ◽  
Author(s):  
Peter Mygind Leth ◽  
Uffe Stolborg

ABSTRACT Background: Stab wounds are common in homicide cases. Post-mortem multislice computed tomography (PMCT) has proved to be a useful tool in forensic examinations of victims of sharp force trauma, but due the limited resolution of soft tissues, the radiological depiction of a stab channel is difficult. In this study, we have tried to obtain information about the shape of a knife blade by CT scanning contrast-filled experimentally inflicted stab wounds in various types of pig tissue. Methodology: The tissue samples were mounted on floral foam (oasis) with wooden sticks. Two contrast media were used: one was unmodified and easy flowing, and one was made more viscous with polyethylene glycol. Stab channels in ballistic soap were used for comparison. India ink-filled stab channels were investigated histologically to determine the pattern of leakage. Principal findings: We found that the shape of the stab wounds on the CT images from lung and muscle tissue did not correspond well to the shape of the inflicting knife. There was a better correspondence in the images obtained from liver, spleen and kidney. The viscous contrast medium was less likely than the thin (easy flowing) contrast medium to spill into to structures outside the stab channel, but some spillage was observed for both types of contrast medium. Air bubbles were only observed in the viscous contrast medium. Conclusion: Radiological evaluation of a contrast-filled stab wound in isolated tissue blocks did not permit the positive identification of the inflicting weapon, but it was, in tissue blocks from liver, spleen and kidney, possible to obtain a rough idea of the shape of the inflicting knife and to differentiate a knife from a screwdriver.


2021 ◽  
Vol 11 ◽  
Author(s):  
Teng Zuo ◽  
Yanhua Zheng ◽  
Lingfeng He ◽  
Tao Chen ◽  
Bin Zheng ◽  
...  

ObjectivesThis study was conducted in order to design and develop a framework utilizing deep learning (DL) to differentiate papillary renal cell carcinoma (PRCC) from chromophobe renal cell carcinoma (ChRCC) using convolutional neural networks (CNNs) on a small set of computed tomography (CT) images and provide a feasible method that can be applied to light devices.MethodsTraining and validation datasets were established based on radiological, clinical, and pathological data exported from the radiology, urology, and pathology departments. As the gold standard, reports were reviewed to determine the pathological subtype. Six CNN-based models were trained and validated to differentiate the two subtypes. A special test dataset generated with six new cases and four cases from The Cancer Imaging Archive (TCIA) was applied to validate the efficiency of the best model and of the manual processing by abdominal radiologists. Objective evaluation indexes [accuracy, sensitivity, specificity, receiver operating characteristic (ROC) curve, and area under the curve (AUC)] were calculated to assess model performance.ResultsThe CT image sequences of 70 patients were segmented and validated by two experienced abdominal radiologists. The best model achieved 96.8640% accuracy (99.3794% sensitivity and 94.0271% specificity) in the validation set and 100% (case accuracy) and 93.3333% (image accuracy) in the test set. The manual classification achieved 85% accuracy (100% sensitivity and 70% specificity) in the test set.ConclusionsThis framework demonstrates that DL models could help reliably predict the subtypes of PRCC and ChRCC.


PLoS ONE ◽  
2014 ◽  
Vol 9 (2) ◽  
pp. e88867 ◽  
Author(s):  
Rebecca Kessler ◽  
Katrin Hegenscheid ◽  
Steffen Fleck ◽  
Alexander Khaw ◽  
Michael Kirsch ◽  
...  

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