scholarly journals Deep learning algorithm in detecting intracranial hemorrhages on emergency computed tomographies

PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0260560
Author(s):  
Almut Kundisch ◽  
Alexander Hönning ◽  
Sven Mutze ◽  
Lutz Kreissl ◽  
Frederik Spohn ◽  
...  

Background Highly accurate detection of intracranial hemorrhages (ICH) on head computed tomography (HCT) scans can prove challenging at high-volume centers. This study aimed to determine the number of additional ICHs detected by an artificial intelligence (AI) algorithm and to evaluate reasons for erroneous results at a level I trauma center with teleradiology services. Methods In a retrospective multi-center cohort study, consecutive emergency non-contrast HCT scans were analyzed by a commercially available ICH detection software (AIDOC, Tel Aviv, Israel). Discrepancies between AI analysis and initial radiology report (RR) were reviewed by a blinded neuroradiologist to determine the number of additional ICHs detected and evaluate reasons leading to errors. Results 4946 HCT (05/2020-09/2020) from 18 hospitals were included in the analysis. 205 reports (4.1%) were classified as hemorrhages by both radiology report and AI. Out of a total of 162 (3.3%) discrepant reports, 62 were confirmed as hemorrhages by the reference neuroradiologist. 33 ICHs were identified exclusively via RRs. The AI algorithm detected an additional 29 instances of ICH, missed 12.4% of ICH and overcalled 1.9%; RRs missed 10.9% of ICHs and overcalled 0.2%. Many of the ICHs missed by the AI algorithm were located in the subarachnoid space (42.4%) and under the calvaria (48.5%). 85% of ICHs missed by RRs occurred outside of regular working-hours. Calcifications (39.3%), beam-hardening artifacts (18%), tumors (15.7%), and blood vessels (7.9%) were the most common reasons for AI overcalls. ICH size, image quality, and primary examiner experience were not found to be significantly associated with likelihood of incorrect AI results. Conclusion Complementing human expertise with AI resulted in a 12.2% increase in ICH detection. The AI algorithm overcalled 1.9% HCT. Trial registration German Clinical Trials Register (DRKS-ID: DRKS00023593).

2021 ◽  
Vol 13 (9) ◽  
pp. 1779
Author(s):  
Xiaoyan Yin ◽  
Zhiqun Hu ◽  
Jiafeng Zheng ◽  
Boyong Li ◽  
Yuanyuan Zuo

Radar beam blockage is an important error source that affects the quality of weather radar data. An echo-filling network (EFnet) is proposed based on a deep learning algorithm to correct the echo intensity under the occlusion area in the Nanjing S-band new-generation weather radar (CINRAD/SA). The training dataset is constructed by the labels, which are the echo intensity at the 0.5° elevation in the unblocked area, and by the input features, which are the intensity in the cube including multiple elevations and gates corresponding to the location of bottom labels. Two loss functions are applied to compile the network: one is the common mean square error (MSE), and the other is a self-defined loss function that increases the weight of strong echoes. Considering that the radar beam broadens with distance and height, the 0.5° elevation scan is divided into six range bands every 25 km to train different models. The models are evaluated by three indicators: explained variance (EVar), mean absolute error (MAE), and correlation coefficient (CC). Two cases are demonstrated to compare the effect of the echo-filling model by different loss functions. The results suggest that EFnet can effectively correct the echo reflectivity and improve the data quality in the occlusion area, and there are better results for strong echoes when the self-defined loss function is used.


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