Differentiation of Small (≤ 4 cm) Renal Masses on Multiphase Contrast-Enhanced CT by Deep Learning

2020 ◽  
Vol 214 (3) ◽  
pp. 605-612 ◽  
Author(s):  
Takashi Tanaka ◽  
Yong Huang ◽  
Yohei Marukawa ◽  
Yuka Tsuboi ◽  
Yoshihisa Masaoka ◽  
...  

Author(s):  
Yunchao Yin ◽  
Derya Yakar ◽  
Rudi A. J. O. Dierckx ◽  
Kim B. Mouridsen ◽  
Thomas C. Kwee ◽  
...  

Abstract Objectives Deep learning has been proven to be able to stage liver fibrosis based on contrast-enhanced CT images. However, until now, the algorithm is used as a black box and lacks transparency. This study aimed to provide a visual-based explanation of the diagnostic decisions made by deep learning. Methods The liver fibrosis staging network (LFS network) was developed at contrast-enhanced CT images in the portal venous phase in 252 patients with histologically proven liver fibrosis stage. To give a visual explanation of the diagnostic decisions made by the LFS network, Gradient-weighted Class Activation Mapping (Grad-cam) was used to produce location maps indicating where the LFS network focuses on when predicting liver fibrosis stage. Results The LFS network had areas under the receiver operating characteristic curve of 0.92, 0.89, and 0.88 for staging significant fibrosis (F2–F4), advanced fibrosis (F3–F4), and cirrhosis (F4), respectively, on the test set. The location maps indicated that the LFS network had more focus on the liver surface in patients without liver fibrosis (F0), while it focused more on the parenchyma of the liver and spleen in case of cirrhosis (F4). Conclusions Deep learning methods are able to exploit CT-based information from the liver surface, liver parenchyma, and extrahepatic information to predict liver fibrosis stage. Therefore, we suggest using the entire upper abdomen on CT images when developing deep learning–based liver fibrosis staging algorithms. Key Points • Deep learning algorithms can stage liver fibrosis using contrast-enhanced CT images, but the algorithm is still used as a black box and lacks transparency. • Location maps produced by Gradient-weighted Class Activation Mapping can indicate the focus of the liver fibrosis staging network. • Deep learning methods use CT-based information from the liver surface, liver parenchyma, and extrahepatic information to predict liver fibrosis stage.





1999 ◽  
Vol 40 (4) ◽  
pp. 457-461 ◽  
Author(s):  
Michael Riccabona ◽  
D. Szolar ◽  
K. Preidler ◽  
M. Uggowitzer ◽  
C. Kugler ◽  
...  


2015 ◽  
Vol 205 (6) ◽  
pp. 1194-1202 ◽  
Author(s):  
Naoki Takahashi ◽  
Shuai Leng ◽  
Kazuhiro Kitajima ◽  
Daniel Gomez-Cardona ◽  
Prabin Thapa ◽  
...  




2021 ◽  
Vol 136 ◽  
pp. 109577
Author(s):  
Shiori Amemiya ◽  
Hidemasa Takao ◽  
Shimpei Kato ◽  
Hiroshi Yamashita ◽  
Naoya Sakamoto ◽  
...  


2016 ◽  
Vol 42 (5) ◽  
pp. 1485-1492 ◽  
Author(s):  
Shuai Leng ◽  
Naoki Takahashi ◽  
Daniel Gomez Cardona ◽  
Kazuhiro Kitajima ◽  
Brian McCollough ◽  
...  


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