论文标题
基于深度学习的自动检测位置较差的乳房X线照片,以最大程度地减少患者的返回访问以进行重复成像:现实世界应用
Deep Learning-Based Automatic Detection of Poorly Positioned Mammograms to Minimize Patient Return Visits for Repeat Imaging: A Real-World Application
论文作者
论文摘要
筛查乳房X线照片是进行常规成像检查,该检查旨在在早期阶段检测乳腺癌,以降低归因于这种疾病的发病率和死亡率。为了最大程度地提高乳腺癌筛查计划的功效,适当的乳房X线照片定位至关重要。正确定位可确保足够的乳腺组织可视化,对于有效的乳腺癌检测是必要的。因此,在提供检查最终解释之前,必须评估乳房成像的放射科医生对定位的适当性评估。这通常需要返回患者访问以进行其他成像。在本文中,我们提出了一种深入的学习算法方法,该方法模仿和自动化了这一决策过程,以识别乳房X线照片不佳。我们对该算法的目标是帮助乳房X线摄影技术人员实时识别乳房X线照片不足,提高乳房X线摄影定位和性能的质量,并最终减少最初成像不足的患者的重复访问。提出的模型显示出在中外侧倾斜视图中检测到91.35%的正确定位的真正正率,在颅尾视图中检测95.11%。除这些结果外,我们还提出了一个自动生成的报告,该报告可以帮助乳房X线摄影技术专家在患者就诊期间采取纠正措施。
Screening mammograms are a routine imaging exam performed to detect breast cancer in its early stages to reduce morbidity and mortality attributed to this disease. In order to maximize the efficacy of breast cancer screening programs, proper mammographic positioning is paramount. Proper positioning ensures adequate visualization of breast tissue and is necessary for effective breast cancer detection. Therefore, breast-imaging radiologists must assess each mammogram for the adequacy of positioning before providing a final interpretation of the examination; this often necessitates return patient visits for additional imaging. In this paper, we propose a deep learning-algorithm method that mimics and automates this decision-making process to identify poorly positioned mammograms. Our objective for this algorithm is to assist mammography technologists in recognizing inadequately positioned mammograms real-time, improve the quality of mammographic positioning and performance, and ultimately reducing repeat visits for patients with initially inadequate imaging. The proposed model showed a true positive rate for detecting correct positioning of 91.35% in the mediolateral oblique view and 95.11% in the craniocaudal view. In addition to these results, we also present an automatically generated report which can aid the mammography technologist in taking corrective measures during the patient visit.