Computer-Aided Triage of Body CT Scans with Deep Learning

利用深度学习对身体 CT 扫描进行计算机辅助分类

• 批准号: 10585553
• 负责人: JOSEPH Y LO
• 金额: $ 58.68万
• 依托单位: DUKE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-08-16 至 2027-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10585553
• 关键词: 3-Dimensional; Abdomen; Active Learning; Address; Algorithms; Anatomy; Archives; Artificial Intelligence; Attention; Automated Annotation; Case Study; Chest; Classification; Clinical; Clinical Decision Support Systems; Complex; Computer Assisted; Computer-Assisted Diagnosis; Consumption; Data; Data Set; Databases; Detection; Development; Diagnostic; Disease; Expert Systems; Face; Foundations; Future; Goals; Health system; Heterogeneity; Image; Institution; Label; Lung; Manuals; Medical Imaging; Modeling; Natural Language Processing; Nodule; Organ; Outcome; Patients; Pelvis; Performance; Radiology Specialty; Reporting; Research Personnel; Resolution; Scanning; Shapes; Site; Structure; Supervision; System; Testing; Therapeutic Equivalency; Time; Training; Triage; Variant; X-Ray Computed Tomography; artificial intelligence algorithm; body system; chest computed tomography; cone-beam computed tomography; cost; deep learning; deep learning model; federated learning; imaging modality; improved; innovation; large datasets; learning strategy; radiologist; tool

PROJECT SUMMARY / ABSTRACT Computed tomography (CT) imaging for the body can result in thousands of images spanning many organs and myriad possible diseases. With growing patient load as well as increasing resolution and complexity of scans, the task of CT interpretation has become daunting. To improve radiologist performance, many artificial intelligence (AI) algorithms have been produced, but most are limited by their very narrow application to a specific disease in a specific organ or have been trained on limited data due to the high cost and complexity of manual annotation. As a result, there is an unmet need because existing AI solutions have not significantly improved the workflow or performance of radiologists. To meet these needs, we propose to develop a computer-aided diagnosis triage tool for CT of the chest, abdomen, and pelvis (CAP) that would focus radiologists’ attention on regions with a high likelihood of actionable disease while minimizing search efforts in regions of low likelihood. Our hypothesis is that a triage tool will improve radiologist workflow while simultaneously maintaining or improving performance. Our long-term goal is to create a clinical decision support system that will address bottlenecks of radiologist workflow and performance. As key steps toward demonstrating feasibility for that goal, we propose the following three specific aims: 1. Create framework for the assembly, deidentification, annotation, and sharing of over a million chest, abdomen, pelvis (CAP) CT cases from two major health systems. 2. Develop a triage system trained using multi-site CT datasets through collaborative/federated learning. 3. Pilot use of the triage system at multiple sites to allow radiologists to perform efficiently and equivalently for clinical tasks of assessing actionable disease in CAP CT. Key innovations will include the use of weak supervision to label a massive number of cases from two health systems. Labeling will be based on rule-based expert systems as well as natural language processing. Image classification will be based on deep learning models capable of processing an entire 3D CT volume and trained with federated learning to leverage the rich heterogeneity of data from the two health systems. The expected outcome of this project will be evidence to support a new clinical workflow for radiologist interpretation, which is the foundation for all medical imaging. For this project, we will maximize impact by addressing CAP CT because of the large patient load and complex anatomy/disease, and by producing one of the largest medical imaging datasets that can be shared for future research including grand challenges. In addition, by leveraging existing data in patient archives and radiology reports, our approach has the potential to be applicable to other body sites or imaging modalities in the future.

项目摘要/摘要 人体的计算机断层扫描(CT)成像可以产生覆盖许多器官的数千张图像 以及无数可能的疾病。随着患者工作量的增加以及解决方案和复杂性的增加 扫描，CT解释的任务已经变得令人生畏。为了提高放射科医生的表现，许多人工 智能(AI)算法已经产生，但大多数都受到其非常有限的应用范围的限制 特定器官中的特定疾病，或由于高成本和复杂性而接受过有限数据的培训 手动注释。因此，有一个未得到满足的需求，因为现有的人工智能解决方案没有显著 改进了放射科医生的工作流程或绩效。 为了满足这些需求，我们建议开发一种用于胸部CT的计算机辅助诊断分诊工具， 腹部和骨盆(CAP)，这将使放射科医生的注意力集中在有高可能性的区域 可操作的疾病，同时最大限度地减少在低可能性区域的搜索工作。 我们的假设是，分诊工具将改善放射科医生的工作流程，同时保持或 提高性能。我们的长期目标是创建一个临床决策支持系统，以解决 放射科医生工作流程和绩效的瓶颈。作为证明其可行性的关键步骤 为了实现这一目标，我们提出了以下三个具体目标： 1.打造百万箱组装、识别、标注、共享框架； 两个主要卫生系统的腹部、骨盆(CAP)CT病例。 2.通过协作/联合学习，开发使用多点CT数据集进行训练的分诊系统。 3.在多个地点试点使用分诊系统，以使放射科医生能够有效和同等地为 CAP CT评估可操作疾病的临床任务。 关键的创新将包括使用薄弱的监督来标记来自两个健康部门的大量病例 系统。标注将基于基于规则的专家系统以及自然语言处理。图像 分类将基于能够处理整个3D CT体积并经过训练的深度学习模型 使用联合学习来利用来自两个健康系统的丰富的异构性数据。 这个项目的预期结果将是支持放射科医生新的临床工作流程的证据 解释，这是所有医学成像的基础。对于这个项目，我们将通过以下方式最大限度地发挥影响 由于患者工作量大和复杂的解剖/疾病，解决CAP CT问题，并通过产生 最大的医学成像数据集，可以为未来的研究共享，包括重大挑战。在……里面 此外，通过利用患者档案和放射学报告中的现有数据，我们的方法有可能 未来将适用于其他身体部位或成像方式。