Evidence mapPaperPMID 38730541Full record

ArticleThe British journal of radiology2024

Artificial intelligence-based tools with automated segmentation and measurement on CT images to assist accurate and fast diagnosis in acute pancreatitis.

Xuhang Pan, Kaijian Jiao, Xinyu Li, Linshuang Feng, Yige Tian, Lei Wu, Peng Zhang, Kejun Wang, Suping Chen, Bo Yang and 1 more

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Article in The British journal of radiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

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7citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

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Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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2 · The registry

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3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Xuhang PanInstitute of Medical Imaging, Department of Radiology, Taihe Hospital, Hubei University of Medicine, Shiyan 442000, China.ORCID 0000-0003-2755-9990
Kaijian JiaoInstitute of Medical Imaging, Department of Radiology, Taihe Hospital, Hubei University of Medicine, Shiyan 442000, China.
Xinyu LiInstitute of Medical Imaging, Department of Radiology, Taihe Hospital, Hubei University of Medicine, Shiyan 442000, China.
Linshuang FengSchool of Biomedical Engineering, Hubei University of Medicine, Shiyan 442000, China.
Yige TianSchool of Biomedical Engineering, Hubei University of Medicine, Shiyan 442000, China.
Lei WuInstitute of Medical Imaging, Department of Radiology, Taihe Hospital, Hubei University of Medicine, Shiyan 442000, China.
Peng ZhangInstitute of Medical Imaging, Department of Radiology, Taihe Hospital, Hubei University of Medicine, Shiyan 442000, China.
Kejun WangInstitute of Medical Imaging, Department of Radiology, Taihe Hospital, Hubei University of Medicine, Shiyan 442000, China.
Suping ChenAdvanced Application Team, GE Healthcare, Shanghai 200135, China.
Bo YangInstitute of Medical Imaging, Department of Radiology, Taihe Hospital, Hubei University of Medicine, Shiyan 442000, China.ORCID 0000-0002-1462-1639
Wen ChenInstitute of Medical Imaging, Department of Radiology, Taihe Hospital, Hubei University of Medicine, Shiyan 442000, China.

Funding

Advantages Discipline Group (Medicine) Project in Higher Education of Hubei Province 2022XKQT1Doctoral Start-up Fund 2021EB0ZX01Health Commission of Hubei Province Scientific Research Project WJ2021M047Innovation Training Program of Education Department of Hubei Province S202210929023Nature Science Foundation of Hubei Province 2022CFB853Shiyan City Scientific Research Project 21Y31Wu Jieping Medical Foundation 320.6750.2020-08-6Young and Middle aged Talent Project of Education Department of Hubei Province Q202220110
6 · The paper itself

Abstract

objectivesTo develop an artificial intelligence (AI) tool with automated pancreas segmentation and measurement of pancreatic morphological information on CT images to assist improved and faster diagnosis in acute pancreatitis.

methodsThis study retrospectively contained 1124 patients suspected for AP and received non-contrast and enhanced abdominal CT examination between September 2013 and September 2022. Patients were divided into training (N = 688), validation (N = 145), testing dataset [N = 291; N = 104 for normal pancreas, N = 98 for AP, N = 89 for AP complicated with PDAC (AP&PDAC)]. A model based on convolutional neural network (MSAnet) was developed. The pancreas segmentation and measurement were performed via eight open-source models and MSAnet based tools, and the efficacy was evaluated using dice similarity coefficient (DSC) and intersection over union (IoU). The DSC and IoU for patients with different ages were also compared. The outline of tumour and oedema in the AP and were segmented by clustering. The diagnostic efficacy for radiologists with or without the assistance of MSAnet tool in AP and AP&PDAC was evaluated using receiver operation curve and confusion matrix.

resultsAmong all models, MSAnet based tool showed best performance on the training and validation dataset, and had high efficacy on testing dataset. The performance was age-affected. With assistance of the AI tool, the diagnosis time was significantly shortened by 26.8% and 32.7% for junior and senior radiologists, respectively. The area under curve (AUC) in diagnosis of AP was improved from 0.91 to 0.96 for junior radiologist and 0.98 to 0.99 for senior radiologist. In AP&PDAC diagnosis, AUC was increased from 0.85 to 0.92 for junior and 0.97 to 0.99 for senior.

conclusionMSAnet based tools showed good pancreas segmentation and measurement performance, which help radiologists improve diagnosis efficacy and workflow in both AP and AP with PDAC conditions. ADVANCES IN KNOWLEDGE: This study developed an AI tool with automated pancreas segmentation and measurement and provided evidence for AI tool assistance in improving the workflow and accuracy of AP diagnosis.

Indexed as

Artificial IntelligencePancreatitisTomography, X-Ray ComputedAcute DiseaseAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedNeural Networks, ComputerPancreasPancreatic NeoplasmsRetrospective StudiesYoung Adultacute pancreatitisartificial intelligencecomputed tomographyconvolutional neural networkdice similarity coefficientintersection over union

Identifiers

PMID38730541
PMCPMC11186564

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.