학술논문

Brain MRI Deep Learning and Bayesian Inference System Augments Radiology Resident Performance
Document Type
article
Source
Journal of Digital Imaging. 34(4)
Subject
Biomedical and Clinical Sciences
Clinical Sciences
Biomedical Imaging
Clinical Research
Neurosciences
Bayes Theorem
Brain
Deep Learning
Humans
Magnetic Resonance Imaging
Radiology
Deep learning
Convolutional neural networks
Neuroradiology
Brain MRI
U-Net
Artificial intelligence
Bayesian inference
Clinical decision support
Augmented performance
Nuclear Medicine & Medical Imaging
Clinical sciences
Language
Abstract
Automated quantitative and probabilistic medical image analysis has the potential to improve the accuracy and efficiency of the radiology workflow. We sought to determine whether AI systems for brain MRI diagnosis could be used as a clinical decision support tool to augment radiologist performance. We utilized previously developed AI systems that combine convolutional neural networks and expert-derived Bayesian networks to distinguish among 50 diagnostic entities on multimodal brain MRIs. We tested whether these systems could augment radiologist performance through an interactive clinical decision support tool known as Adaptive Radiology Interpretation and Education System (ARIES) in 194 test cases. Four radiology residents and three academic neuroradiologists viewed half of the cases unassisted and half with the results of the AI system displayed on ARIES. Diagnostic accuracy of radiologists for top diagnosis (TDx) and top three differential diagnosis (T3DDx) was compared with and without ARIES. Radiology resident performance was significantly better with ARIES for both TDx (55% vs 30%; P