Melbourne Medical School, The University of Melbourne Faculty of Medicine Dentistry and Health Sciences, Melbourne, Victoria, Australia
Department of Biomedical Engineering, The University of Melbourne, Melbourne, Victoria, Australia.
J Neurointerv Surg. 2021 Apr;13(4):369-378. doi: 10.1136/neurintsurg-2020-017099. Epub 2021 Jan 21.
Artificial intelligence is a rapidly evolving field, with modern technological advances and the growth of electronic health data opening new possibilities in diagnostic radiology. In recent years, the performance of deep learning (DL) algorithms on various medical image tasks have continually improved. DL algorithms have been proposed as a tool to detect various forms of intracranial hemorrhage on non-contrast computed tomography (NCCT) of the head. In subtle, acute cases, the capacity for DL algorithm image interpretation support might improve the diagnostic yield of CT for detection of this time-critical condition, potentially expediting treatment where appropriate and improving patient outcomes. However, there are multiple challenges to DL algorithm implementation, such as the relative scarcity of labeled datasets, the difficulties in developing algorithms capable of volumetric medical image analysis, and the complex practicalities of deployment into clinical practice. This review examines the literature and the approaches taken in the development of DL algorithms for the detection of intracranial hemorrhage on NCCT head studies. Considerations in crafting such algorithms will be discussed, as well as challenges which must be overcome to ensure effective, dependable implementations as automated tools in a clinical setting.
人工智能是一个快速发展的领域,现代技术的进步和电子健康数据的增长为诊断放射学开辟了新的可能性。近年来,深度学习(DL)算法在各种医学图像任务上的性能不断提高。DL 算法已被提议作为一种工具,用于检测头部非对比计算机断层扫描(NCCT)上的各种形式的颅内出血。在细微、急性的情况下,DL 算法图像解释支持的能力可能会提高 CT 对这种时间关键条件的检测诊断效果,从而在适当的情况下加速治疗并改善患者的预后。然而,DL 算法的实施存在多个挑战,例如标记数据集相对稀缺、开发能够进行容积医学图像分析的算法的困难以及将其复杂的实际情况部署到临床实践中的困难。本综述考察了文献以及为在 NCCT 头部研究中检测颅内出血而开发 DL 算法所采取的方法。将讨论构建此类算法的注意事项,以及为确保其作为临床环境中的自动化工具的有效、可靠实施而必须克服的挑战。