Zhou Jiarong, Wang Wenzhe, Lei Biwen, Ge Wenhao, Huang Yu, Zhang Linshi, Yan Yingcai, Zhou Dongkai, Ding Yuan, Wu Jian, Wang Weilin
Department of Hepatobiliary and Pancreatic Surgery, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Key Laboratory of Precision Diagnosis and Treatment for Hepatobiliary and Pancreatic Tumor of Zhejiang Province, Hangzhou, China.
Front Oncol. 2021 Jan 29;10:581210. doi: 10.3389/fonc.2020.581210. eCollection 2020.
With the increasing daily workload of physicians, computer-aided diagnosis (CAD) systems based on deep learning play an increasingly important role in pattern recognition of diagnostic medical images. In this paper, we propose a framework based on hierarchical convolutional neural networks (CNNs) for automatic detection and classification of focal liver lesions (FLLs) in multi-phasic computed tomography (CT). A total of 616 nodules, composed of three types of malignant lesions (hepatocellular carcinoma, intrahepatic cholangiocarcinoma, and metastasis) and benign lesions (hemangioma, focal nodular hyperplasia, and cyst), were randomly divided into training and test sets at an approximate ratio of 3:1. To evaluate the performance of our model, other commonly adopted CNN models and two physicians were included for comparison. Our model achieved the best results to detect FLLs, with an average test precision of 82.8%, recall of 93.4%, and F1-score of 87.8%. Our model initially classified FLLs into malignant and benign and then classified them into more detailed classes. For the binary and six-class classification, our model achieved average accuracy results of 82.5 and73.4%, respectively, which were better than the other three classification neural networks. Interestingly, the classification performance of the model was placed between a junior physician and a senior physician. Overall, this preliminary study demonstrates that our proposed multi-modality and multi-scale CNN structure can locate and classify FLLs accurately in a limited dataset, and would help inexperienced physicians to reach a diagnosis in clinical practice.
随着医生日常工作量的增加,基于深度学习的计算机辅助诊断(CAD)系统在诊断医学图像的模式识别中发挥着越来越重要的作用。在本文中,我们提出了一种基于分层卷积神经网络(CNN)的框架,用于在多期计算机断层扫描(CT)中自动检测和分类肝脏局灶性病变(FLL)。共有616个结节,由三种恶性病变(肝细胞癌、肝内胆管癌和转移瘤)和良性病变(血管瘤、局灶性结节性增生和囊肿)组成,以大约3:1的比例随机分为训练集和测试集。为了评估我们模型的性能,纳入了其他常用的CNN模型和两名医生进行比较。我们的模型在检测FLL方面取得了最佳结果,平均测试精度为82.8%,召回率为93.4%,F1分数为87.8%。我们的模型首先将FLL分为恶性和良性,然后将它们分为更详细的类别。对于二分类和六分类,我们的模型分别取得了82.5%和73.4%的平均准确率结果,优于其他三个分类神经网络。有趣的是,该模型的分类性能介于初级医生和高级医生之间。总体而言,这项初步研究表明,我们提出的多模态和多尺度CNN结构可以在有限的数据集中准确地定位和分类FLL,并有助于经验不足的医生在临床实践中做出诊断。