Center for Data Science, New York University, New York, NY, USA.
Department of Radiology, NYU Grossman School of Medicine, New York University, New York, NY, 10016, USA.
Neuroradiology. 2023 Jan;65(1):77-87. doi: 10.1007/s00234-022-03023-7. Epub 2022 Jul 30.
Increasingly complex MRI studies and variable series naming conventions reveal limitations of rule-based image routing, especially in health systems with multiple scanners and sites. Accurate methods to identify series based on image content would aid post-processing and PACS viewing. Recent deep/machine learning efforts classify 5-8 basic brain MR sequences. We present an ensemble model combining a convolutional neural network and a random forest classifier to differentiate 25 brain sequences and image orientation.
Series were grouped by descriptions into 25 sequences and 4 orientations. Dataset A, obtained from our institution, was divided into training (16,828 studies; 48,512 series; 112,028 images), validation (4746 studies; 16,612 series; 26,222 images) and test sets (6348 studies; 58,705 series; 3,314,018 images). Dataset B, obtained from a separate hospital, was used for out-of-domain external validation (1252 studies; 2150 series; 234,944 images). We developed an ensemble model combining a 2D convolutional neural network with a custom multi-task learning architecture and random forest classifier trained on DICOM metadata to classify sequence and orientation by series.
The neural network, random forest, and ensemble achieved 95%, 97%, and 98% overall sequence accuracy on dataset A, and 98%, 99%, and 99% accuracy on dataset B, respectively. All models achieved > 99% orientation accuracy on both datasets.
The ensemble model for series identification accommodates the complexity of brain MRI studies in state-of-the-art clinical practice. Expanding on previous work demonstrating proof-of-concept, our approach is more comprehensive with greater sequence diversity and orientation classification.
越来越复杂的 MRI 研究和可变的序列命名约定揭示了基于规则的图像路由的局限性,特别是在具有多个扫描仪和站点的医疗系统中。基于图像内容准确识别序列的方法将有助于后处理和 PACS 查看。最近的深度学习/机器学习努力对 5-8 种基本脑 MRI 序列进行分类。我们提出了一种结合卷积神经网络和随机森林分类器的集成模型,以区分 25 种脑序列和图像方向。
将序列按描述分组为 25 个序列和 4 个方向。从我们的机构获得的数据集 A 分为训练集(16828 项研究;48512 个系列;112028 张图像)、验证集(4746 项研究;16612 个系列;26222 张图像)和测试集(6348 项研究;58705 个系列;3314018 张图像)。从另一家医院获得的数据集 B 用于域外外部验证(1252 项研究;2150 个系列;234944 张图像)。我们开发了一种结合 2D 卷积神经网络和自定义多任务学习架构的集成模型,并使用 DICOM 元数据训练随机森林分类器来对序列进行分类,以识别序列和方向。
神经网络、随机森林和集成模型在数据集 A 上的总体序列准确率分别为 95%、97%和 98%,在数据集 B 上的准确率分别为 98%、99%和 99%。所有模型在两个数据集上的方向准确率均超过 99%。
用于序列识别的集成模型适应了最先进的临床实践中脑 MRI 研究的复杂性。在证明概念验证的基础上扩展,我们的方法更全面,具有更大的序列多样性和方向分类。