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Improving detection of impacted animal bones on lateral neck radiograph using a deep learning artificial intelligence algorithm.


ABSTRACT:

Objective

We aimed to develop a deep learning artificial intelligence (AI) algorithm to detect impacted animal bones on lateral neck radiographs and to assess its effectiveness for improving the interpretation of lateral neck radiographs.

Methods

Lateral neck radiographs were retrospectively collected for patients with animal bone impaction between January 2010 and March 2020. Radiographs were then separated into training, validation, and testing sets. A total of 1733 lateral neck radiographs were used to develop the deep learning algorithm. The testing set was assessed for the stand-alone deep learning AI algorithm and for human readers (radiologists, radiology residents, emergency physicians, ENT physicians) with and without the aid of the AI algorithm. Another radiograph cohort, collected from April 1, 2020, to June 30, 2020, was analyzed to simulate clinical application by comparing the deep learning AI algorithm with radiologists' reports.

Results

In the testing set, the sensitivity, specificity, and accuracy of the AI model were 96%, 90%, and 93% respectively. Among the human readers, all physicians of different subspecialties achieved a higher accuracy with AI-assisted reading than without. In the simulation set, among the 20 cases positive for animal bones, the AI model accurately identified 3 more cases than the radiologists' reports.

Conclusion

Our deep learning AI model demonstrated a higher sensitivity for detection of animal bone impaction on lateral neck radiographs without an increased false positive rate. The application of this model in a clinical setting may effectively reduce time to diagnosis, accelerate workflow, and decrease the use of CT.

SUBMITTER: Chen YS 

PROVIDER: S-EPMC10020388 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature

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Publications

Improving detection of impacted animal bones on lateral neck radiograph using a deep learning artificial intelligence algorithm.

Chen Yueh-Sheng YS   Luo Sheng-Dean SD   Lee Chi-Hsun CH   Lin Jian-Feng JF   Lin Te-Yen TY   Ko Sheung-Fat SF   Yu Chiun-Chieh CC   Chiang Pi-Ling PL   Wang Cheng-Kang CK   Chiu I-Min IM   Huang Yii-Ting YT   Tai Yi-Fan YF   Chiang Po-Teng PT   Lin Wei-Che WC  

Insights into imaging 20230316 1


<h4>Objective</h4>We aimed to develop a deep learning artificial intelligence (AI) algorithm to detect impacted animal bones on lateral neck radiographs and to assess its effectiveness for improving the interpretation of lateral neck radiographs.<h4>Methods</h4>Lateral neck radiographs were retrospectively collected for patients with animal bone impaction between January 2010 and March 2020. Radiographs were then separated into training, validation, and testing sets. A total of 1733 lateral neck  ...[more]

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