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A scalable physician-level deep learning algorithm detects universal trauma on pelvic radiographs.


ABSTRACT: Pelvic radiograph (PXR) is essential for detecting proximal femur and pelvis injuries in trauma patients, which is also the key component for trauma survey. None of the currently available algorithms can accurately detect all kinds of trauma-related radiographic findings on PXRs. Here, we show a universal algorithm can detect most types of trauma-related radiographic findings on PXRs. We develop a multiscale deep learning algorithm called PelviXNet trained with 5204 PXRs with weakly supervised point annotation. PelviXNet yields an area under the receiver operating characteristic curve (AUROC) of 0.973 (95% CI, 0.960-0.983) and an area under the precision-recall curve (AUPRC) of 0.963 (95% CI, 0.948-0.974) in the clinical population test set of 1888 PXRs. The accuracy, sensitivity, and specificity at the cutoff value are 0.924 (95% CI, 0.912-0.936), 0.908 (95% CI, 0.885-0.908), and 0.932 (95% CI, 0.919-0.946), respectively. PelviXNet demonstrates comparable performance with radiologists and orthopedics in detecting pelvic and hip fractures.

SUBMITTER: Cheng CT 

PROVIDER: S-EPMC7887334 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature

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A scalable physician-level deep learning algorithm detects universal trauma on pelvic radiographs.

Cheng Chi-Tung CT   Wang Yirui Y   Chen Huan-Wu HW   Hsiao Po-Meng PM   Yeh Chun-Nan CN   Hsieh Chi-Hsun CH   Miao Shun S   Xiao Jing J   Liao Chien-Hung CH   Lu Le L  

Nature communications 20210216 1


Pelvic radiograph (PXR) is essential for detecting proximal femur and pelvis injuries in trauma patients, which is also the key component for trauma survey. None of the currently available algorithms can accurately detect all kinds of trauma-related radiographic findings on PXRs. Here, we show a universal algorithm can detect most types of trauma-related radiographic findings on PXRs. We develop a multiscale deep learning algorithm called PelviXNet trained with 5204 PXRs with weakly supervised p  ...[more]

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