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Automated triaging of head MRI examinations using convolutional neural networks

Wood, David A; Kafiabadi, Sina; Al Busaidi, Aisha; Guilhem, Emily; Montvila, Antanas; Agarwal, Siddartha; Lynch, Jeremy; ... Booth, Thomas C; + view all (2021) Automated triaging of head MRI examinations using convolutional neural networks. In: Heinrich, Mattias and Dou, Qi and de Bruijne, Marleen and Lellmann, Jan and Schläfer, Alexander and Ernst, Floris, (eds.) Proceedings of Machine Learning Research. (pp. pp. 813-841). PMLR Green open access

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Abstract

The growing demand for head magnetic resonance imaging (MRI) examinations, along with a global shortage of radiologists, has led to an increase in the time taken to report head MRI scans around the world. For many neurological conditions, this delay can result in increased morbidity and mortality. An automated triaging tool could reduce reporting times for abnormal examinations by identifying abnormalities at the time of imaging and prioritizing the reporting of these scans. In this work, we present a convolutional neural network (CNN) for detecting clinically-relevant abnormalities in T2-weighted head MRI scans. Using a validated neuroradiology report classifier, we generated a labelled dataset of 43,754 scans from two large UK hospitals for model training, and demonstrate accurate classification (area under the receiver operating curve (AUC) = 0.943) on a test set of 800 scans labelled by a team of neuroradiologists. Importantly, when trained on scans from only a single hospital the model generalized to scans from the other hospital (delta AUC <= 0.02). A simulation study demonstrated that our model would reduce the mean reporting time for abnormal scans from 28 days to 14 days and from 9 days to 5 days at the two hospitals, demonstrating feasibility for use in a clinical triage environment.

Type: Proceedings paper
Title: Automated triaging of head MRI examinations using convolutional neural networks
Event: Medical Imaging with Deep Learning, 7-9 July 2021
Open access status: An open access version is available from UCL Discovery
Publisher version: https://proceedings.mlr.press/v143/wood21a.html
Language: English
Additional information: © The Author(s). This is an Open Access article distributed under the terms of the Creative Commons Attribution Licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. https://creativecommons.org/licenses/by/4.0/
UCL classification: UCL
UCL > Provost and Vice Provost Offices > UCL BEAMS
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science > Dept of Computer Science
URI: https://discovery.ucl.ac.uk/id/eprint/10173485
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