Automated artifact detection in abbreviated dynamic contrast-enhanced (DCE) MRI-derived maximum intensity projections (MIPs) of the breast.


Journal

European radiology
ISSN: 1432-1084
Titre abrégé: Eur Radiol
Pays: Germany
ID NLM: 9114774

Informations de publication

Date de publication:
Sep 2022
Historique:
received: 05 10 2021
accepted: 02 02 2022
revised: 01 02 2022
pubmed: 3 4 2022
medline: 19 8 2022
entrez: 2 4 2022
Statut: ppublish

Résumé

To automatically detect MRI artifacts on dynamic contrast-enhanced (DCE) maximum intensity projections (MIPs) of the breast using deep learning. Women who underwent clinically indicated breast MRI between October 2015 and December 2019 were included in this IRB-approved retrospective study. We employed two convolutional neural network architectures (ResNet and DenseNet) to detect the presence of artifacts on DCE MIPs of the left and right breasts. Networks were trained on images acquired up to and including the year 2018 using a 5-fold cross-validation (CV). Ensemble classifiers were built with the resulting CV models and applied to an independent holdout test dataset, which was formed by images acquired in 2019. Our study sample contained 2265 examinations from 1794 patients (median age at first acquisition: 50 years [IQR: 17 years]), corresponding to 1827 examinations of 1378 individuals in the training dataset and 438 examinations of 416 individuals in the holdout test dataset with a prevalence of image-level artifacts of 53% (1951/3654 images) and 43% (381/876 images), respectively. On the holdout test dataset, the ResNet and DenseNet ensembles demonstrated an area under the ROC curve of 0.92 and 0.94, respectively. Neural networks are able to reliably detect artifacts that may impede the diagnostic assessment of MIPs derived from DCE subtraction series in breast MRI. Future studies need to further explore the potential of such neural networks to complement quality assurance and improve the application of DCE MIPs in a clinical setting, such as abbreviated protocols. • Deep learning classifiers are able to reliably detect MRI artifacts in dynamic contrast-enhanced protocol-derived maximum intensity projections of the breast. • Automated quality assurance of maximum intensity projections of the breast may be of special relevance for abbreviated breast MRI, e.g., in high-throughput settings, such as cancer screening programs.

Identifiants

pubmed: 35366123
doi: 10.1007/s00330-022-08626-5
pii: 10.1007/s00330-022-08626-5
pmc: PMC9381479
doi:

Substances chimiques

Contrast Media 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

5997-6007

Subventions

Organisme : Bundesministerium für Bildung und Forschung
ID : 161B0976

Informations de copyright

© 2022. The Author(s).

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Auteurs

Lorenz A Kapsner (LA)

Institute of Radiology, Universitätsklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Maximiliansplatz 1, 91054, Erlangen, Germany. lorenz.kapsner@uk-erlangen.de.
Medical Center for Information and Communication Technology, Universitätsklinikum Erlangen, Krankenhausstraße 12, 91054, Erlangen, Germany. lorenz.kapsner@uk-erlangen.de.

Sabine Ohlmeyer (S)

Institute of Radiology, Universitätsklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Maximiliansplatz 1, 91054, Erlangen, Germany.

Lukas Folle (L)

Pattern Recognition Lab, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Martensstraße 3, 91058, Erlangen, Germany.

Frederik B Laun (FB)

Institute of Radiology, Universitätsklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Maximiliansplatz 1, 91054, Erlangen, Germany.

Armin M Nagel (AM)

Institute of Radiology, Universitätsklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Maximiliansplatz 1, 91054, Erlangen, Germany.

Andrzej Liebert (A)

Institute of Radiology, Universitätsklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Maximiliansplatz 1, 91054, Erlangen, Germany.

Hannes Schreiter (H)

Institute of Radiology, Universitätsklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Maximiliansplatz 1, 91054, Erlangen, Germany.

Matthias W Beckmann (MW)

Department of Obstetrics and Gynaecology, Universitätsklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Universitätsstr. 21 - 23, 91054, Erlangen, Germany.

Michael Uder (M)

Institute of Radiology, Universitätsklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Maximiliansplatz 1, 91054, Erlangen, Germany.

Evelyn Wenkel (E)

Institute of Radiology, Universitätsklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Maximiliansplatz 1, 91054, Erlangen, Germany.

Sebastian Bickelhaupt (S)

Institute of Radiology, Universitätsklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Maximiliansplatz 1, 91054, Erlangen, Germany.
German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, 69120, Heidelberg, Germany.

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