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Psychophysical Evaluation of Visual vs. Computer‐Aided Detection of Brain Lesions on Magnetic Resonance Images

Title: Psychophysical Evaluation of Visual vs. Computer‐Aided Detection of Brain Lesions on Magnetic Resonance Images
Authors: Solomon, Chen; Shmueli, Omer; Shrot, Shai; Blumenfeld‐Katzir, Tamar; Radunsky, Dvir; Omer, Noam; Stern, Neta; Reichman, Dominique Ben‐Ami; Hoffmann, Chen; Salti, Moti; Greenspan, Hayit; Ben‐Eliezer, Noam
Contributors: Israel Science Foundation
Source: Journal of Magnetic Resonance Imaging ; volume 58, issue 2, page 642-649 ; ISSN 1053-1807 1522-2586
Publisher Information: Wiley
Publication Year: 2022
Collection: Wiley Online Library (Open Access Articles via Crossref)
Description: Background Magnetic resonance imaging (MRI) diagnosis is usually performed by analyzing contrast‐weighted images, where pathology is detected once it reached a certain visual threshold. Computer‐aided diagnosis (CAD) has been proposed as a way for achieving higher sensitivity to early pathology. Purpose To compare conventional (i.e., visual) MRI assessment of artificially generated multiple sclerosis (MS) lesions in the brain's white matter to CAD based on a deep neural network. Study Type Prospective. Population A total of 25 neuroradiologists (15 males, age 39 ± 9, 9 ± 9.8 years of experience) independently assessed all synthetic lesions. Field Strength/Sequence A 3.0 T, T 2 ‐weighted multi‐echo spin‐echo (MESE) sequence. Assessment MS lesions of varying severity levels were artificially generated in healthy volunteer MRI scans by manipulating T 2 values. Radiologists and a neural network were tasked with detecting these lesions in a series of 48 MR images. Sixteen images presented healthy anatomy and the rest contained a single lesion at eight increasing severity levels (6%, 9%, 12%, 15%, 18%, 21%, 25%, and 30% elevation in T 2 ). True positive (TP) rates, false positive (FP) rates, and odds ratios (ORs) were compared between radiological diagnosis and CAD across the range lesion severity levels. Statistical Tests Diagnostic performance of the two approaches was compared using z ‐tests on TP rates, FP rates, and the logarithm of ORs across severity levels. A P ‐value
Document Type: article in journal/newspaper
Language: English
DOI: 10.1002/jmri.28559
Availability: https://doi.org/10.1002/jmri.28559; https://onlinelibrary.wiley.com/doi/pdf/10.1002/jmri.28559; https://onlinelibrary.wiley.com/doi/full-xml/10.1002/jmri.28559
Rights: http://creativecommons.org/licenses/by-nc-nd/4.0/
Accession Number: edsbas.D84D8035
Database: BASE