Deep Learning for Classification of Bone Lesions on Routine MRI

Deep Learning for Classification of Bone Lesions on Routine MRI

Blog Article

Background: Radiologists have difficulty distinguishing benign from malignant bone lesions because these lesions may have similar imaging appearances.The purpose of this study was to Oats develop a deep learning algorithm that can differentiate benign and malignant bone lesions using routine magnetic resonance imaging (MRI) and patient demographics.Methods: 1,060 histologically confirmed bone lesions with T1- and T2-weighted pre-operative MRI were retrospectively identified and included, with lesions from 4 institutions used for model development and internal validation, and data from a fifth institution used for external validation.Image-based models were generated using the EfficientNet-B0 architecture and a logistic regression model was trained using patient age, sex, and lesion location.

A voting ensemble was created as the final model.The performance of the model was compared to classification performance by radiology experts.Findings: The cohort had a mean age of 30±23 years and was 58.3% male, with 582 benign lesions and 478 malignant.

Compared to a contrived expert committee result, the ensemble deep learning model achieved (ensemble vs.experts): similar accuracy (0·76 vs.0·73, p=0·7), sensitivity (0·79 vs.0·81, p=1·0) and specificity (0·75 vs.

0·66, p=0·48), with a ROC AUC of 0·82.On external testing, the model achieved ROC AUC of 0·79.Interpretation: Deep learning can be used to distinguish benign and malignant bone lesions on par with experts.These findings could Stem Wine Glass aid in the development of computer-aided diagnostic tools to reduce unnecessary referrals to specialized centers from community clinics and limit unnecessary biopsies.

Funding: This work was funded by a Radiological Society of North America Research Medical Student Grant (#RMS2013) and supported by the Amazon Web Services Diagnostic Development Initiative.