[Identification of osteoid and chondroid matrix mineralization in primary bone tumors using a deep learning fusion model based on CT and clinical features: a multi-center retrospective study].

Journal: Nan fang yi ke da xue xue bao = Journal of Southern Medical University
Published Date:

Abstract

METHODS: We retrospectively collected CT scan data from 276 patients with pathologically confirmed primary bone tumors from 4 medical centers in Guangdong Province between January, 2010 and August, 2021. A convolutional neural network (CNN) was employed as the deep learning architecture. The optimal baseline deep learning model (R-Net) was determined through transfer learning, and an optimized model (S-Net) was obtained through algorithmic improvements. Multivariate logistic regression analysis was used to screen the clinical features such as sex, age, mineralization location, and pathological fractures, which were then connected with the imaging features to construct the deep learning fusion model (SC-Net). The diagnostic performance of the SC-Net model and machine learning models were compared with radiologists' diagnoses, and their classification performance was evaluated using the area under the receiver operating characteristic curve (AUC) and F1 score.

Authors

  • Caolin Liu
    Department of Radiology, Third Affiliated Hospital of Southern Medical University (Academy of Orthopedics of Guangdong Province), Guangzhou 510630, China.
  • Qingqing Zou
    School of Biomedical Engineering, Southern Medical University (Guangdong Provincial Key Laboratory of Medical Image Processing), Guangzhou 510515, China.
  • Menghong Wang
    Department of Radiology, The Third Affiliated Hospital of Southern Medical University (Academy of Orthopedics, Guangdong Province), Guangzhou, Guangdong, China.
  • Qinmei Yang
    Department of Radiology, Third Affiliated Hospital of Southern Medical University (Academy of Orthopedics of Guangdong Province), Guangzhou 510630, China.
  • Liwen Song
    Department of Radiology, The Third Affiliated Hospital of Southern Medical University (Academy of Orthopedics, Guangdong Province), Guangzhou, Guangdong, China.
  • Zixiao Lu
    School of Biomedical Engineering, Southern Medical University, Guangzhou, 510515, China.
  • Qianjin Feng
    Guangdong Provincial Key Laboratory of Medical Image Processing, School of Biomedical Engineering, Southern Medical University, Guangzhou, China. Electronic address: qianjinfeng08@gmail.com.
  • Yinghua Zhao
    Department of Radiology, The Third Affiliated Hospital of Southern Medical University (Academy of Orthopedics, Guangdong Province), Guangzhou, Guangdong, China. zyh7258957@163.com.