A deep learning-based model for screening and staging pneumoconiosis.

Journal: Scientific reports
Published Date:

Abstract

This study aims to develop an artificial intelligence (AI)-based model to assist radiologists in pneumoconiosis screening and staging using chest radiographs. The model, based on chest radiographs, was developed using a training cohort and validated using an independent test cohort. Every image in the training and test datasets were labeled by experienced radiologists in a double-blinded fashion. The computational model started by segmenting the lung field into six subregions. Then, convolutional neural network classification model was used to predict the opacity level for each subregion respectively. Finally, the diagnosis for each subject (normal, stage I, II, or III pneumoconiosis) was determined by summarizing the subregion-based prediction results. For the independent test cohort, pneumoconiosis screening accuracy was 0.973, with both sensitivity and specificity greater than 0.97. The accuracy for pneumoconiosis staging was 0.927, better than that achieved by two groups of radiologists (0.87 and 0.84, respectively). This study develops a deep learning-based model for screening and staging of pneumoconiosis using man-annotated chest radiographs. The model outperformed two groups of radiologists in the accuracy of pneumoconiosis staging. This pioneer work demonstrates the feasibility and efficiency of AI-assisted radiography screening and diagnosis in occupational lung diseases.

Authors

  • Liuzhuo Zhang
    Shenzhen Prevention and Treatment Center for Occupational Diseases, Shenzhen, Guangdong, China.
  • Ruichen Rong
    Quantitative Biomedical Research Center, Department of Population and Data Sciences, University of Texas Southwestern Medical Center, Dallas, Texas.
  • Qiwei Li
    Department of General Surgery, South Campus, Renji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, China.
  • Donghan M Yang
    Quantitative Biomedical Research Center, Department of Population and Data Sciences, University of Texas Southwestern Medical Center, Dallas, Texas.
  • Bo Yao
    Institute of Microanalytical Systems, Department of Chemistry, Zhejiang University, Hangzhou, 310058, China.
  • Danni Luo
    Quantitative Biomedical Research Center, Department of Population and Data Sciences, University of Texas Southwestern Medical Center, Dallas, TX, 75390, USA.
  • Xiong Zhang
    Department of Electronic Science and Engineering, Southeast University, Nanjing, 210096, China. Electronic address: zxbell@seu.edu.cn.
  • Xianfeng Zhu
    Institute of Occupational Medicine of Jiangxi, Nanchang, Jiangxi, China.
  • Jun Luo
    School of Nursing, Zhejiang Chinese Medical University, 548 Binwen Road, Binjiang District, Hangzhou, 310053, Zhejiang Province, People's Republic of China.
  • Yongquan Liu
    Institute of Occupational Medicine of Jiangxi, Nanchang, Jiangxi, China.
  • Xinyue Yang
    Shenzhen Prevention and Treatment Center for Occupational Diseases, Shenzhen, Guangdong, China.
  • Xiang Ji
    Shenzhen Prevention and Treatment Center for Occupational Diseases, Shenzhen, Guangdong, China.
  • Zhidong Liu
    Huizhou Prevention and Treatment Center for Occupational Diseases, Huizhou, Guangdong, China.
  • Yang Xie
    Quantitative Biomedical Research Center, Department of Clinical Sciences, University of Texas Southwestern Medical Center, 5325 Harry Hines Blvd, Dallas, TX, 75390, USA.
  • Yan Sha
    Shenzhen Prevention and Treatment Center for Occupational Diseases, Shenzhen, Guangdong, China.
  • Zhimin Li
    Department of Dermatology, Air Force Medical Center, PLA, Beijing, People's Republic of China.
  • Guanghua Xiao