Review of deep learning algorithms for the automatic detection of intracranial hemorrhages on computed tomography head imaging.

Journal: Journal of neurointerventional surgery
Published Date:

Abstract

Artificial intelligence is a rapidly evolving field, with modern technological advances and the growth of electronic health data opening new possibilities in diagnostic radiology. In recent years, the performance of deep learning (DL) algorithms on various medical image tasks have continually improved. DL algorithms have been proposed as a tool to detect various forms of intracranial hemorrhage on non-contrast computed tomography (NCCT) of the head. In subtle, acute cases, the capacity for DL algorithm image interpretation support might improve the diagnostic yield of CT for detection of this time-critical condition, potentially expediting treatment where appropriate and improving patient outcomes. However, there are multiple challenges to DL algorithm implementation, such as the relative scarcity of labeled datasets, the difficulties in developing algorithms capable of volumetric medical image analysis, and the complex practicalities of deployment into clinical practice. This review examines the literature and the approaches taken in the development of DL algorithms for the detection of intracranial hemorrhage on NCCT head studies. Considerations in crafting such algorithms will be discussed, as well as challenges which must be overcome to ensure effective, dependable implementations as automated tools in a clinical setting.

Authors

  • Melissa Yeo
    Melbourne Medical School, The University of Melbourne Faculty of Medicine Dentistry and Health Sciences, Melbourne, Victoria, Australia melissayeoxw@gmail.com.
  • Bahman Tahayori
    Department of Biomedical Engineering, The University of Melbourne, Melbourne, Victoria, Australia.
  • Hong Kuan Kok
    Interventional Radiology Service, Department of Radiology, Beaumont Hospital, Dublin, Ireland.
  • Julian Maingard
    School of Medicine, Deakin University Faculty of Health, Burwood, Victoria, Australia.
  • Numan Kutaiba
    Department of Radiology, Austin Health, Heidelberg, Victoria, Australia.
  • Jeremy Russell
    Department of Neurosurgery, Austin Health, Heidelberg, Victoria, Australia.
  • Vincent Thijs
    Stroke Theme, Florey Institute of Neuroscience and Mental Health, Heidelberg, Victoria, Australia.
  • Ashu Jhamb
    Department of Radiology, St Vincent's Hospital Melbourne Pty Ltd, Fitzroy, Victoria, Australia.
  • Ronil V Chandra
    5 Interventional Neuroradiology Service, Monash Imaging, Monash Health, Clayton, Australia.
  • Mark Brooks
    5 Interventional Neuroradiology Service, Monash Imaging, Monash Health, Clayton, Australia.
  • Christen D Barras
    School of Medicine, The University of Adelaide, Adelaide, South Australia, Australia.
  • Hamed Asadi
    Neurointerventional Service, Department of Radiology, Beaumont Hospital, Dublin, Ireland; School of Medicine, Faculty of Health, Deakin University, Waurn Ponds, Australia. Electronic address: asadi.hamed@gmail.com.