Anatomically aware dual-hop learning for pulmonary embolism detection in CT pulmonary angiograms.

Journal: Computers in biology and medicine
Published Date:

Abstract

Pulmonary Embolisms (PE) represent a leading cause of cardiovascular death. While medical imaging, through computed tomographic pulmonary angiography (CTPA), represents the gold standard for PE diagnosis, it is still susceptible to misdiagnosis or significant diagnosis delays, which may be fatal for critical cases. Despite the recently demonstrated power of deep learning to bring a significant boost in performance in a wide range of medical imaging tasks, there are still very few published researches on automatic pulmonary embolism detection. Herein we introduce a deep learning based approach, which efficiently combines computer vision and deep neural networks for pulmonary embolism detection in CTPA. Our method brings novel contributions along three orthogonal axes: (1) automatic detection of anatomical structures; (2) anatomical aware pretraining, and (3) a dual-hop deep neural net for PE detection. We obtain state-of-the-art results on the publicly available multicenter large-scale RSNA dataset.

Authors

  • Florin Condrea
    Institute of Mathematics of the Romanian Academy "Simion Stoilow, Bucharest, Romania; Advanta, Siemens, 15 Noiembrie Bvd, Brasov, 500097, Romania. Electronic address: florin.condrea@siemens.com.
  • Saikiran Rapaka
    From the Division of Cardiovascular Imaging, Department of Radiology and Radiological Science (C.T., C.N.D.C., S.B., M.R., T.W.M., T.M.D., R.R.B., U.J.S.), and Division of Cardiology, Department of Medicine (R.R.B., D.H.S., U.J.S.), Medical University of South Carolina, Ashley River Tower, 25 Courtenay Dr, Charleston, SC 29425-2260; Department of Computed Tomography-Research & Development, Siemens Healthcare GmbH, Forchheim, Germany (K.L.G., C.C., C.S., M.S.); Department of Corporate Technology, Siemens SRL, Brasov, Romania (L.M.I.); and Department of Medical Imaging Technologies, Siemens Healthcare, Princeton, NJ (S.R., P.S.).
  • Lucian Itu
    Siemens Corporate Technology, Siemens SRL, Brasov, Romania; Transilvania University of Brasov, Brasov, Romania.
  • Puneet Sharma
    Digital Technologies and Innovation, Siemens Healthineers, Princeton, NJ, United States.
  • Jonathan Sperl
    Siemens Healthineers, Princeton, NJ, USA.
  • A Mohamed Ali
    Siemens Healthcare Private Limited, Unit No. 9A, 9th Floor, North Tower, Mumbai 400079, India.
  • Marius Leordeanu
    Faculty of Automatic Control and Computers, University POLITEHNICA of Bucharest, 060042 Bucharest, Romania.