1. Segmentation-based quantitative measurements in renal CT imaging using deep learning
- Author
-
Konstantinos Koukoutegos, Richard ’s Heeren, Liesbeth De Wever, Frederik De Keyzer, Frederik Maes, and Hilde Bosmans
- Subjects
Abdomen ,Artificial intelligence ,Deep learning ,Kidney ,Tomography (x-ray computed) ,Medical physics. Medical radiology. Nuclear medicine ,R895-920 - Abstract
Abstract Background Renal quantitative measurements are important descriptors for assessing kidney function. We developed a deep learning-based method for automated kidney measurements from computed tomography (CT) images. Methods The study datasets comprised potential kidney donors (n = 88), both contrast-enhanced (Dataset 1 CE) and noncontrast (Dataset 1 NC) CT scans, and test sets of contrast-enhanced cases (Test set 2, n = 18), cases from a photon-counting (PC)CT scanner reconstructed at 60 and 190 keV (Test set 3 PCCT, n = 15), and low-dose cases (Test set 4, n = 8), which were retrospectively analyzed to train, validate, and test two networks for kidney segmentation and subsequent measurements. Segmentation performance was evaluated using the Dice similarity coefficient (DSC). The quantitative measurements’ effectiveness was compared to manual annotations using the intraclass correlation coefficient (ICC). Results The contrast-enhanced and noncontrast models demonstrated excellent reliability in renal segmentation with DSC of 0.95 (Test set 1 CE), 0.94 (Test set 2), 0.92 (Test set 3 PCCT) and 0.94 (Test set 1 NC), 0.92 (Test set 3 PCCT), and 0.93 (Test set 4). Volume estimation was accurate with mean volume errors of 4%, 3%, 6% mL (contrast test sets) and 4%, 5%, 7% mL (noncontrast test sets). Renal axes measurements (length, width, and thickness) had ICC values greater than 0.90 (p
- Published
- 2024
- Full Text
- View/download PDF