Evidence map›Paper›PMID 28983851›Full record

ArticleJournal of digital imaging2018

A Deep-Learning System for Fully-Automated Peripherally Inserted Central Catheter (PICC) Tip Detection.

Hyunkwang Lee, Mohammad Mansouri, Shahein Tajmir, Michael H Lev, Synho Do

Open access · bronzeAbstract read
In one paragraph

Article in Journal of digital imaging, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
6.8field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

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  12. Tubular shape aware data generation for segmentation in medical imaging.International journal of computer assisted radiology and surgery · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Hyunkwang LeeDepartment of Radiology, Massachusetts General Hospital, 25 New Chardon Street, Suite 400B, Boston, MA, 02114, USA.
Mohammad MansouriDepartment of Radiology, Massachusetts General Hospital, 25 New Chardon Street, Suite 400B, Boston, MA, 02114, USA.
Shahein TajmirDepartment of Radiology, Massachusetts General Hospital, 25 New Chardon Street, Suite 400B, Boston, MA, 02114, USA.
Michael H LevDepartment of Radiology, Massachusetts General Hospital, 25 New Chardon Street, Suite 400B, Boston, MA, 02114, USA.
Synho DoDepartment of Radiology, Massachusetts General Hospital, 25 New Chardon Street, Suite 400B, Boston, MA, 02114, USA. sdo@mgh.harvard.edu.
Massachusetts General Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A peripherally inserted central catheter (PICC) is a thin catheter that is inserted via arm veins and threaded near the heart, providing intravenous access. The final catheter tip position is always confirmed on a chest radiograph (CXR) immediately after insertion since malpositioned PICCs can cause potentially life-threatening complications. Although radiologists interpret PICC tip location with high accuracy, delays in interpretation can be significant. In this study, we proposed a fully-automated, deep-learning system with a cascading segmentation AI system containing two fully convolutional neural networks for detecting a PICC line and its tip location. A preprocessing module performed image quality and dimension normalization, and a post-processing module found the PICC tip accurately by pruning false positives. Our best model, trained on 400 training cases and selectively tuned on 50 validation cases, obtained absolute distances from ground truth with a mean of 3.10 mm, a standard deviation of 2.03 mm, and a root mean squares error (RMSE) of 3.71 mm on 150 held-out test cases. This system could help speed confirmation of PICC position and further be generalized to include other types of vascular access and therapeutic support devices.

Indexed as

Deep LearningCatheterization, Central VenousCatheterization, PeripheralCentral Venous CathetersDatabases, FactualElectrocardiographyFemaleHumansMaleNeural Networks, ComputerPatient SafetyPattern Recognition, AutomatedRadiography, ThoracicRetrospective StudiesChest radiographComputer-aided detectionDeep learningMachine learningPICCRadiology workflow

Identifiers

PMID28983851
PMCPMC6113157
OpenAlexW2761196163

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.