Evidence map›Paper›PMID 30840724›Full record

ArticleJournal of medical imaging (Bellingham, Wash.)2018

Large-scale medical image annotation with crowd-powered algorithms.

Eric Heim, Tobias Roß, Alexander Seitel, Keno März, Bram Stieltjes, Matthias Eisenmann, Johannes Lebert, Jasmin Metzger, Gregor Sommer, Alexander W Sauter and 5 more

Abstract read
In one paragraph

Article in Journal of medical imaging (Bellingham, Wash.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Applications of artificial intelligence in nuclear medicine.Zeitschrift fur medizinische Physik · 2026
    Review
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  6. Review
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  8. Article
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  11. Reproducible Reporting of the Collection and Evaluation of Annotations for Artificial Intelligence Models.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2024
    Article
  12. Article
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  14. Journal of medical imaging (Bellingham, Wash.) · 2023
    Article
  15. Article
  16. Review
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  19. Article
  20. Observer Variability in CT Angiography Carotid Segmentation: Assessing Variability to Set Minimum Clinical Performance.Journal of neuroimaging : official journal of the American Society of Neuroimaging
    Article
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

15 authors.

Eric HeimGerman Cancer Research Center (DKFZ), Computer Assisted Medical Interventions, Heidelberg, Germany.
Tobias RoßGerman Cancer Research Center (DKFZ), Computer Assisted Medical Interventions, Heidelberg, Germany.ORCID https://orcid.org/0000-0002-7094-4926
Alexander SeitelGerman Cancer Research Center (DKFZ), Computer Assisted Medical Interventions, Heidelberg, Germany.
Keno MärzGerman Cancer Research Center (DKFZ), Computer Assisted Medical Interventions, Heidelberg, Germany.
Bram StieltjesUniversity of Basel, University Hospital Basel, Radiology and Nuclear Medicine Clinic, Basel, Switzerland.
Matthias EisenmannGerman Cancer Research Center (DKFZ), Computer Assisted Medical Interventions, Heidelberg, Germany.
Johannes LebertUniversity of Heidelberg, Department of General, Visceral and Transplant Surgery, Heidelberg, Germany.
Jasmin MetzgerGerman Cancer Research Center (DKFZ), Medical Image Computing, Heidelberg, Germany.ORCID https://orcid.org/0000-0001-6057-5859
Gregor SommerUniversity of Basel, University Hospital Basel, Radiology and Nuclear Medicine Clinic, Basel, Switzerland.ORCID https://orcid.org/0000-0002-8952-0808
Alexander W SauterUniversity of Basel, University Hospital Basel, Radiology and Nuclear Medicine Clinic, Basel, Switzerland.ORCID https://orcid.org/0000-0002-6707-2258
Fides Regina SchwartzUniversity of Basel, University Hospital Basel, Radiology and Nuclear Medicine Clinic, Basel, Switzerland.
Andreas TermerUniversity of Heidelberg, Department of General, Visceral and Transplant Surgery, Heidelberg, Germany.
Felix WagnerUniversity of Heidelberg, Department of General, Visceral and Transplant Surgery, Heidelberg, Germany.
Hannes Götz KenngottUniversity of Heidelberg, Department of General, Visceral and Transplant Surgery, Heidelberg, Germany.
Lena Maier-HeinGerman Cancer Research Center (DKFZ), Computer Assisted Medical Interventions, Heidelberg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Accurate segmentations in medical images are the foundations for various clinical applications. Advances in machine learning-based techniques show great potential for automatic image segmentation, but these techniques usually require a huge amount of accurately annotated reference segmentations for training. The guiding hypothesis of this paper was that crowd-algorithm collaboration could evolve as a key technique in large-scale medical data annotation. As an initial step toward this goal, we evaluated the performance of untrained individuals to detect and correct errors made by three-dimensional (3-D) medical segmentation algorithms. To this end, we developed a multistage segmentation pipeline incorporating a hybrid crowd-algorithm 3-D segmentation algorithm integrated into a medical imaging platform. In a pilot study of liver segmentation using a publicly available dataset of computed tomography scans, we show that the crowd is able to detect and refine inaccurate organ contours with a quality similar to that of experts (engineers with domain knowledge, medical students, and radiologists). Although the crowds need significantly more time for the annotation of a slice, the annotation rate is extremely high. This could render crowdsourcing a key tool for cost-effective large-scale medical image annotation.

Indexed as

crowdsourcingsegmentationstatistical shape models

Identifiers

PMID30840724
PMCPMC6129178

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.