Evidence map›Paper›PMID 31227844›Full record

ArticleClinical neuroradiology2020

Performance of a Deep-Learning Neural Network to Detect Intracranial Aneurysms from 3D TOF-MRA Compared to Human Readers.

Anton Faron, Thorsten Sichtermann, Nikolas Teichert, Julian A Luetkens, Annika Keulers, Omid Nikoubashman, Jessica Freiherr, Anastasios Mpotsaris, Martin Wiesmann

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In one paragraph

Article in Clinical neuroradiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 4 pooled it
4.9field-weighted citation impact, top 4% 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

25 citing papers in PubMed, 4 syntheses or guidelines pooled it, 61 citations in OpenAlex.

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  3. Application of convolutional network models in detection of intracranial aneurysms: A systematic review and meta-analysis.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2023
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  9. Intracranial aneurysm detection: an object detection perspective.International journal of computer assisted radiology and surgery · 2024
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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

9 authors at 3 institutions in 1 country.

Anton FaronDepartment of Radiology, University Hospital Bonn, Sigmund-Freud-Str. 25, 53127, Bonn, Germany. Anton.Faron@ukbonn.de.ORCID http://orcid.org/0000-0002-5771-7235
Thorsten SichtermannDepartment of Diagnostic and Interventional Neuroradiology, University Hospital RWTH Aachen, Aachen, Germany.
Nikolas TeichertDepartment of Diagnostic and Interventional Neuroradiology, University Hospital RWTH Aachen, Aachen, Germany.
Julian A LuetkensDepartment of Radiology, University Hospital Bonn, Sigmund-Freud-Str. 25, 53127, Bonn, Germany.
Annika KeulersDepartment of Diagnostic and Interventional Neuroradiology, University Hospital RWTH Aachen, Aachen, Germany.
Omid NikoubashmanDepartment of Diagnostic and Interventional Neuroradiology, University Hospital RWTH Aachen, Aachen, Germany.
Jessica FreiherrDepartment of Diagnostic and Interventional Neuroradiology, University Hospital RWTH Aachen, Aachen, Germany.
Anastasios MpotsarisDepartment of Diagnostic and Interventional Neuroradiology, University Hospital RWTH Aachen, Aachen, Germany.
Martin WiesmannDepartment of Diagnostic and Interventional Neuroradiology, University Hospital RWTH Aachen, Aachen, Germany.
RWTH Aachen University · DEUniversity Hospital Bonn · DEDüsseldorf University Hospital · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo study the clinical potential of a deep learning neural network (convolutional neural networks [CNN]) as a supportive tool for detection of intracranial aneurysms from 3D time-of-flight magnetic resonance angiography (TOF-MRA) by comparing the diagnostic performance to that of human readers.

methodsIn this retrospective study a pipeline for detection of intracranial aneurysms from clinical TOF-MRA was established based on the framework DeepMedic. Datasets of 85 consecutive patients served as ground truth and were used to train and evaluate the model. The ground truth without annotation was presented to two blinded human readers with different levels of experience in diagnostic neuroradiology (reader 1: 2 years, reader 2: 12 years). Diagnostic performance of human readers and the CNN was studied and compared using the χ

resultsGround truth consisted of 115 aneurysms with a mean diameter of 7 mm (range: 2-37 mm). Aneurysms were categorized as small (S; <3 mm; N = 13), medium (M; 3-7 mm; N = 57), and large (L; >7 mm; N = 45) based on the diameter. No statistically significant differences in terms of overall sensitivity (OS) were observed between the CNN and both of the human readers (reader 1 vs. CNN, P = 0.141; reader 2 vs. CNN, P = 0.231). The OS of both human readers was improved by combination of each readers' individual detections with the detections of the CNN (reader 1: 98% vs. 95%, P = 0.280; reader 2: 97% vs. 94%, P = 0.333).

conclusionA CNN is able to detect intracranial aneurysms from clinical TOF-MRA data with a sensitivity comparable to that of expert radiologists and may have the potential to improve detection rates of incidental findings in a clinical setting.

Indexed as

Clinical CompetenceDeep LearningFemaleHumansImaging, Three-DimensionalIntracranial AneurysmMagnetic Resonance AngiographyMaleMiddle AgedRetrospective StudiesSensitivity and SpecificityArtificial intelligenceCerebral aneurysmComputer-aided detectionIncidental findingsMagnetic resonance imaging

Identifiers

PMID31227844
OpenAlexW2951762285

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.