Evidence map›Paper›PMID 36564724›Full record

ArticleBMC medical imaging2022

Reinforcement learning using Deep

J N Stember, H Shalu

Abstract read
In one paragraph

Article in BMC medical imaging, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

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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

2 authors.

J N StemberDepartment of Radiology, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, Box 29, New York, NY 10065 USA.ORCID 0000-0003-3169-9590
H ShaluDepartment of Aerospace Engineering, Indian Institute of Technology Madras, Chennai, 600 036 India.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748RSNA Research and Education Foundation RSD2027
6 · The paper itself

Abstract

backgroundSupervised deep learning in radiology suffers from notorious inherent limitations: 1) It requires large, hand-annotated data sets; (2) It is non-generalizable; and (3) It lacks explainability and intuition. It has recently been proposed that reinforcement learning addresses all three of these limitations. Notable prior work applied deep reinforcement learning to localize brain tumors with radiologist eye tracking points, which limits the state-action space. Here, we generalize Deep Q Learning to a gridworld-based environment so that only the images and image masks are required.

methodsWe trained a Deep

resultsWhereas the supervised approach quickly overfit the training data and predictably performed poorly on the testing set (11% accuracy), the Deep

conclusionWe have successfully applied reinforcement learning to localize brain tumors on 2D contrast-enhanced MRI brain images. This represents a generalization of recent work to a gridworld setting naturally suitable for analyzing medical images. We have shown that reinforcement learning does not over-fit small training sets, and can generalize to a separate testing set.

Indexed as

Brain NeoplasmsNeural Networks, ComputerBrainDatabases, FactualHumansMagnetic Resonance ImagingBrain tumorsDeep reinforcement learningGridworldLocalizationRegressionReinforcement learning

Identifiers

PMID36564724
PMCPMC9784281

What OpenQuestion holds

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Registered trials

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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.