Evidence map›Paper›PMID 41134565›Full record

ArticleMedical physics2025

End-to-end deep learning approach for uterine artery-ovarian artery anastomosis detection from digital subtraction angiography sequences.

Yu Lei, Tao Sun, Yanqiao Ren, Dongqiao Xiang, Lei Chen, Yi Li, Xiaoyun Liang, Huangxuan Zhao, Jinqiang Ma, Chuansheng Zheng

Abstract read
In one paragraph

Article in Medical physics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Yu LeiDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Tao SunDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Yanqiao RenDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Dongqiao XiangDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Lei ChenDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Yi LiInstitute of Research and Clinical Innovation, Neusoft Medical Systems Co., Ltd, Shanghai, China.
Xiaoyun LiangInstitute of Research and Clinical Innovation, Neusoft Medical Systems Co., Ltd, Shanghai, China.
Huangxuan ZhaoDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Jinqiang MaDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Chuansheng ZhengDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Funding

National Key Research and Development Program of China 2023YFC2413500National Natural Science Foundation of China 82102154
6 · The paper itself

Abstract

backgroundUterine artery embolization (UAE) is a vital treatment modality for various gynecological conditions. However, complications may arise from the accidental migration of embolic agents into non-target tissues through the uterine artery-ovarian artery anastomosis (UOA). The key to addressing this issue lies in the timely detection of UOA, which is a challenging task. PURPOSE: This study aimed to develop an artificial intelligence model to detect UOA during these procedures.

methods990 uterine artery angiography sequences from 610 female patients who underwent UAE were retrospectively reviewed and were divided into training, validation, internal testing, and external testing cohorts. An end-to-end artificial intelligence model called UOA Detector (UOA-D) was proposed. The detection performance was evaluated using metrics such as the area under the receiver's operating characteristic curve (AUC), average precision (AP), average precision at intersection over union (IoU) threshold 0.5 (AP_0.5), sensitivity, specificity, accuracy, and F1 score. Moreover, the impact of UOA-D on enhancing the detection capabilities of six interventional radiologists, in terms of both performance and detection time, was examined across the internal and external testing sets.

resultsUOA-D manifested an AUC of 0.831 and 0.829 within the internal and external testing sets, with AP of 0.541 and 0.509, and AP_0.5 of 0.773 and 0.768, respectively. In the delineation of UOA-positive cases, UOA-D demonstrated sensitivity, specificity, accuracy, and F1 score of 0.978, 0.951, 0.961, and 0.978 in the internal testing set, and 0.969, 0.945, 0.959, and 0.962 in the external set, respectively. UOA-D significantly outperformed junior interventional radiologists and matched the performance of senior interventional radiologists in detecting UOA. The UOA-D-assisted strategy significantly improved the performance of junior radiologists and substantially shortened the detection time, demonstrating its potential clinical benefits.

conclusionsUOA-D demonstrated superior efficacy in detecting UOA through digital subtraction angiography (DSA) sequences, offering considerable advantages for clinical application.

Indexed as

Angiography, Digital SubtractionDeep LearningImage Processing, Computer-AssistedOvaryUterine ArteryFemaleHumansMiddle AgedRetrospective StudiesUterine Artery Embolizationdeep learningdetectionDSAuterine artery‐ovarian artery anastomosis

Identifiers

PMID41134565
PMCPMC12551770

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