Literature DB >> 16179404

Intracranial aneurysms at MR angiography: effect of computer-aided diagnosis on radiologists' detection performance.

Toshinori Hirai1, Yukunori Korogi, Hidetaka Arimura, Shigehiko Katsuragawa, Mika Kitajima, Masayuki Yamura, Yasuyuki Yamashita, Kunio Doi.   

Abstract

PURPOSE: To retrospectively evaluate the effect of computer-aided detection (CAD) on radiologists' performance in detection of intracranial aneurysms with magnetic resonance (MR) angiography.
MATERIALS AND METHODS: The institutional review board approved this study and did not require patient informed consent. Fifty maximum intensity projection MR angiograms in 50 patients were used for observer performance study. The group included 22 patients (age range, 43-86 years; mean, 60.2 years; 6 men and 16 women) with intracranial aneurysms and 28 patients (age range, 32-80 years; mean, 58.8 years; 10 men and 18 women) without aneurysms. The MR angiograms were obtained with three-dimensional time-of-flight 1.5-T MR imaging. Fifteen radiologists, including eight neuroradiologists and seven general radiologists, participated in the observer performance test. They interpreted the angiograms first without and then with the aid of the computer output by using an automated computerized scheme. The observers' performance without and with the computer output was evaluated with receiver operating characteristic analysis.
RESULTS: For all 15 observers, average area under the receiver operating characteristic curve (A(z)) value for detection of aneurysms was increased significantly from 0.931 to 0.983 (P = .001) when they used the computer output. A(z) values for general radiologists and neuroradiologists increased from 0.894 to 0.983 (P = .022) and from 0.963 to 0.984 (P = .014), respectively. Improvement in the performance of general radiologists in terms of the A(z) value was much greater than that of neuroradiologists. Performance of general radiologists with CAD (A(z) = 0.983) slightly exceeded that of neuroradiologists without CAD (A(z) = 0.963) (P = .048).
CONCLUSION: CAD improved neuroradiologists' and general radiologists' performance for detection of intracranial aneurysms with MR angiography; improvement was greater for general radiologists than it was for neuroradiologists.

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Year:  2005        PMID: 16179404     DOI: 10.1148/radiol.2372041734

Source DB:  PubMed          Journal:  Radiology        ISSN: 0033-8419            Impact factor:   11.105


  13 in total

Review 1.  Computer-aided diagnosis in medical imaging: historical review, current status and future potential.

Authors:  Kunio Doi
Journal:  Comput Med Imaging Graph       Date:  2007-03-08       Impact factor: 4.790

2.  Efficacy of computer aided analysis in detection of significant coronary artery stenosis in cardiac using dual source computed tomography.

Authors:  Anja J Reimann; Ilias Tsiflikas; Harald Brodoefel; Michael Scheuering; Daniel Rinck; Andreas F Kopp; Claus D Claussen; Martin Heuschmid
Journal:  Int J Cardiovasc Imaging       Date:  2008-09-28       Impact factor: 2.357

Review 3.  Artificial Intelligence in the Management of Intracranial Aneurysms: Current Status and Future Perspectives.

Authors:  Z Shi; B Hu; U J Schoepf; R H Savage; D M Dargis; C W Pan; X L Li; Q Q Ni; G M Lu; L J Zhang
Journal:  AJNR Am J Neuroradiol       Date:  2020-03-12       Impact factor: 3.825

4.  Computer-aided diagnosis for detection of lacunar infarcts on MR images: ROC analysis of radiologists' performance.

Authors:  Yoshikazu Uchiyama; Takahiko Asano; Hiroki Kato; Takeshi Hara; Masayuki Kanematsu; Hiroaki Hoshi; Toru Iwama; Hiroshi Fujita
Journal:  J Digit Imaging       Date:  2012-08       Impact factor: 4.056

5.  Computer-aided diagnosis improves detection of small intracranial aneurysms on MRA in a clinical setting.

Authors:  I L Štepán-Buksakowska; J M Accurso; F E Diehn; J Huston; T J Kaufmann; P H Luetmer; C P Wood; X Yang; D J Blezek; R Carter; C Hagen; D Hořínek; A Hejčl; M Roček; B J Erickson
Journal:  AJNR Am J Neuroradiol       Date:  2014-06-12       Impact factor: 3.825

6.  Computer-Assisted Detection of Cerebral Aneurysms in MR Angiography in a Routine Image-Reading Environment: Effects on Diagnosis by Radiologists.

Authors:  S Miki; N Hayashi; Y Masutani; Y Nomura; T Yoshikawa; S Hanaoka; M Nemoto; K Ohtomo
Journal:  AJNR Am J Neuroradiol       Date:  2016-02-18       Impact factor: 3.825

7.  Fast inversion recovery magnetic resonance angiography of the intracranial arteries.

Authors:  Ek T Tan; John Huston; Norbert G Campeau; Stephen J Riederer
Journal:  Magn Reson Med       Date:  2010-06       Impact factor: 4.668

8.  Computer-aided detection of intracranial aneurysms in MR angiography.

Authors:  Xiaojiang Yang; Daniel J Blezek; Lionel T E Cheng; William J Ryan; David F Kallmes; Bradley J Erickson
Journal:  J Digit Imaging       Date:  2009-11-24       Impact factor: 4.056

9.  Multicentre multiobserver study of diffusion-weighted and fluid-attenuated inversion recovery MRI for the diagnosis of sporadic Creutzfeldt-Jakob disease: a reliability and agreement study.

Authors:  Koji Fujita; Masafumi Harada; Makoto Sasaki; Tatsuhiko Yuasa; Kenji Sakai; Tsuyoshi Hamaguchi; Nobuo Sanjo; Yusei Shiga; Katsuya Satoh; Ryuichiro Atarashi; Susumu Shirabe; Ken Nagata; Tetsuya Maeda; Shigeo Murayama; Yuishin Izumi; Ryuji Kaji; Masahito Yamada; Hidehiro Mizusawa
Journal:  BMJ Open       Date:  2012-01-30       Impact factor: 2.692

Review 10.  An engineering view on megatrends in radiology: digitization to quantitative tools of medicine.

Authors:  Namkug Kim; Jaesoon Choi; Jaeyoun Yi; Seungwook Choi; Seyoun Park; Yongjun Chang; Joon Beom Seo
Journal:  Korean J Radiol       Date:  2013-02-22       Impact factor: 3.500

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