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Crowdsourcing Lung Nodules Detection and Annotation

机译:众包肺结节检测与注释

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We present crowdsourcing as an additional modality to aid radiologists in the diagnosis of lung cancer from clinical chest computed tomography (CT) scans. More specifically, a complete workflow is introduced which can help maximize the sensitivity of lung nodule detection by utilizing the collective intelligence of the crowd. We combine the concept of overlapping thin-slab maximum intensity projections (TS-MIPs) and cine viewing to render short videos that can be outsourced as an annotation task to the crowd. These videos are generated by linearly interpolating overlapping TS-MIPs of CT slices through the depth of each quadrant of a patient's lung. The resultant videos arc outsourced to an online community of non-expert users who, after a brief tutorial, annotate suspected nodules in these video segments. Using our crowdsourcing workflow, we achieved a lung nodule detection sensitivity of over 90% for 20 patient CT datasets (containing 178 lung nodules with sizes between 1-30mm). and only 47 false positives from a total of 1021 annotations on nodules of all sizes (96% sensitivity for nodules>4mm). These results show that crowdsourcing can be a robust and scalable modality to aid radiologists in screening for lung cancer, directly or in combination with computer-aided detection (CAD) algorithms. For CAD algorithms, the presented workflow can provide highly accurate training data to overcome the high false-positive rate (per scan) problem. We also provide, for the first, time, analysis on nodule size and position which can help improve CAD algorithms.
机译:我们提出众包作为一种额外的方式,以帮助放射线医师从临床胸部计算机断层扫描(CT)扫描诊断肺癌。更具体地说,引入了一个完整的工作流程,可以通过利用人群的集体智慧来帮助最大化肺结节检测的灵敏度。我们结合了重叠的薄板最大强度投影(TS-MIP)和电影查看的概念,以渲染可以作为批注任务外包给人群的短视频。这些视频是通过将CT切片的重叠TS-MIP通过患者肺部每个象限的深度进行线性插值而生成的。生成的视频被外包给非专家用户的在线社区,在简短的教程之后,他们在这些视频片段中注释了可疑的结节。通过我们的众包工作流程,我们对20个患者CT数据集(包含178个大小在1至30mm之间的肺结节)的肺结节检测灵敏度达到了90%以上。在所有大小的结核病中,总共1021个注释中只有47个假阳性(对于结核病,> 4mm的结核病敏感性为96%)。这些结果表明,众包可以是一种强大且可扩展的方式,可以直接或结合计算机辅助检测(CAD)算法来帮助放射科医生筛查肺癌。对于CAD算法,提出的工作流程可以提供高度准确的训练数据,以克服高假阳性率(每次扫描)的问题。我们还首次提供了结节大小和位置的分析,可帮助改进CAD算法。

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