Radiology-Artificial Intelligence最新文献

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Estimating Total Lung Volume from Pixel-Level Thickness Maps of Chest Radiographs Using Deep Learning. 利用深度学习从胸片像素级厚度图估计总肺容量。
IF 8.1
Radiology-Artificial Intelligence Pub Date : 2025-07-01 DOI: 10.1148/ryai.240484
Tina Dorosti, Manuel Schultheiß, Philipp Schmette, Jule Heuchert, Johannes Thalhammer, Florian T Gassert, Thorsten Sellerer, Rafael Schick, Kirsten Taphorn, Korbinian Mechlem, Lorenz Birnbacher, Florian Schaff, Franz Pfeiffer, Daniela Pfeiffer
{"title":"Estimating Total Lung Volume from Pixel-Level Thickness Maps of Chest Radiographs Using Deep Learning.","authors":"Tina Dorosti, Manuel Schultheiß, Philipp Schmette, Jule Heuchert, Johannes Thalhammer, Florian T Gassert, Thorsten Sellerer, Rafael Schick, Kirsten Taphorn, Korbinian Mechlem, Lorenz Birnbacher, Florian Schaff, Franz Pfeiffer, Daniela Pfeiffer","doi":"10.1148/ryai.240484","DOIUrl":"10.1148/ryai.240484","url":null,"abstract":"<p><p>Purpose To estimate the total lung volume (TLV) from real and synthetic frontal chest radiographs on a pixel level using lung thickness maps generated by a U-Net deep learning model. Materials and Methods This retrospective study included 5959 chest CT scans from two public datasets, the Lung Nodule Analysis 2016 (Luna16) (<i>n</i> = 656) and the Radiological Society of North America Pulmonary Embolism Detection Challenge 2020 (<i>n</i> = 5303). Additionally, 72 participants were selected from the Klinikum Rechts der Isar dataset (October 2018 through December 2019), each with a corresponding chest radiograph obtained within 7 days. Synthetic radiographs and lung thickness maps were generated using forward projection of CT scans and their lung segmentations. A U-Net model was trained on synthetic radiographs to predict lung thickness maps and estimate TLV. Model performance was assessed using mean squared error (MSE), Pearson correlation coefficient, and two-sided Student <i>t</i> distribution. Results The study included 72 participants (45 male and 27 female participants; 33 healthy participants: mean age, 62 years [range, 34-80 years]; 39 with chronic obstructive pulmonary disease: mean age, 69 years [range, 47-91 years]). TLV predictions showed low error rates (MSE<sub>Public-Synthetic</sub>, 0.16 L<sup>2</sup>; MSE<sub>KRI-Synthetic</sub>, 0.20 L<sup>2</sup>; MSE<sub>KRI-Real</sub>, 0.35 L<sup>2</sup>) and strong correlations with CT-derived reference standard TLV (<i>n</i><sub>Public-Synthetic</sub>, 1191; <i>r</i> = 0.99; <i>P</i> < .001) (<i>n</i><sub>KRI-Synthetic</sub>, 72; <i>r</i> = 0.97; <i>P</i> < .001) (<i>n</i><sub>KRI-Real</sub>, 72; <i>r</i> = 0.91; <i>P</i> < .001). When evaluated on different datasets, the U-Net model achieved the highest performance for TLV estimation on the Luna16 test dataset, with the lowest MSE (0.09 L<sup>2</sup>) and strongest correlation (<i>r</i> = 0.99; <i>P</i> < .001) compared with CT-derived TLV. Conclusion The U-Net-generated pixel-level lung thickness maps successfully estimated TLV for both synthetic and real radiographs. <b>Keywords:</b> Frontal Chest Radiographs, Lung Thickness Map, Pixel-Level, Total Lung Volume, U-Net <i>Supplemental material is available for this article.</i> © RSNA, 2025.</p>","PeriodicalId":29787,"journal":{"name":"Radiology-Artificial Intelligence","volume":" ","pages":"e240484"},"PeriodicalIF":8.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Retrieval-Augmented Generation with Large Language Models in Radiology: From Theory to Practice. 放射学中大语言模型的检索增强生成:从理论到实践。
IF 8.1
Radiology-Artificial Intelligence Pub Date : 2025-07-01 DOI: 10.1148/ryai.240790
Anna Fink, Alexander Rau, Marco Reisert, Fabian Bamberg, Maximilian F Russe
{"title":"Retrieval-Augmented Generation with Large Language Models in Radiology: From Theory to Practice.","authors":"Anna Fink, Alexander Rau, Marco Reisert, Fabian Bamberg, Maximilian F Russe","doi":"10.1148/ryai.240790","DOIUrl":"10.1148/ryai.240790","url":null,"abstract":"<p><p>Large language models (LLMs) hold substantial promise in addressing the growing workload in radiology, but recent studies also reveal limitations, such as hallucinations and opacity in sources for LLM responses. Retrieval-augmented generation (RAG)-based LLMs offer a promising approach to streamline radiology workflows by integrating reliable, verifiable, and customizable information. Ongoing refinement is critical in order to enable RAG models to manage large amounts of input data and to engage in complex multiagent dialogues. This report provides an overview of recent advances in LLM architecture, including few-shot and zero-shot learning, RAG integration, multistep reasoning, and agentic RAG, and identifies future research directions. Exemplary cases demonstrate the practical application of these techniques in radiology practice. <b>Keywords:</b> Artificial Intelligence, Deep Learning, Natural Language Processing, Tomography, x-Ray © RSNA, 2025.</p>","PeriodicalId":29787,"journal":{"name":"Radiology-Artificial Intelligence","volume":" ","pages":"e240790"},"PeriodicalIF":8.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Artificial Intelligence in Breast US Diagnosis and Report Generation. 人工智能在乳腺诊断和报告生成中的应用。
IF 8.1
Radiology-Artificial Intelligence Pub Date : 2025-07-01 DOI: 10.1148/ryai.240625
Jian Wang, HongTian Tian, Xin Yang, HuaiYu Wu, XiLiang Zhu, RuSi Chen, Ao Chang, YanLin Chen, HaoRan Dou, RuoBing Huang, Jun Cheng, YongSong Zhou, Rui Gao, KeEn Yang, GuoQiu Li, Jing Chen, Dong Ni, JinFeng Xu, Ning Gu, FaJin Dong
{"title":"Artificial Intelligence in Breast US Diagnosis and Report Generation.","authors":"Jian Wang, HongTian Tian, Xin Yang, HuaiYu Wu, XiLiang Zhu, RuSi Chen, Ao Chang, YanLin Chen, HaoRan Dou, RuoBing Huang, Jun Cheng, YongSong Zhou, Rui Gao, KeEn Yang, GuoQiu Li, Jing Chen, Dong Ni, JinFeng Xu, Ning Gu, FaJin Dong","doi":"10.1148/ryai.240625","DOIUrl":"10.1148/ryai.240625","url":null,"abstract":"<p><p>Purpose To develop and evaluate an artificial intelligence (AI) system for generating breast US reports. Materials and Methods This retrospective study included 104 364 cases from three hospitals (January 2020-December 2022). The AI system was trained on 82 896 cases, validated on 10 385 cases, and tested on an internal set (10 383 cases) and two external sets (300 and 400 cases). Under blind review, three senior radiologists (each with >10 years of experience) evaluated AI-generated reports and those written by one midlevel radiologist (with 7 years of experience), as well as reports from three junior radiologists (each with 2-3 years of experience) with and without AI assistance. The primary outcomes included the acceptance rates of Breast Imaging Reporting and Data System (BI-RADS) categories and lesion characteristics. Statistical analysis included one-sided and two-sided McNemar tests for noninferiority and significance testing. Results In external test set 1 (300 cases), the midlevel radiologist and AI system achieved BI-RADS acceptance rates of 95.00% (285 of 300) versus 92.33% (277 of 300) (<i>P</i> < .001, noninferiority test with a prespecified margin of 10%). In external test set 2 (400 cases), three junior radiologists had BI-RADS acceptance rates of 87.00% (348 of 400) versus 90.75% (363 of 400) (<i>P</i> = .06), 86.50% (346 of 400) versus 92.00% (368 of 400) (<i>P</i> = .007), and 84.75% (339 of 400) versus 90.25% (361 of 400) (<i>P</i> = .02) without and with AI assistance, respectively. Conclusion The AI system performed comparably to a midlevel radiologist and aided junior radiologists in BI-RADS classification. <b>Keywords:</b> Neural Networks, Computer-aided Diagnosis, CAD, Ultrasound <i>Supplemental material is available for this article.</i> © RSNA, 2025.</p>","PeriodicalId":29787,"journal":{"name":"Radiology-Artificial Intelligence","volume":" ","pages":"e240625"},"PeriodicalIF":8.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Duke Lung Cancer Screening (DLCS) Dataset: A Reference Dataset of Annotated Low-Dose Screening Thoracic CT. 杜克肺癌筛查(dlc)数据集:注释低剂量筛查胸部CT的参考数据集。
IF 8.1
Radiology-Artificial Intelligence Pub Date : 2025-07-01 DOI: 10.1148/ryai.240248
Avivah J Wang, Fakrul Islam Tushar, Michael R Harowicz, Betty C Tong, Kyle J Lafata, Tina D Tailor, Joseph Y Lo
{"title":"The Duke Lung Cancer Screening (DLCS) Dataset: A Reference Dataset of Annotated Low-Dose Screening Thoracic CT.","authors":"Avivah J Wang, Fakrul Islam Tushar, Michael R Harowicz, Betty C Tong, Kyle J Lafata, Tina D Tailor, Joseph Y Lo","doi":"10.1148/ryai.240248","DOIUrl":"10.1148/ryai.240248","url":null,"abstract":"","PeriodicalId":29787,"journal":{"name":"Radiology-Artificial Intelligence","volume":" ","pages":"e240248"},"PeriodicalIF":8.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
High-performance Open-source AI for Breast Cancer Detection and Localization in MRI. 用于MRI乳腺癌检测与定位的高性能开源AI。
IF 8.1
Radiology-Artificial Intelligence Pub Date : 2025-06-25 DOI: 10.1148/ryai.240550
Lukas Hirsch, Elizabeth J Sutton, Yu Huang, Beliz Kayis, Mary Hughes, Danny Martinez, Hernan A Makse, Lucas C Parra
{"title":"High-performance Open-source AI for Breast Cancer Detection and Localization in MRI.","authors":"Lukas Hirsch, Elizabeth J Sutton, Yu Huang, Beliz Kayis, Mary Hughes, Danny Martinez, Hernan A Makse, Lucas C Parra","doi":"10.1148/ryai.240550","DOIUrl":"https://doi.org/10.1148/ryai.240550","url":null,"abstract":"<p><p><i>\"Just Accepted\" papers have undergone full peer review and have been accepted for publication in <i>Radiology: Artificial Intelligence</i>. This article will undergo copyediting, layout, and proof review before it is published in its final version. Please note that during production of the final copyedited article, errors may be discovered which could affect the content.</i> Purpose To develop and evaluate an open-source deep learning model for detection and localization of breast cancer on MRI. Materials and Methods In this retrospective study, a deep learning model for breast cancer detection and localization was trained on the largest breast MRI dataset to date. Data included all breast MRIs conducted at a tertiary cancer center in the United States between 2002 and 2019. The model was validated on sagittal MRIs from the primary site (<i>n</i> = 6,615 breasts). Generalizability was assessed by evaluating model performance on axial data from the primary site (<i>n</i> = 7,058 breasts) and a second clinical site (<i>n</i> = 1,840 breasts). Results The primary site dataset included 30,672 sagittal MRI examinations (52,598 breasts) from 9,986 female patients (mean [SD] age, 53 [11] years). The model achieved an area under the receiver operating characteristic curve (AUC) of 0.95 for detecting cancer in the primary site. At 90% specificity (5717/6353), model sensitivity was 83% (217/262), which was comparable to historical performance data for radiologists. The model generalized well to axial examinations, achieving an AUC of 0.92 on data from the same clinical site and 0.92 on data from a secondary site. The model accurately located the tumor in 88.5% (232/262) of sagittal images, 92.8% (272/293) of axial images from the primary site, and 87.7% (807/920) of secondary site axial images. Conclusion The model demonstrated state-of-the-art performance on breast cancer detection. Code and weights are openly available to stimulate further development and validation. ©RSNA, 2025.</p>","PeriodicalId":29787,"journal":{"name":"Radiology-Artificial Intelligence","volume":" ","pages":"e240550"},"PeriodicalIF":8.1,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of Scanner Manufacturer, Endorectal Coil Use, and Clinical Variables on Deep Learning-assisted Prostate Cancer Classification Using Multiparametric MRI. 扫描仪制造商、直肠内线圈使用和临床变量对多参数MRI深度学习辅助前列腺癌分类的影响。
IF 8.1
Radiology-Artificial Intelligence Pub Date : 2025-05-01 DOI: 10.1148/ryai.230555
José Guilherme de Almeida, Nuno M Rodrigues, Ana Sofia Castro Verde, Ana Mascarenhas Gaivão, Carlos Bilreiro, Inês Santiago, Joana Ip, Sara Belião, Celso Matos, Sara Silva, Manolis Tsiknakis, Kostantinos Marias, Daniele Regge, Nikolaos Papanikolaou
{"title":"Impact of Scanner Manufacturer, Endorectal Coil Use, and Clinical Variables on Deep Learning-assisted Prostate Cancer Classification Using Multiparametric MRI.","authors":"José Guilherme de Almeida, Nuno M Rodrigues, Ana Sofia Castro Verde, Ana Mascarenhas Gaivão, Carlos Bilreiro, Inês Santiago, Joana Ip, Sara Belião, Celso Matos, Sara Silva, Manolis Tsiknakis, Kostantinos Marias, Daniele Regge, Nikolaos Papanikolaou","doi":"10.1148/ryai.230555","DOIUrl":"10.1148/ryai.230555","url":null,"abstract":"<p><p>Purpose To assess the effect of scanner manufacturer and scanning protocol on the performance of deep learning models to classify aggressiveness of prostate cancer (PCa) at biparametric MRI (bpMRI). Materials and Methods In this retrospective study, 5478 cases from ProstateNet, a PCa bpMRI dataset with examinations from 13 centers, were used to develop five deep learning (DL) models to predict PCa aggressiveness with minimal lesion information and test how using data from different subgroups-scanner manufacturers and endorectal coil (ERC) use (Siemens, Philips, GE with and without ERC, and the full dataset)-affects model performance. Performance was assessed using the area under the receiver operating characteristic curve (AUC). The effect of clinical features (age, prostate-specific antigen level, Prostate Imaging Reporting and Data System score) on model performance was also evaluated. Results DL models were trained on 4328 bpMRI cases, and the best model achieved an AUC of 0.73 when trained and tested using data from all manufacturers. Held-out test set performance was higher when models trained with data from a manufacturer were tested on the same manufacturer (within- and between-manufacturer AUC differences of 0.05 on average, <i>P</i> < .001). The addition of clinical features did not improve performance (<i>P</i> = .24). Learning curve analyses showed that performance remained stable as training data increased. Analysis of DL features showed that scanner manufacturer and scanning protocol heavily influenced feature distributions. Conclusion In automated classification of PCa aggressiveness using bpMRI data, scanner manufacturer and ERC use had a major effect on DL model performance and features. <b>Keywords:</b> Convolutional Neural Network (CNN), Computer-aided Diagnosis (CAD), Computer Applications-General (Informatics), Oncology <i>Supplemental material is available for this article.</i> Published under a CC BY 4.0 license. See also commentary by Suri and Hsu in this issue.</p>","PeriodicalId":29787,"journal":{"name":"Radiology-Artificial Intelligence","volume":" ","pages":"e230555"},"PeriodicalIF":8.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Deep Learning-based Aligned Strain from Cine Cardiac MRI for Detection of Fibrotic Myocardial Tissue in Patients with Duchenne Muscular Dystrophy. 基于深度学习的Cine心脏MRI对齐应变检测杜氏肌营养不良患者纤维化心肌组织。
IF 8.1
Radiology-Artificial Intelligence Pub Date : 2025-05-01 DOI: 10.1148/ryai.240303
Sven Koehler, Julian Kuhm, Tyler Huffaker, Daniel Young, Animesh Tandon, Florian André, Norbert Frey, Gerald Greil, Tarique Hussain, Sandy Engelhardt
{"title":"Deep Learning-based Aligned Strain from Cine Cardiac MRI for Detection of Fibrotic Myocardial Tissue in Patients with Duchenne Muscular Dystrophy.","authors":"Sven Koehler, Julian Kuhm, Tyler Huffaker, Daniel Young, Animesh Tandon, Florian André, Norbert Frey, Gerald Greil, Tarique Hussain, Sandy Engelhardt","doi":"10.1148/ryai.240303","DOIUrl":"10.1148/ryai.240303","url":null,"abstract":"<p><p>Purpose To develop a deep learning (DL) model that derives aligned strain values from cine (noncontrast) cardiac MRI and evaluate performance of these values to predict myocardial fibrosis in patients with Duchenne muscular dystrophy (DMD). Materials and Methods This retrospective study included 139 male patients with DMD who underwent cardiac MRI at a single center between February 2018 and April 2023. A DL pipeline was developed to detect five key frames throughout the cardiac cycle and respective dense deformation fields, allowing for phase-specific strain analysis across patients and from one key frame to the next. Effectiveness of these strain values in identifying abnormal deformations associated with fibrotic segments was evaluated in 57 patients (mean age [± SD], 15.2 years ± 3.1), and reproducibility was assessed in 82 patients by comparing the study method with existing feature-tracking and DL-based methods. Statistical analysis compared strain values using <i>t</i> tests, mixed models, and more than 2000 machine learning models; accuracy, F1 score, sensitivity, and specificity are reported. Results DL-based aligned strain identified five times more differences (29 vs five; <i>P</i> < .01) between fibrotic and nonfibrotic segments compared with traditional strain values and identified abnormal diastolic deformation patterns often missed with traditional methods. In addition, aligned strain values enhanced performance of predictive models for myocardial fibrosis detection, improving specificity by 40%, overall accuracy by 17%, and accuracy in patients with preserved ejection fraction by 61%. Conclusion The proposed aligned strain technique enables motion-based detection of myocardial dysfunction at noncontrast cardiac MRI, facilitating detailed interpatient strain analysis and allowing precise tracking of disease progression in DMD. <b>Keywords:</b> Pediatrics, Image Postprocessing, Heart, Cardiac, Convolutional Neural Network (CNN) Duchenne Muscular Dystrophy <i>Supplemental material is available for this article.</i> © RSNA, 2025.</p>","PeriodicalId":29787,"journal":{"name":"Radiology-Artificial Intelligence","volume":" ","pages":"e240303"},"PeriodicalIF":8.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12127955/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Natural Language Processing for Everyone. 每个人的自然语言处理。
IF 8.1
Radiology-Artificial Intelligence Pub Date : 2025-05-01 DOI: 10.1148/ryai.250218
Quirin D Strotzer
{"title":"Natural Language Processing for Everyone.","authors":"Quirin D Strotzer","doi":"10.1148/ryai.250218","DOIUrl":"10.1148/ryai.250218","url":null,"abstract":"","PeriodicalId":29787,"journal":{"name":"Radiology-Artificial Intelligence","volume":"7 3","pages":"e250218"},"PeriodicalIF":8.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Open-Weight Language Models and Retrieval-Augmented Generation for Automated Structured Data Extraction from Diagnostic Reports: Assessment of Approaches and Parameters. 从诊断报告中自动提取结构化数据的开放权重语言模型和检索增强生成:方法和参数的评估。
IF 8.1
Radiology-Artificial Intelligence Pub Date : 2025-05-01 DOI: 10.1148/ryai.240551
Mohamed Sobhi Jabal, Pranav Warman, Jikai Zhang, Kartikeye Gupta, Ayush Jain, Maciej Mazurowski, Walter Wiggins, Kirti Magudia, Evan Calabrese
{"title":"Open-Weight Language Models and Retrieval-Augmented Generation for Automated Structured Data Extraction from Diagnostic Reports: Assessment of Approaches and Parameters.","authors":"Mohamed Sobhi Jabal, Pranav Warman, Jikai Zhang, Kartikeye Gupta, Ayush Jain, Maciej Mazurowski, Walter Wiggins, Kirti Magudia, Evan Calabrese","doi":"10.1148/ryai.240551","DOIUrl":"10.1148/ryai.240551","url":null,"abstract":"<p><p>Purpose To develop and evaluate an automated system for extracting structured clinical information from unstructured radiology and pathology reports using open-weight language models (LMs) and retrieval-augmented generation (RAG) and to assess the effects of model configuration variables on extraction performance. Materials and Methods This retrospective study used two datasets: 7294 radiology reports annotated for Brain Tumor Reporting and Data System (BT-RADS) scores and 2154 pathology reports annotated for <i>IDH</i> mutation status (January 2017-July 2021). An automated pipeline was developed to benchmark the performance of various LMs and RAG configurations for accuracy of structured data extraction from reports. The effect of model size, quantization, prompting strategies, output formatting, and inference parameters on model accuracy was systematically evaluated. Results The best-performing models achieved up to 98% accuracy in extracting BT-RADS scores from radiology reports and greater than 90% accuracy for extraction of <i>IDH</i> mutation status from pathology reports. The best model was medical fine-tuned Llama 3. Larger, newer, and domain fine-tuned models consistently outperformed older and smaller models (mean accuracy, 86% vs 75%; <i>P</i> < .001). Model quantization had minimal effect on performance. Few-shot prompting significantly improved accuracy (mean [±SD] increase, 32% ± 32; <i>P</i> = .02). RAG improved performance for complex pathology reports by a mean of 48% ± 11 (<i>P</i> = .001) but not for shorter radiology reports (-8% ± 31; <i>P</i> = .39). Conclusion This study demonstrates the potential of open LMs in automated extraction of structured clinical data from unstructured clinical reports with local privacy-preserving application. Careful model selection, prompt engineering, and semiautomated optimization using annotated data are critical for optimal performance. <b>Keywords:</b> Large Language Models, Retrieval-Augmented Generation, Radiology, Pathology, Health Care Reports <i>Supplemental material is available for this article.</i> © RSNA, 2025 See also commentary by Tejani and Rauschecker in this issue.</p>","PeriodicalId":29787,"journal":{"name":"Radiology-Artificial Intelligence","volume":" ","pages":"e240551"},"PeriodicalIF":8.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Unsupervised Deep Learning for Blood-Brain Barrier Leakage Detection in Diffuse Glioma Using Dynamic Contrast-enhanced MRI. 无监督深度学习在弥漫性胶质瘤血脑屏障渗漏检测中的应用。
IF 8.1
Radiology-Artificial Intelligence Pub Date : 2025-05-01 DOI: 10.1148/ryai.240507
Joon Jang, Kyu Sung Choi, Junhyeok Lee, Hyochul Lee, Inpyeong Hwang, Jung Hyun Park, Jin Wook Chung, Seung Hong Choi, Hyeonjin Kim
{"title":"Unsupervised Deep Learning for Blood-Brain Barrier Leakage Detection in Diffuse Glioma Using Dynamic Contrast-enhanced MRI.","authors":"Joon Jang, Kyu Sung Choi, Junhyeok Lee, Hyochul Lee, Inpyeong Hwang, Jung Hyun Park, Jin Wook Chung, Seung Hong Choi, Hyeonjin Kim","doi":"10.1148/ryai.240507","DOIUrl":"10.1148/ryai.240507","url":null,"abstract":"<p><p>Purpose To develop an unsupervised deep learning framework for generalizable blood-brain barrier leakage detection using dynamic contrast-enhanced MRI, without requiring pharmacokinetic models and arterial input function estimation. Materials and Methods This retrospective study included data from patients who underwent dynamic contrast-enhanced MRI between April 2010 and December 2020. An autoencoder-based anomaly detection approach identified one-dimensional voxel-wise time-series abnormal signals through reconstruction residuals, separating them into residual leakage signals (RLSs) and residual vascular signals. The RLS maps were evaluated and compared with the volume transfer constant (<i>K</i><sup>trans</sup>) using the structural similarity index and correlation coefficient. Generalizability was tested on subsampled data, and isocitrate dehydrogenase (<i>IDH</i>) status classification performance was assessed using area under the receiver operating characteristic curve (AUC). Results A total of 274 patients (mean age, 54.4 years ± 14.6 [SD]; 164 male) were included in the study. RLS showed high structural similarity (structural similarity index, 0.91 ± 0.02) and correlation (<i>r</i> = 0.56; <i>P</i> < .001) with <i>K</i><sup>trans</sup>. On subsampled data, RLS maps showed better correlation with RLS values from the original data (0.89 vs 0.72; <i>P</i> < .001), higher peak signal-to-noise ratio (33.09 dB vs 28.94 dB; <i>P</i> < .001), and higher structural similarity index (0.92 vs 0.87; <i>P</i> < .001) compared with <i>K</i><sup>trans</sup> maps. RLS maps also outperformed <i>K</i><sup>trans</sup> maps in predicting <i>IDH</i> mutation status (AUC, 0.87 [95% CI: 0.83, 0.91] vs 0.81 [95% CI: 0.76, 0.85]; <i>P</i> = .02). Conclusion The unsupervised framework effectively detected blood-brain barrier leakage without pharmacokinetic models and arterial input function. <b>Keywords:</b> Dynamic Contrast-enhanced MRI, Unsupervised Learning, Feature Detection, Blood-Brain Barrier Leakage Detection <i>Supplemental material is available for this article.</i> © RSNA, 2025 See also commentary by Júdice de Mattos Farina and Kuriki in this issue.</p>","PeriodicalId":29787,"journal":{"name":"Radiology-Artificial Intelligence","volume":" ","pages":"e240507"},"PeriodicalIF":8.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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