Multimodal ultrasound fusion network for differentiating between benign and malignant solid renal tumors

Objective: We aim to establish a deep learning model called multimodal ultrasound fusion network (MUF-Net) based on gray-scale and contrast-enhanced ultrasound (CEUS) images for classifying benign and malignant solid renal tumors automatically and to compare the model’s performance with the assessme...

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Main Authors: Dongmei Zhu, Junyu Li, Yan Li, Ji Wu, Lin Zhu, Jian Li, Zimo Wang, Jinfeng Xu, Fajin Dong, Jun Cheng
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-09-01
Series:Frontiers in Molecular Biosciences
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmolb.2022.982703/full
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author Dongmei Zhu
Dongmei Zhu
Junyu Li
Junyu Li
Junyu Li
Yan Li
Ji Wu
Lin Zhu
Jian Li
Zimo Wang
Jinfeng Xu
Fajin Dong
Jun Cheng
Jun Cheng
Jun Cheng
author_facet Dongmei Zhu
Dongmei Zhu
Junyu Li
Junyu Li
Junyu Li
Yan Li
Ji Wu
Lin Zhu
Jian Li
Zimo Wang
Jinfeng Xu
Fajin Dong
Jun Cheng
Jun Cheng
Jun Cheng
author_sort Dongmei Zhu
collection DOAJ
description Objective: We aim to establish a deep learning model called multimodal ultrasound fusion network (MUF-Net) based on gray-scale and contrast-enhanced ultrasound (CEUS) images for classifying benign and malignant solid renal tumors automatically and to compare the model’s performance with the assessments by radiologists with different levels of experience.Methods: A retrospective study included the CEUS videos of 181 patients with solid renal tumors (81 benign and 100 malignant tumors) from June 2012 to June 2021. A total of 9794 B-mode and CEUS-mode images were cropped from the CEUS videos. The MUF-Net was proposed to combine gray-scale and CEUS images to differentiate benign and malignant solid renal tumors. In this network, two independent branches were designed to extract features from each of the two modalities, and the features were fused using adaptive weights. Finally, the network output a classification score based on the fused features. The model’s performance was evaluated using five-fold cross-validation and compared with the assessments of the two groups of radiologists with different levels of experience.Results: For the discrimination between benign and malignant solid renal tumors, the junior radiologist group, senior radiologist group, and MUF-Net achieved accuracy of 70.6%, 75.7%, and 80.0%, sensitivity of 89.3%, 95.9%, and 80.4%, specificity of 58.7%, 62.9%, and 79.1%, and area under the receiver operating characteristic curve of 0.740 (95% confidence internal (CI): 0.70–0.75), 0.794 (95% CI: 0.72–0.83), and 0.877 (95% CI: 0.83–0.93), respectively.Conclusion: The MUF-Net model can accurately classify benign and malignant solid renal tumors and achieve better performance than senior radiologists.Key points: The CEUS video data contain the entire tumor microcirculation perfusion characteristics. The proposed MUF-Net based on B-mode and CEUS-mode images can accurately distinguish between benign and malignant solid renal tumors with an area under the receiver operating characteristic curve of 0.877, which surpasses senior radiologists’ assessments by a large margin.
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spelling doaj.art-40012b5f747141a3964a29553b9d3d2a2022-12-22T03:16:05ZengFrontiers Media S.A.Frontiers in Molecular Biosciences2296-889X2022-09-01910.3389/fmolb.2022.982703982703Multimodal ultrasound fusion network for differentiating between benign and malignant solid renal tumorsDongmei Zhu0Dongmei Zhu1Junyu Li2Junyu Li3Junyu Li4Yan Li5Ji Wu6Lin Zhu7Jian Li8Zimo Wang9Jinfeng Xu10Fajin Dong11Jun Cheng12Jun Cheng13Jun Cheng14Department of Ultrasound, The Second Clinical Medical College, Jinan University, Shenzhen, ChinaDepartment of Ultrasound, The Affiliated Nanchong Central Hospital of North Sichuan Medical College, Nanchong, ChinaNational-Regional Key Technology Engineering Laboratory for Medical Ultrasound, School of Biomedical Engineering, Health Science Center, Shenzhen University, Shenzhen, ChinaMedical Ultrasound Image Computing (MUSIC) Laboratory, Shenzhen University, Shenzhen, ChinaMarshall Laboratory of Biomedical Engineering, Shenzhen University, Shenzhen, ChinaDepartment of Ultrasound, The Affiliated Nanchong Central Hospital of North Sichuan Medical College, Nanchong, ChinaDepartment of Urology Surgery, The Affiliated Nanchong Central Hospital of North Sichuan Medical College, Nanchong, ChinaDepartment of Ultrasound, The Affiliated Nanchong Central Hospital of North Sichuan Medical College, Nanchong, ChinaDepartment of Ultrasound, The Second Clinical Medical College, Jinan University, Shenzhen, ChinaDepartment of Ultrasound, The Second Clinical Medical College, Jinan University, Shenzhen, ChinaDepartment of Ultrasound, The Second Clinical Medical College, Jinan University, Shenzhen, ChinaDepartment of Ultrasound, The Second Clinical Medical College, Jinan University, Shenzhen, ChinaNational-Regional Key Technology Engineering Laboratory for Medical Ultrasound, School of Biomedical Engineering, Health Science Center, Shenzhen University, Shenzhen, ChinaMedical Ultrasound Image Computing (MUSIC) Laboratory, Shenzhen University, Shenzhen, ChinaMarshall Laboratory of Biomedical Engineering, Shenzhen University, Shenzhen, ChinaObjective: We aim to establish a deep learning model called multimodal ultrasound fusion network (MUF-Net) based on gray-scale and contrast-enhanced ultrasound (CEUS) images for classifying benign and malignant solid renal tumors automatically and to compare the model’s performance with the assessments by radiologists with different levels of experience.Methods: A retrospective study included the CEUS videos of 181 patients with solid renal tumors (81 benign and 100 malignant tumors) from June 2012 to June 2021. A total of 9794 B-mode and CEUS-mode images were cropped from the CEUS videos. The MUF-Net was proposed to combine gray-scale and CEUS images to differentiate benign and malignant solid renal tumors. In this network, two independent branches were designed to extract features from each of the two modalities, and the features were fused using adaptive weights. Finally, the network output a classification score based on the fused features. The model’s performance was evaluated using five-fold cross-validation and compared with the assessments of the two groups of radiologists with different levels of experience.Results: For the discrimination between benign and malignant solid renal tumors, the junior radiologist group, senior radiologist group, and MUF-Net achieved accuracy of 70.6%, 75.7%, and 80.0%, sensitivity of 89.3%, 95.9%, and 80.4%, specificity of 58.7%, 62.9%, and 79.1%, and area under the receiver operating characteristic curve of 0.740 (95% confidence internal (CI): 0.70–0.75), 0.794 (95% CI: 0.72–0.83), and 0.877 (95% CI: 0.83–0.93), respectively.Conclusion: The MUF-Net model can accurately classify benign and malignant solid renal tumors and achieve better performance than senior radiologists.Key points: The CEUS video data contain the entire tumor microcirculation perfusion characteristics. The proposed MUF-Net based on B-mode and CEUS-mode images can accurately distinguish between benign and malignant solid renal tumors with an area under the receiver operating characteristic curve of 0.877, which surpasses senior radiologists’ assessments by a large margin.https://www.frontiersin.org/articles/10.3389/fmolb.2022.982703/fullrenal tumorartificial intelligenceclassificationdeep learningcontrast-enhanced ultrasound
spellingShingle Dongmei Zhu
Dongmei Zhu
Junyu Li
Junyu Li
Junyu Li
Yan Li
Ji Wu
Lin Zhu
Jian Li
Zimo Wang
Jinfeng Xu
Fajin Dong
Jun Cheng
Jun Cheng
Jun Cheng
Multimodal ultrasound fusion network for differentiating between benign and malignant solid renal tumors
Frontiers in Molecular Biosciences
renal tumor
artificial intelligence
classification
deep learning
contrast-enhanced ultrasound
title Multimodal ultrasound fusion network for differentiating between benign and malignant solid renal tumors
title_full Multimodal ultrasound fusion network for differentiating between benign and malignant solid renal tumors
title_fullStr Multimodal ultrasound fusion network for differentiating between benign and malignant solid renal tumors
title_full_unstemmed Multimodal ultrasound fusion network for differentiating between benign and malignant solid renal tumors
title_short Multimodal ultrasound fusion network for differentiating between benign and malignant solid renal tumors
title_sort multimodal ultrasound fusion network for differentiating between benign and malignant solid renal tumors
topic renal tumor
artificial intelligence
classification
deep learning
contrast-enhanced ultrasound
url https://www.frontiersin.org/articles/10.3389/fmolb.2022.982703/full
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