Automatic Screening of Pediatric Renal Ultrasound Abnormalities: Deep Learning and Transfer Learning Approach

BackgroundIn recent years, the progress and generalization surrounding portable ultrasonic probes has made ultrasound (US) a useful tool for physicians when making a diagnosis. With the advent of machine learning and deep learning, the development of a computer-aided diagnost...

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Main Authors: Ming-Chin Tsai, Henry Horng-Shing Lu, Yueh-Chuan Chang, Yung-Chieh Huang, Lin-Shien Fu
Format: Article
Language:English
Published: JMIR Publications 2022-11-01
Series:JMIR Medical Informatics
Online Access:https://medinform.jmir.org/2022/11/e40878
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author Ming-Chin Tsai
Henry Horng-Shing Lu
Yueh-Chuan Chang
Yung-Chieh Huang
Lin-Shien Fu
author_facet Ming-Chin Tsai
Henry Horng-Shing Lu
Yueh-Chuan Chang
Yung-Chieh Huang
Lin-Shien Fu
author_sort Ming-Chin Tsai
collection DOAJ
description BackgroundIn recent years, the progress and generalization surrounding portable ultrasonic probes has made ultrasound (US) a useful tool for physicians when making a diagnosis. With the advent of machine learning and deep learning, the development of a computer-aided diagnostic system for screening renal US abnormalities can assist general practitioners in the early detection of pediatric kidney diseases. ObjectiveIn this paper, we sought to evaluate the diagnostic performance of deep learning techniques to classify kidney images as normal and abnormal. MethodsWe chose 330 normal and 1269 abnormal pediatric renal US images for establishing a model for artificial intelligence. The abnormal images involved stones, cysts, hyperechogenicity, space-occupying lesions, and hydronephrosis. We performed preprocessing of the original images for subsequent deep learning. We redefined the final connecting layers for classification of the extracted features as abnormal or normal from the ResNet-50 pretrained model. The performances of the model were tested by a validation data set using area under the receiver operating characteristic curve, accuracy, specificity, and sensitivity. ResultsThe deep learning model, 94 MB parameters in size, based on ResNet-50, was built for classifying normal and abnormal images. The accuracy, (%)/area under curve, of the validated images of stone, cyst, hyperechogenicity, space-occupying lesions, and hydronephrosis were 93.2/0.973, 91.6/0.940, 89.9/0.940, 91.3/0.934, and 94.1/0.996, respectively. The accuracy of normal image classification in the validation data set was 90.1%. Overall accuracy of (%)/area under curve was 92.9/0.959.. ConclusionsWe established a useful, computer-aided model for automatic classification of pediatric renal US images in terms of normal and abnormal categories.
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spelling doaj.art-7b2006feb9804eaeb2b0a3b14246c2122023-08-28T23:13:08ZengJMIR PublicationsJMIR Medical Informatics2291-96942022-11-011011e4087810.2196/40878Automatic Screening of Pediatric Renal Ultrasound Abnormalities: Deep Learning and Transfer Learning ApproachMing-Chin Tsaihttps://orcid.org/0000-0002-7206-4228Henry Horng-Shing Luhttps://orcid.org/0000-0002-4392-3361Yueh-Chuan Changhttps://orcid.org/0000-0001-6529-1724Yung-Chieh Huanghttps://orcid.org/0000-0003-2945-4404Lin-Shien Fuhttps://orcid.org/0000-0003-4770-3208 BackgroundIn recent years, the progress and generalization surrounding portable ultrasonic probes has made ultrasound (US) a useful tool for physicians when making a diagnosis. With the advent of machine learning and deep learning, the development of a computer-aided diagnostic system for screening renal US abnormalities can assist general practitioners in the early detection of pediatric kidney diseases. ObjectiveIn this paper, we sought to evaluate the diagnostic performance of deep learning techniques to classify kidney images as normal and abnormal. MethodsWe chose 330 normal and 1269 abnormal pediatric renal US images for establishing a model for artificial intelligence. The abnormal images involved stones, cysts, hyperechogenicity, space-occupying lesions, and hydronephrosis. We performed preprocessing of the original images for subsequent deep learning. We redefined the final connecting layers for classification of the extracted features as abnormal or normal from the ResNet-50 pretrained model. The performances of the model were tested by a validation data set using area under the receiver operating characteristic curve, accuracy, specificity, and sensitivity. ResultsThe deep learning model, 94 MB parameters in size, based on ResNet-50, was built for classifying normal and abnormal images. The accuracy, (%)/area under curve, of the validated images of stone, cyst, hyperechogenicity, space-occupying lesions, and hydronephrosis were 93.2/0.973, 91.6/0.940, 89.9/0.940, 91.3/0.934, and 94.1/0.996, respectively. The accuracy of normal image classification in the validation data set was 90.1%. Overall accuracy of (%)/area under curve was 92.9/0.959.. ConclusionsWe established a useful, computer-aided model for automatic classification of pediatric renal US images in terms of normal and abnormal categories.https://medinform.jmir.org/2022/11/e40878
spellingShingle Ming-Chin Tsai
Henry Horng-Shing Lu
Yueh-Chuan Chang
Yung-Chieh Huang
Lin-Shien Fu
Automatic Screening of Pediatric Renal Ultrasound Abnormalities: Deep Learning and Transfer Learning Approach
JMIR Medical Informatics
title Automatic Screening of Pediatric Renal Ultrasound Abnormalities: Deep Learning and Transfer Learning Approach
title_full Automatic Screening of Pediatric Renal Ultrasound Abnormalities: Deep Learning and Transfer Learning Approach
title_fullStr Automatic Screening of Pediatric Renal Ultrasound Abnormalities: Deep Learning and Transfer Learning Approach
title_full_unstemmed Automatic Screening of Pediatric Renal Ultrasound Abnormalities: Deep Learning and Transfer Learning Approach
title_short Automatic Screening of Pediatric Renal Ultrasound Abnormalities: Deep Learning and Transfer Learning Approach
title_sort automatic screening of pediatric renal ultrasound abnormalities deep learning and transfer learning approach
url https://medinform.jmir.org/2022/11/e40878
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AT henryhorngshinglu automaticscreeningofpediatricrenalultrasoundabnormalitiesdeeplearningandtransferlearningapproach
AT yuehchuanchang automaticscreeningofpediatricrenalultrasoundabnormalitiesdeeplearningandtransferlearningapproach
AT yungchiehhuang automaticscreeningofpediatricrenalultrasoundabnormalitiesdeeplearningandtransferlearningapproach
AT linshienfu automaticscreeningofpediatricrenalultrasoundabnormalitiesdeeplearningandtransferlearningapproach