Automated Placement of Scan and Pre-Scan Volumes for Breast MRI Using a Convolutional Neural Network

Graphically prescribed patient-specific imaging volumes and local pre-scan volumes are routinely placed by MRI technologists to optimize image quality. However, manual placement of these volumes by MR technologists is time-consuming, tedious, and subject to intra- and inter-operator variability. Res...

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Main Authors: Timothy J. Allen, Leah C. Henze Bancroft, Kang Wang, Ping Ni Wang, Orhan Unal, Lloyd D. Estkowski, Ty A. Cashen, Ersin Bayram, Roberta M. Strigel, James H. Holmes
Format: Article
Language:English
Published: MDPI AG 2023-05-01
Series:Tomography
Subjects:
Online Access:https://www.mdpi.com/2379-139X/9/3/79
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author Timothy J. Allen
Leah C. Henze Bancroft
Kang Wang
Ping Ni Wang
Orhan Unal
Lloyd D. Estkowski
Ty A. Cashen
Ersin Bayram
Roberta M. Strigel
James H. Holmes
author_facet Timothy J. Allen
Leah C. Henze Bancroft
Kang Wang
Ping Ni Wang
Orhan Unal
Lloyd D. Estkowski
Ty A. Cashen
Ersin Bayram
Roberta M. Strigel
James H. Holmes
author_sort Timothy J. Allen
collection DOAJ
description Graphically prescribed patient-specific imaging volumes and local pre-scan volumes are routinely placed by MRI technologists to optimize image quality. However, manual placement of these volumes by MR technologists is time-consuming, tedious, and subject to intra- and inter-operator variability. Resolving these bottlenecks is critical with the rise in abbreviated breast MRI exams for screening purposes. This work proposes an automated approach for the placement of scan and pre-scan volumes for breast MRI. Anatomic 3-plane scout image series and associated scan volumes were retrospectively collected from 333 clinical breast exams acquired on 10 individual MRI scanners. Bilateral pre-scan volumes were also generated and reviewed in consensus by three MR physicists. A deep convolutional neural network was trained to predict both the scan and pre-scan volumes from the 3-plane scout images. The agreement between the network-predicted volumes and the clinical scan volumes or physicist-placed pre-scan volumes was evaluated using the intersection over union, the absolute distance between volume centers, and the difference in volume sizes. The scan volume model achieved a median 3D intersection over union of 0.69. The median error in scan volume location was 2.7 cm and the median size error was 2%. The median 3D intersection over union for the pre-scan placement was 0.68 with no significant difference in mean value between the left and right pre-scan volumes. The median error in the pre-scan volume location was 1.3 cm and the median size error was −2%. The average estimated uncertainty in positioning or volume size for both models ranged from 0.2 to 3.4 cm. Overall, this work demonstrates the feasibility of an automated approach for the placement of scan and pre-scan volumes based on a neural network model.
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spelling doaj.art-863134151db94fc89294bcb87015ecde2023-11-18T12:53:42ZengMDPI AGTomography2379-13812379-139X2023-05-019396798010.3390/tomography9030079Automated Placement of Scan and Pre-Scan Volumes for Breast MRI Using a Convolutional Neural NetworkTimothy J. Allen0Leah C. Henze Bancroft1Kang Wang2Ping Ni Wang3Orhan Unal4Lloyd D. Estkowski5Ty A. Cashen6Ersin Bayram7Roberta M. Strigel8James H. Holmes9Department of Medical Physics, University of Wisconsin-Madison, 1111 Highland Avenue, Madison, WI 53705, USADepartment of Radiology, University of Wisconsin-Madison, 600 Highland Avenue, Madison, WI 53792, USAGE Healthcare, 3000 N Grandview Blvd, Waukesha, WI 53188, USAGE Healthcare, 3000 N Grandview Blvd, Waukesha, WI 53188, USADepartment of Medical Physics, University of Wisconsin-Madison, 1111 Highland Avenue, Madison, WI 53705, USAGE Healthcare, 3000 N Grandview Blvd, Waukesha, WI 53188, USAGE Healthcare, 3000 N Grandview Blvd, Waukesha, WI 53188, USAGE Healthcare, 3000 N Grandview Blvd, Waukesha, WI 53188, USADepartment of Medical Physics, University of Wisconsin-Madison, 1111 Highland Avenue, Madison, WI 53705, USADepartment of Radiology, University of Iowa, 169 Newton Road, Iowa City, IA 52242, USAGraphically prescribed patient-specific imaging volumes and local pre-scan volumes are routinely placed by MRI technologists to optimize image quality. However, manual placement of these volumes by MR technologists is time-consuming, tedious, and subject to intra- and inter-operator variability. Resolving these bottlenecks is critical with the rise in abbreviated breast MRI exams for screening purposes. This work proposes an automated approach for the placement of scan and pre-scan volumes for breast MRI. Anatomic 3-plane scout image series and associated scan volumes were retrospectively collected from 333 clinical breast exams acquired on 10 individual MRI scanners. Bilateral pre-scan volumes were also generated and reviewed in consensus by three MR physicists. A deep convolutional neural network was trained to predict both the scan and pre-scan volumes from the 3-plane scout images. The agreement between the network-predicted volumes and the clinical scan volumes or physicist-placed pre-scan volumes was evaluated using the intersection over union, the absolute distance between volume centers, and the difference in volume sizes. The scan volume model achieved a median 3D intersection over union of 0.69. The median error in scan volume location was 2.7 cm and the median size error was 2%. The median 3D intersection over union for the pre-scan placement was 0.68 with no significant difference in mean value between the left and right pre-scan volumes. The median error in the pre-scan volume location was 1.3 cm and the median size error was −2%. The average estimated uncertainty in positioning or volume size for both models ranged from 0.2 to 3.4 cm. Overall, this work demonstrates the feasibility of an automated approach for the placement of scan and pre-scan volumes based on a neural network model.https://www.mdpi.com/2379-139X/9/3/79breast MRIdeep learningartificial intelligenceabbreviated breast MRworkflowautomation
spellingShingle Timothy J. Allen
Leah C. Henze Bancroft
Kang Wang
Ping Ni Wang
Orhan Unal
Lloyd D. Estkowski
Ty A. Cashen
Ersin Bayram
Roberta M. Strigel
James H. Holmes
Automated Placement of Scan and Pre-Scan Volumes for Breast MRI Using a Convolutional Neural Network
Tomography
breast MRI
deep learning
artificial intelligence
abbreviated breast MR
workflow
automation
title Automated Placement of Scan and Pre-Scan Volumes for Breast MRI Using a Convolutional Neural Network
title_full Automated Placement of Scan and Pre-Scan Volumes for Breast MRI Using a Convolutional Neural Network
title_fullStr Automated Placement of Scan and Pre-Scan Volumes for Breast MRI Using a Convolutional Neural Network
title_full_unstemmed Automated Placement of Scan and Pre-Scan Volumes for Breast MRI Using a Convolutional Neural Network
title_short Automated Placement of Scan and Pre-Scan Volumes for Breast MRI Using a Convolutional Neural Network
title_sort automated placement of scan and pre scan volumes for breast mri using a convolutional neural network
topic breast MRI
deep learning
artificial intelligence
abbreviated breast MR
workflow
automation
url https://www.mdpi.com/2379-139X/9/3/79
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