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Machine learning combined with radiomics and deep learning features extracted from CT images: a novel AI model to distinguish benign from malignant ovarian tumors
Ya-Ting Jan1,2,3,4; Pei-Shan Tsai1,2,3,4; Wen-Hui Huang1,2,3,4; Ling-Ying Chou2,3,4; Shih-Chieh Huang2,3,4; Jing-Zhe Wang2,3,4; Pei-Hsuan Lu2,3,4; Dao-Chen Lin5,6,7; Chun-Sheng Yen1; Ju-Ping Teng1; Greta S. P. Mok8; Cheng-Ting Shih9; Tung-Hsin Wu1
2023-12
Source PublicationInsights into Imaging
ISSN1869-4101
Volume14Issue:1
Abstract

Background: To develop an artificial intelligence (AI) model with radiomics and deep learning (DL) features extracted from CT images to distinguish benign from malignant ovarian tumors. Methods: We enrolled 149 patients with pathologically confirmed ovarian tumors. A total of 185 tumors were included and divided into training and testing sets in a 7:3 ratio. All tumors were manually segmented from preoperative contrast-enhanced CT images. CT image features were extracted using radiomics and DL. Five models with different combinations of feature sets were built. Benign and malignant tumors were classified using machine learning (ML) classifiers. The model performance was compared with five radiologists on the testing set. Results: Among the five models, the best performing model is the ensemble model with a combination of radiomics, DL, and clinical feature sets. The model achieved an accuracy of 82%, specificity of 89% and sensitivity of 68%. Compared with junior radiologists averaged results, the model had a higher accuracy (82% vs 66%) and specificity (89% vs 65%) with comparable sensitivity (68% vs 67%). With the assistance of the model, the junior radiologists achieved a higher average accuracy (81% vs 66%), specificity (80% vs 65%), and sensitivity (82% vs 67%), approaching to the performance of senior radiologists. Conclusions: We developed a CT-based AI model that can differentiate benign and malignant ovarian tumors with high accuracy and specificity. This model significantly improved the performance of less-experienced radiologists in ovarian tumor assessment, and may potentially guide gynecologists to provide better therapeutic strategies for these patients.

KeywordComputed Tomography Deep Learning Machine Learning Ovarian Tumor Radiomics
DOI10.1186/s13244-023-01412-x
URLView the original
Indexed BySCIE
Language英語English
WOS Research AreaRadiology, Nuclear Medicine & Medical Imaging
WOS SubjectRadiology, Nuclear Medicine & Medical Imaging
WOS IDWOS:000975384000002
PublisherSPRINGERONE NEW YORK PLAZA, SUITE 4600 , NEW YORK, NY 10004, UNITED STATES
Scopus ID2-s2.0-85154057868
Fulltext Access
Citation statistics
Document TypeJournal article
CollectionFaculty of Science and Technology
DEPARTMENT OF ELECTRICAL AND COMPUTER ENGINEERING
Corresponding AuthorCheng-Ting Shih; Tung-Hsin Wu
Affiliation1.Department of Biomedical Imaging and Radiological Sciences,National Yang Ming Chiao Tung University,Taipei,112,Taiwan
2.Department of Radiology,MacKay Memorial Hospital,Taipei,Taiwan
3.Department of Medicine,MacKay Medical College,New Taipei City,Taiwan
4.MacKay Junior College of Medicine,Nursing and Management,New Taipei City,Taiwan
5.Division of Endocrine and Metabolism,Department of Medicine,Taipei Veterans General Hospital,Taipei,Taiwan
6.Department of Radiology,Taipei Veterans General Hospital,Taipei,Taiwan
7.School of Medicine,National Yang Ming Chiao Tung University,Taipei,Taiwan
8.Biomedical Imaging Laboratory (BIG),Department of Electrical and Computer Engineering,Faculty of Science and Technology,University of Macau,Macao
9.Department of Biomedical Imaging and Radiological Science,China Medical University,Taichung,404,Taiwan
Recommended Citation
GB/T 7714
Ya-Ting Jan,Pei-Shan Tsai,Wen-Hui Huang,et al. Machine learning combined with radiomics and deep learning features extracted from CT images: a novel AI model to distinguish benign from malignant ovarian tumors[J]. Insights into Imaging, 2023, 14(1).
APA Ya-Ting Jan., Pei-Shan Tsai., Wen-Hui Huang., Ling-Ying Chou., Shih-Chieh Huang., Jing-Zhe Wang., Pei-Hsuan Lu., Dao-Chen Lin., Chun-Sheng Yen., Ju-Ping Teng., Greta S. P. Mok., Cheng-Ting Shih., & Tung-Hsin Wu (2023). Machine learning combined with radiomics and deep learning features extracted from CT images: a novel AI model to distinguish benign from malignant ovarian tumors. Insights into Imaging, 14(1).
MLA Ya-Ting Jan,et al."Machine learning combined with radiomics and deep learning features extracted from CT images: a novel AI model to distinguish benign from malignant ovarian tumors".Insights into Imaging 14.1(2023).
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