Papers

Peer-reviewed International journal
Mar, 2020

Differentiation of Small (<= 4 cm) Renal Masses on Multiphase Contrast-Enhanced CT by Deep Learning

AMERICAN JOURNAL OF ROENTGENOLOGY
  • Takashi Tanaka
  • Yong Huang
  • Yohei Marukawa
  • Yuka Tsuboi
  • Yoshihisa Masaoka
  • Katsuhide Kojima
  • Toshihiro Iguchi
  • Takao Hiraki
  • Hideo Gobara
  • Hiroyuki Yanai
  • Yasutomo Nasu
  • Susumu Kanazawa
  • Display all

Volume
214
Number
3
First page
605
Last page
612
Language
English
Publishing type
Research paper (scientific journal)
DOI
10.2214/AJR.19.22074
Publisher
AMER ROENTGEN RAY SOC

OBJECTIVE. This study evaluated the utility of a deep learning method for determining whether a small (≤ 4 cm) solid renal mass was benign or malignant on multiphase contrast-enhanced CT. MATERIALS AND METHODS. This retrospective study included 1807 image sets from 168 pathologically diagnosed small (≤ 4 cm) solid renal masses with four CT phases (unenhanced, corticomedullary, nephrogenic, and excretory) in 159 patients between 2012 and 2016. Masses were classified as malignant (n = 136) or benign (n = 32). The dataset was randomly divided into five subsets: four were used for augmentation and supervised training (48,832 images), and one was used for testing (281 images). The Inception-v3 architecture convolutional neural network (CNN) model was used. The AUC for malignancy and accuracy at optimal cutoff values of output data were evaluated in six different CNN models. Multivariate logistic regression analysis was also performed. RESULTS. Malignant and benign lesions showed no significant difference of size. The AUC value of corticomedullary phase was higher than that of other phases (corticomedullary vs excretory, p = 0.022). The highest accuracy (88%) was achieved in corticomedullary phase images. Multivariate analysis revealed that the CNN model of corticomedullary phase was a significant predictor for malignancy compared with other CNN models, age, sex, and lesion size. CONCLUSION. A deep learning method with a CNN allowed acceptable differentiation of small (≤ 4 cm) solid renal masses in dynamic CT images, especially in the corticomedullary image model.

Link information
DOI
https://doi.org/10.2214/AJR.19.22074
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/31913072
Web of Science
https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000516621800019&DestApp=WOS_CPL
ID information
  • DOI : 10.2214/AJR.19.22074
  • ISSN : 0361-803X
  • eISSN : 1546-3141
  • Pubmed ID : 31913072
  • Web of Science ID : WOS:000516621800019

Export
BibTeX RIS