Phase Recognition in Contrast-Enhanced CT Scans based on Deep Learning and Random Sampling
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A fully automated system for interpreting abdominal computed tomography (CT) scans with multiple phases of contrast enhancement requires an accurate classification of the phases. This work aims at developing and validating a precise, fast multi-phase classifier to recognize three main types of contrast phases in abdominal CT scans. We propose in this study a novel method that uses a random sampling mechanism on top of deep CNNs for the phase recognition of abdominal CT scans of four different phases: non-contrast, arterial, venous, and others. The CNNs work as a slice-wise phase prediction, while the random sampling selects input slices for the CNN models. Afterward, majority voting synthesizes the slice-wise results of the CNNs, to provide the final prediction at scan level. Our classifier was trained on 271,426 slices from 830 phase-annotated CT scans, and when combined with majority voting on 30 slices randomly chosen from each scan, achieved a mean F1-score of 92.09 our internal test set of 358 scans. The proposed method was also evaluated on 2 external test sets: CTPAC-CCRCC (N = 242) and LiTS (N = 131), which were annotated by our experts. Although a drop in performance has been observed, the model performance remained at a high level of accuracy with a mean F1-score of 76.79 experimental results also showed that the proposed method significantly outperformed the state-of-the-art 3D approaches while requiring less computation time for inference.
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