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Research ArticleSpecial Issue

Feasibility of Deep Learning Algorithms for Reporting in Routine Spine Magnetic Resonance Imaging

Kai-Uwe LewandrowskI, Narendran Muraleedharan, Steven Allen Eddy, Vikram Sobti, Brian D. Reece, Jorge Felipe ramírez León and Sandeep Shah
International Journal of Spine Surgery December 2020, 14 (s3) S86-S97; DOI: https://doi.org/10.14444/7131
Kai-Uwe LewandrowskI
1Staff Orthopaedic Spine Surgeon Center for Advanced Spine Care of Southern Arizona and Surgical Institute of Tucson, Tucson, Arizona
MD
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Narendran Muraleedharan
2Aptus Engineering, Inc, Scottsdale, Arizona, and Multus Medical, LLC, Phoenix, Arizona
BASME
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Steven Allen Eddy
3Multus Medical, LLC, Phoenix, Arizona
MD
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Vikram Sobti
4Innovative Radiology, PC, River Forest, Illinois
MD, MBA
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Brian D. Reece
5The Spine and Orthopedic Academic Research Institute, Lewisville, Texas
MD
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Jorge Felipe ramírez León
6Fundación Universitaria Sanitas, Bogotá, Colombia, Research Team, Centro de Columna. Bogotá, Colombia, Centro de Cirugía de Mínima Invasión, CECIMIN—Clínica Reina Sofía, Bogotá, Colombia
MD
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Sandeep Shah
7Multus Medical, LLC, Phoenix, Arizona
MSEE, MBA
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    Figure 1

    Example of segmentation of vertebrae, intervertebral discs, and dural sac on (a) sagittal and (b) axial MRI images and a corresponding (c) segmented 3-dimensional anatomical model. MRI, magnetic resonance imaging.

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    Figure 2

    Positive and negative identifications of central canal stenosis at each disc level.

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    Figure 3

    Representative (a) sagittal and (b) axial segmentation predictions of lumbar spine matching patient's MRI images in Figure 1. MRI, magnetic resonance imaging.

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    Figure 4

    High-level architectural diagram of the implemented deep learning algorithm used to generate automated MRI reports. MRI, magnetic resonance imaging.

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    Figure 5

    Exemplary L1-L2 MRI (a) sagittal and (b) axial images used for diagnostic assessment with the segmentation algorithm on levels known to have no disc bulging, no central canal stenosis, and no foraminal narrowing. Another example L1-L2 MRI (c) axial and (d) sagittal images of a diagnostic assessment using the segmentation algorithm in which the training radiologist labeled the disc to have a posterior disc protrusion abutting the thecal sac and compromising the neural foramina bilaterally.

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    Figure 6

    Graphic depiction of training convergence of the foraminal stenosis detector. In the top panel (6a), the x-axis is the number of training steps and the y-axis is the binary accuracy. The bottom panel (6b) shows a plot of binary cross-entropy (y-axis) versus number of training steps (x-axis). The binary cross-entropy is used to estimate error between the radiologist reads and the artificial intelligence predictions. Hence, decreasing binary cross-entropy is associated with desired accuracy gains.

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International Journal of Spine Surgery
Vol. 14, Issue s3
1 Dec 2020
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Feasibility of Deep Learning Algorithms for Reporting in Routine Spine Magnetic Resonance Imaging
Kai-Uwe LewandrowskI, Narendran Muraleedharan, Steven Allen Eddy, Vikram Sobti, Brian D. Reece, Jorge Felipe ramírez León, Sandeep Shah
International Journal of Spine Surgery Dec 2020, 14 (s3) S86-S97; DOI: 10.14444/7131

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Feasibility of Deep Learning Algorithms for Reporting in Routine Spine Magnetic Resonance Imaging
Kai-Uwe LewandrowskI, Narendran Muraleedharan, Steven Allen Eddy, Vikram Sobti, Brian D. Reece, Jorge Felipe ramírez León, Sandeep Shah
International Journal of Spine Surgery Dec 2020, 14 (s3) S86-S97; DOI: 10.14444/7131
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More in this TOC Section

  • Letter to the Editor: Rasch Analysis and High Value Spinal Endoscopy—Another Perspective
  • Real-World Implementation of Artificial Intelligence/Machine Learning for Managing Surgical Spine Patients at 2 Academic Health Care Systems
  • Potential Applications of Artificial Intelligence and Machine Learning in Spine Surgery Across the Continuum of Care
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Keywords

  • artificial intelligence
  • deep neural network learning
  • magnetic resonance imaging
  • spinal pathologies
  • feasibility analysis

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