首个专家标注肩部病变数据集,实现标准MRI上与关节造影相当的撕裂检测精度。
SCOPE-MRI: Bankart Lesion Detection as a Case Study in Data Curation and Deep Learning for Challenging Diagnoses
- 构建首个基于术中金标准标注的肩部病变数据集ScopeMRI
- 模型在标准MRI上的准确率超过依赖造影MRI的放射科医生
- 开源数据与代码,助力临床难点诊断的AI研究
深度学习在骨骼肌肉影像中表现优异,但多数研究聚焦于诊断较简单的病症。对于如肩关节前下盂唇撕裂(Bankart损伤)这类诊断困难的疾病,现有工作仍不足。此类损伤因影像特征细微,常需侵入性磁共振关节造影(MRA)确认。本文提出ScopeMRI,首个公开的、由专家标注的肩部病变数据集,包含经关节镜手术验证的患者肩部MRI,提供诊断金标准。针对标准MRI和MRA分别训练了基于CNN与Transformer的模型,并融合多平面预测结果。模型在标准MRI上的表现达到放射科医生水平,且准确率超越解读MRA的医生。在独立医院数据上的外部验证显示初步泛化能力。通过开放ScopeMRI与模块化代码库,旨在推动骨骼肌肉影像研究,促进应对临床难题的高质量数据与模型发展。
原文摘要 · Abstract (English)
Deep learning has shown strong performance in musculoskeletal imaging, but prior work has largely targeted conditions where diagnosis is relatively straightforward. More challenging problems remain underexplored, such as detecting Bankart lesions (anterior-inferior glenoid labral tears) on standard MRIs. These lesions are difficult to diagnose due to subtle imaging features, often necessitating invasive MRI arthrograms (MRAs). We introduce ScopeMRI, the first publicly available, expert-annotated dataset for shoulder pathologies, and present a deep learning framework for Bankart lesion detection on both standard MRIs and MRAs. ScopeMRI contains shoulder MRIs from patients who underwent arthroscopy, providing ground-truth labels from intraoperative findings, the diagnostic gold standard. Separate models were trained for MRIs and MRAs using CNN- and transformer-based architectures, with predictions ensembled across multiple imaging planes. Our models achieved radiologist-level performance, with accuracy on standard MRIs surpassing radiologists interpreting MRAs. External validation on independent hospital data demonstrated initial generalizability across imaging protocols. By releasing ScopeMRI and a modular codebase for training and evaluation, we aim to accelerate research in musculoskeletal imaging and foster development of datasets and models that address clinically challenging diagnostic tasks.
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