为超声AI研究设计了医生中心的远程标注评估流程。
A Clinician-Centered Pipeline for Annotation and Evaluation in Ultrasound AI Studies

- 通过云端服务器和浏览器界面实现无下载标注与盲评
- 六名医生参与,专家组间一致性达中高程度
- 适合需要真实临床反馈的超声AI评估研究
临床医生中心的评估对验证医学AI系统至关重要,尤其在超声成像领域,定量指标往往无法反映实际临床可用性。现有医学图像平台多聚焦数据集标注,缺乏对盲态模型对比和可复现评估流程的集成支持。本文提出一种面向超声AI研究的医生中心型远程标注与评估流程。该流程基于中央服务器和轻量级浏览器界面,使医生无需本地下载数据即可完成标注、盲态排序与评审。系统支持多评价者参与、结果集中聚合及自动化统计分析。我们在一项胎儿超声分割研究中进行了验证,共有六名评价者,涵盖专家、普通医师和非专家三类经验水平。系统自动生成斯皮尔曼相关系数、肯德尔τ系数及首选率统计。结果显示,专家组与其他组之间存在中等到较强的一致性。盲评结果表明,后期主动学习模型更受青睐。这些结果表明,该流程能够有效支持超声成像中的医生中心化标注与可复现的人机评估研究。该流程已开源,地址为:https://github.com/13204942/SonoRate。
原文摘要 · Abstract (English)
Clinician-centered evaluation is critical for validating medical AI systems, especially in ultrasound imaging where quantitative metrics do not always capture clinical usability. Existing medical image platforms primarily focus on dataset labeling. They lack integrated support for blinded model comparison and reproducible evaluation workflows. We present a clinician-centered pipeline for remote annotation and evaluation in ultrasound AI studies. The proposed pipeline uses a centralized server and lightweight browser interfaces to enable clinicians to perform annotation, blinded ranking, and review without local dataset downloads. The pipeline also supports multi-rater participation, centralized result aggregation, and automated statistical analysis. We validate the pipeline in a fetal ultrasound segmentation study with six raters spanning expert, generalist, and non-expert experience levels. The system automatically generated Spearman correlation, Kendall's $τ$, and top-1 selection statistics. Results indicated moderate to strong agreement across experts and other groups. The blinded evaluation results showed a tendency for later active learning models to be preferred. These outcomes suggest that the pipeline can support clinician-centered annotation and reproducible human-\ac{AI} evaluation studies in ultrasound imaging. The proposed pipeline is available on \href{https://github.com/13204942/SonoRate}{GitHub}.
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