Automated estimation of total lung volume using chest radiographs and deep learning. 2022

Ecem Sogancioglu, and Keelin Murphy, and Ernst Th Scholten, and Luuk H Boulogne, and Mathias Prokop, and Bram van Ginneken
Department of Medical Imaging, Radboud University Medical Center, Institute for Health Sciences, Nijmegen, The Netherlands.

BACKGROUND Total lung volume is an important quantitative biomarker and is used for the assessment of restrictive lung diseases. OBJECTIVE In this study, we investigate the performance of several deep-learning approaches for automated measurement of total lung volume from chest radiographs. METHODS About 7621 posteroanterior and lateral view chest radiographs (CXR) were collected from patients with chest CT available. Similarly, 928 CXR studies were chosen from patients with pulmonary function test (PFT) results. The reference total lung volume was calculated from lung segmentation on CT or PFT data, respectively. This dataset was used to train deep-learning architectures to predict total lung volume from chest radiographs. The experiments were constructed in a stepwise fashion with increasing complexity to demonstrate the effect of training with CT-derived labels only and the sources of error. The optimal models were tested on 291 CXR studies with reference lung volume obtained from PFT. Mean absolute error (MAE), mean absolute percentage error (MAPE), and Pearson correlation coefficient (Pearson's r) were computed. RESULTS The optimal deep-learning regression model showed an MAE of 408 ml and an MAPE of 8.1% using both frontal and lateral chest radiographs as input. The predictions were highly correlated with the reference standard (Pearson's r = 0.92). CT-derived labels were useful for pretraining but the optimal performance was obtained by fine-tuning the network with PFT-derived labels. CONCLUSIONS We demonstrate, for the first time, that state-of-the-art deep-learning solutions can accurately measure total lung volume from plain chest radiographs. The proposed model is made publicly available and can be used to obtain total lung volume from routinely acquired chest radiographs at no additional cost. This deep-learning system can be a useful tool to identify trends over time in patients referred regularly for chest X-ray.

UI MeSH Term Description Entries
D008168 Lung Either of the pair of organs occupying the cavity of the thorax that effect the aeration of the blood. Lungs
D008176 Lung Volume Measurements Measurement of the amount of air that the lungs may contain at various points in the respiratory cycle. Lung Capacities,Lung Volumes,Capacity, Lung,Lung Capacity,Lung Volume,Lung Volume Measurement,Measurement, Lung Volume,Volume, Lung
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000077321 Deep Learning Supervised or unsupervised machine learning methods that use multiple layers of data representations generated by nonlinear transformations, instead of individual task-specific ALGORITHMS, to build and train neural network models. Hierarchical Learning,Learning, Deep,Learning, Hierarchical
D012189 Retrospective Studies Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons. Retrospective Study,Studies, Retrospective,Study, Retrospective
D013902 Radiography, Thoracic X-ray visualization of the chest and organs of the thoracic cavity. It is not restricted to visualization of the lungs. Thoracic Radiography,Radiographies, Thoracic,Thoracic Radiographies
D013909 Thorax The upper part of the trunk between the NECK and the ABDOMEN. It contains the chief organs of the circulatory and respiratory systems. (From Stedman, 25th ed) Chest,Thoraces,Chests,Thorace

Related Publications

Ecem Sogancioglu, and Keelin Murphy, and Ernst Th Scholten, and Luuk H Boulogne, and Mathias Prokop, and Bram van Ginneken
February 2022, Radiology,
Ecem Sogancioglu, and Keelin Murphy, and Ernst Th Scholten, and Luuk H Boulogne, and Mathias Prokop, and Bram van Ginneken
December 2019, Journal of digital imaging,
Ecem Sogancioglu, and Keelin Murphy, and Ernst Th Scholten, and Luuk H Boulogne, and Mathias Prokop, and Bram van Ginneken
May 2023, Nature communications,
Ecem Sogancioglu, and Keelin Murphy, and Ernst Th Scholten, and Luuk H Boulogne, and Mathias Prokop, and Bram van Ginneken
December 2021, Journal of dentistry,
Ecem Sogancioglu, and Keelin Murphy, and Ernst Th Scholten, and Luuk H Boulogne, and Mathias Prokop, and Bram van Ginneken
January 2020, NPJ digital medicine,
Ecem Sogancioglu, and Keelin Murphy, and Ernst Th Scholten, and Luuk H Boulogne, and Mathias Prokop, and Bram van Ginneken
January 2022, Frontiers in public health,
Ecem Sogancioglu, and Keelin Murphy, and Ernst Th Scholten, and Luuk H Boulogne, and Mathias Prokop, and Bram van Ginneken
July 2019, Pediatric radiology,
Ecem Sogancioglu, and Keelin Murphy, and Ernst Th Scholten, and Luuk H Boulogne, and Mathias Prokop, and Bram van Ginneken
July 2021, Radiology. Artificial intelligence,
Ecem Sogancioglu, and Keelin Murphy, and Ernst Th Scholten, and Luuk H Boulogne, and Mathias Prokop, and Bram van Ginneken
December 1979, Thorax,
Ecem Sogancioglu, and Keelin Murphy, and Ernst Th Scholten, and Luuk H Boulogne, and Mathias Prokop, and Bram van Ginneken
January 2022, Journal of X-ray science and technology,
Copied contents to your clipboard!