Closing the loop for AI-ready radiology

Author:

Fuchs Moritz1,Gonzalez Camila1,Frisch Yannik1,Hahn Paul1,Matthies Philipp2,Gruening Maximilian3,Pinto dos Santos Daniel45ORCID,Dratsch Thomas4,Kim Moon67,Nensa Felix67,Trenz Manuel3,Mukhopadhyay Anirban1ORCID

Affiliation:

1. Informatics, TU Darmstadt, Germany

2. AI, Smart Reporting GmbH, München, Germany

3. Interorganisational Informationssystems, Georg-August-Universität Göttingen, Goettingen, Germany

4. Institute for Diagnostic and Interventional Radiology, Uniklinik Koln, Germany

5. Institute for Diagnostic and Interventional Radiology, Universitätsklinikum Frankfurt, Frankfurt am Main, Germany

6. Institute for Diagnostic and Interventional Radiology and Neuroradiology, Universitätsklinikum Essen, Germany

7. Institute for Artificial Intelligence in Medicine, Universitätsklinikum Essen, Germany

Abstract

Background In recent years, AI has made significant advancements in medical diagnosis and prognosis. However, the incorporation of AI into clinical practice is still challenging and under-appreciated. We aim to demonstrate a possible vertical integration approach to close the loop for AI-ready radiology. Method This study highlights the importance of two-way communication for AI-assisted radiology. As a key part of the methodology, it demonstrates the integration of AI systems into clinical practice with structured reports and AI visualization, giving more insight into the AI system. By integrating cooperative lifelong learning into the AI system, we ensure the long-term effectiveness of the AI system, while keeping the radiologist in the loop.  Results We demonstrate the use of lifelong learning for AI systems by incorporating AI visualization and structured reports. We evaluate Memory Aware-Synapses and Rehearsal approach and find that both approaches work in practice. Furthermore, we see the advantage of lifelong learning algorithms that do not require the storing or maintaining of samples from previous datasets. Conclusion In conclusion, incorporating AI into the clinical routine of radiology requires a two-way communication approach and seamless integration of the AI system, which we achieve with structured reports and visualization of the insight gained by the model. Closing the loop for radiology leads to successful integration, enabling lifelong learning for the AI system, which is crucial for sustainable long-term performance. Key Points: 

Publisher

Georg Thieme Verlag KG

Subject

Radiology, Nuclear Medicine and imaging

Reference33 articles.

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3. Deep learning for segmentation in radiation therapy planning: a review;G Samarasinghe;Journal of Medical Imaging and Radiation Oncology,2021

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