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Chinese Journal of Medical Ultrasound (Electronic Edition) ›› 2022, Vol. 19 ›› Issue (03): 256-261. doi: 10.3877/cma.j.issn.1672-6448.2022.03.012

• Basic Science Research • Previous Articles     Next Articles

Artificial intelligence aided point of care ultrasound for diagnosis of renal injury: a pilot study

Jun Ma1, Yukun Luo2,(), Xuelei He3, Hanjing Gao2, Kun Wang4, Qing Song2, YanJie Wang2, Shuyuan Chen2, Guihua Yu2   

  1. 1. Department of Ultrasound, Medical School of Chinese PLA, Beijing 100853, China; Department of Ultrasound, First Medical Center, Chinese PLA General Hospital, Beijing 100853, China
    2. Department of Ultrasound, First Medical Center, Chinese PLA General Hospital, Beijing 100853, China
    3. School of Information Sciences and Technology, Northwest University, Xi'an 710127, China
    4. CAS Key Laboratory of Molecular Imaging, Institute of Automation, Chinese Academy of Sciences, Beijing 100190, China
  • Received:2021-12-13 Online:2022-03-01 Published:2022-04-15
  • Contact: Yukun Luo

Abstract:

Objective

To explore the application value of artificial intelligence aided diagnosis model based on convolutional neural network (CNN) in ultrasonic diagnosis of blunt renal trauma.

Methods

Rabbits were used to simulate different grades of renal trauma model of renal trauma of different degrees was established. The ultrasonic images of the normal kidney and renal trauma were collected by point of care ultrasound (POCUS) and divided into either a training or a test cohort. According to the modeling position and contrast-enhanced ultrasound results, the renal contour was manually drawn and classified for training, followed by 3-fold cross-validation testing. The sensitivity, specificity, accuracy, and area under curve (AUC) of the artificial intelligence aided diagnosis model were calculated.

Results

A total of 1737 images of the normal kidney and 2125 images of traumatic kidney were collected. After the verification of the test set, the model can automatically classify the presence or absence of renal trauma. The average sensitivity for renal trauma diagnosis was 73%, the average specificity was 85%, the average accuracy was 79%, and the AUC was 0.80.

Conclusion

The deep learning assisted POCUS model constructed based on CNN has achieved satisfactory results in the diagnosis and classification of renal trauma.

Key words: Trauma, Ultrasound, point of care, Artificial intelligence, Deep learning

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