Instance segmentation of upper aerodigestive tract cancer : site-specific outcomes

Copyright © 2023 Società Italiana di Otorinolaringoiatria e Chirurgia Cervico-Facciale, Rome, Italy..

Objective: To achieve instance segmentation of upper aerodigestive tract (UADT) neoplasms using a deep learning (DL) algorithm, and to identify differences in its diagnostic performance in three different sites: larynx/hypopharynx, oral cavity and oropharynx.

Methods: A total of 1034 endoscopic images from 323 patients were examined under narrow band imaging (NBI). The Mask R-CNN algorithm was used for the analysis. The dataset split was: 935 training, 48 validation and 51 testing images. Dice Similarity Coefficient (Dsc) was the main outcome measure.

Results: Instance segmentation was effective in 76.5% of images. The mean Dsc was 0.90 ± 0.05. The algorithm correctly predicted 77.8%, 86.7% and 55.5% of lesions in the larynx/hypopharynx, oral cavity, and oropharynx, respectively. The mean Dsc was 0.90 ± 0.05 for the larynx/hypopharynx, 0.60 ± 0.26 for the oral cavity, and 0.81 ± 0.30 for the oropharynx. The analysis showed inferior diagnostic results in the oral cavity compared with the larynx/hypopharynx (p < 0.001).

Conclusions: The study confirms the feasibility of instance segmentation of UADT using DL algorithms and shows inferior diagnostic results in the oral cavity compared with other anatomic areas.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:43

Enthalten in:

Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale - 43(2023), 4 vom: 24. Aug., Seite 283-290

Sprache:

Englisch

Beteiligte Personen:

Paderno, Alberto [VerfasserIn]
Villani, Francesca Pia [VerfasserIn]
Fior, Milena [VerfasserIn]
Berretti, Giulia [VerfasserIn]
Gennarini, Francesca [VerfasserIn]
Zigliani, Gabriele [VerfasserIn]
Ulaj, Emanuela [VerfasserIn]
Montenegro, Claudia [VerfasserIn]
Sordi, Alessandra [VerfasserIn]
Sampieri, Claudio [VerfasserIn]
Peretti, Giorgio [VerfasserIn]
Moccia, Sara [VerfasserIn]
Piazza, Cesare [VerfasserIn]

Links:

Volltext

Themen:

Artificial intelligence
Deep learning
Instance segmentation
Journal Article
Videomics

Anmerkungen:

Date Completed 26.07.2023

Date Revised 02.08.2023

published: Print

Citation Status MEDLINE

doi:

10.14639/0392-100X-N2336

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM359892027