Detection and quantification of pulmonary embolism with artificial intelligence: The SFR 2022 artificial intelligence data challenge
Younes Belkouchi, Mathieu Lederlin, Amira Ben Afia, Clement Fabre, Gilbert Ferretti, Constance De Margerie, Pierre Berge, Renan Liberge, Nicolas Elbaz, Maxime Blain, Pierre-Yves Brillet, Guillaume Chassagnon, Farah Cadour, Caroline Caramella, Mostafa El Hajjam, Samia Boussouar, Joya Hadchiti, Xavier Fablet, Antoine Khalil, Alain Luciani, Anne Cotten, Jean-Francois Meder, Hugues Talbot, Nathalie Lassau
Diagn Interv Imaging . 2023 Oct;104(10):485-489. doi: 10.1016/j.diii.2023.05.007. Epub 2023 Jun 14.
Purpose: In 2022, the French Society of Radiology together with the French Society of Thoracic Imaging and CentraleSupelec organized their 13th data challenge. The aim was to aid in the diagnosis of pulmonary embolism, by identifying the presence of pulmonary embolism and by estimating the ratio between right and left ventricular (RV/LV) diameters, and an arterial obstruction index (Qanadli's score) using artificial intelligence.
Materials and methods: The data challenge was composed of three tasks: the detection of pulmonary embolism, the RV/LV diameter ratio, and Qanadli's score. Sixteen centers all over France participated in the inclusion of the cases. A health data hosting certified web platform was established to facilitate the inclusion process of the anonymized CT examinations in compliance with general data protection regulation. CT pulmonary angiography images were collected. Each center provided the CT examinations with their annotations. A randomization process was established to pool the scans from different centers. Each team was required to have at least a radiologist, a data scientist, and an engineer. Data were provided in three batches to the teams, two for training and one for evaluation. The evaluation of the results was determined to rank the participants on the three tasks.
Results: A total of 1268 CT examinations were collected from the 16 centers following the inclusion criteria. The dataset was split into three batches of 310, 580 and 378 C T examinations provided to the participants respectively on September 5, 2022, October 7, 2022 and October 9, 2022. Seventy percent of the data from each center were used for training, and 30% for the evaluation. Seven teams with a total of 48 participants including data scientists, researchers, radiologists and engineering students were registered for participation. The metrics chosen for evaluation included areas under receiver operating characteristic curves, specificity and sensitivity for the classification task, and the coefficient of determination r2 for the regression tasks. The winning team achieved an overall score of 0.784.
Conclusion: This multicenter study suggests that the use of artificial intelligence for the diagnosis of pulmonary embolism is possible on real data. Moreover, providing quantitative measures is mandatory for the interpretability of the results, and is of great aid to the radiologists especially in emergency settings.