Computer-aided diagnosis systems in adult chest radiography (CXR) have recently achieved great success thanks to the availability of large-scale, annotated datasets and the advent of high-performance supervised learning algorithms. However, the development of diagnostic models for detecting and diagnosing pediatric diseases in CXR scans is undertaken due to the lack of high-quality physician-annotated datasets. To overcome this challenge, we introduce and release PediCXR, a new pediatric CXR dataset of 9,125 studies retrospectively collected from a major pediatric hospital in Vietnam between 2020 and 2021. Each scan was manually annotated by a pediatric radiologist with more than ten years of experience. The dataset was labeled for the presence of 36 critical findings and 15 diseases. In particular, each abnormal finding was identified via a rectangle bounding box on the image. To the best of our knowledge, this is the first and largest pediatric CXR dataset containing lesion-level annotations and image-level labels for the detection of multiple findings and diseases. For algorithm development, the dataset was divided into a training set of 7,728 and a test set of 1,397. To encourage new advances in pediatric CXR interpretation using data-driven approaches, we provide a detailed description of the PediCXR data sample and make the dataset publicly available on https://physionet.org/content/vindr-pcxr/1.0.0/ .
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http://dx.doi.org/10.1038/s41597-023-02102-5 | DOI Listing |
Background: Traditionally, pediatric pneumonia is diagnosed through clinical examination and chest radiography (CXR), with computed tomography (CT) reserved for complications. Lung ultrasound (LUS) has gained popularity due to its portability and absence of ionizing radiation. This study evaluates LUS's accuracy compared to CXR in diagnosing pneumonia in children.
View Article and Find Full Text PDFAm J Emerg Med
December 2024
Department of Pediatrics, Sidney Kimmel Medical College at Thomas Jefferson University, United States.
Background: The National Heart, Lung, and Blood Institute (NHLBI) defines acute chest syndrome (ACS) as a new infiltrate on chest x-ray (CXR) and at least 1 of the following: fever (≥38.5C), hypoxia, or respiratory symptoms. NHLBI expert consensus recommends a CXR in patients with sickle cell disease (SCD) who have fever and respiratory symptoms.
View Article and Find Full Text PDFSci Rep
November 2024
Department of Pediatrics, Jeonbuk National University School of Medicine, Jeonju, 54907, Republic of Korea.
Echocardiography is the gold standard of diagnosis and evaluation of patent ductus arteriosus (PDA), a common condition among preterm infants that can cause hemodynamic abnormalities and increased mortality rates, but this technique requires a skilled specialist and is not always available. Meanwhile, chest X-ray (CXR) imaging is also known to exhibit signs of PDA and is a routine imaging modality in neonatal intensive care units. In this study, we aim to find and objectively define CXR image features that are associated with PDA by training and visually analyzing a deep learning model.
View Article and Find Full Text PDFArch Pediatr
November 2024
Department of Pediatric, University Hospital of Caen, Caen, France.
J Am Med Inform Assoc
November 2024
Health Data Science Research Group, National Taiwan University Hospital, Taipei 100, Taiwan.
Objectives: To pioneer the first artificial intelligence system integrating radiological and objective clinical data, simulating the clinical reasoning process, for the early prediction of high-risk influenza patients.
Materials And Methods: Our system was developed using a cohort from National Taiwan University Hospital in Taiwan, with external validation data from ASST Grande Ospedale Metropolitano Niguarda in Italy. Convolutional neural networks pretrained on ImageNet were regressively trained using a 5-point scale to develop the influenza chest X-ray (CXR) severity scoring model, FluDeep-XR.
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