Automated detection of underdiagnosed medical conditions via opportunistic imaging

Fuente: arXiv
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Autori principali: Aali, Asad, Johnston, Andrew, Blankemeier, Louis, Van Veen, Dave, Derry, Laura T, Svec, David, Hom, Jason, Boutin, Robert D., Chaudhari, Akshay S.
Natura: Preprint
Pubblicazione: 2024
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author Aali, Asad
Johnston, Andrew
Blankemeier, Louis
Van Veen, Dave
Derry, Laura T
Svec, David
Hom, Jason
Boutin, Robert D.
Chaudhari, Akshay S.
author_facet Aali, Asad
Johnston, Andrew
Blankemeier, Louis
Van Veen, Dave
Derry, Laura T
Svec, David
Hom, Jason
Boutin, Robert D.
Chaudhari, Akshay S.
contents Abdominal computed tomography (CT) scans are frequently performed in clinical settings. Opportunistic CT involves repurposing routine CT images to extract diagnostic information and is an emerging tool for detecting underdiagnosed conditions such as sarcopenia, hepatic steatosis, and ascites. This study utilizes deep learning methods to promote accurate diagnosis and clinical documentation. We analyze 2,674 inpatient CT scans to identify discrepancies between imaging phenotypes (characteristics derived from opportunistic CT scans) and their corresponding documentation in radiology reports and ICD coding. Through our analysis, we find that only 0.5%, 3.2%, and 30.7% of scans diagnosed with sarcopenia, hepatic steatosis, and ascites (respectively) through either opportunistic imaging or radiology reports were ICD-coded. Our findings demonstrate opportunistic CT's potential to enhance diagnostic precision and accuracy of risk adjustment models, offering advancements in precision medicine.
format Preprint
id arxiv_https___arxiv_org_abs_2409_11686
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle Automated detection of underdiagnosed medical conditions via opportunistic imaging
Aali, Asad
Johnston, Andrew
Blankemeier, Louis
Van Veen, Dave
Derry, Laura T
Svec, David
Hom, Jason
Boutin, Robert D.
Chaudhari, Akshay S.
Computer Vision and Pattern Recognition
Artificial Intelligence
Machine Learning
Abdominal computed tomography (CT) scans are frequently performed in clinical settings. Opportunistic CT involves repurposing routine CT images to extract diagnostic information and is an emerging tool for detecting underdiagnosed conditions such as sarcopenia, hepatic steatosis, and ascites. This study utilizes deep learning methods to promote accurate diagnosis and clinical documentation. We analyze 2,674 inpatient CT scans to identify discrepancies between imaging phenotypes (characteristics derived from opportunistic CT scans) and their corresponding documentation in radiology reports and ICD coding. Through our analysis, we find that only 0.5%, 3.2%, and 30.7% of scans diagnosed with sarcopenia, hepatic steatosis, and ascites (respectively) through either opportunistic imaging or radiology reports were ICD-coded. Our findings demonstrate opportunistic CT's potential to enhance diagnostic precision and accuracy of risk adjustment models, offering advancements in precision medicine.
title Automated detection of underdiagnosed medical conditions via opportunistic imaging
topic Computer Vision and Pattern Recognition
Artificial Intelligence
Machine Learning
url https://arxiv.org/abs/2409.11686