Artificial intelligence to diagnose meniscus tears on MRI

• DOI: 10.1016/j.diii.2019.02.007
• Publication Date: 2019-03-28T03:33:10Z
• Authors: V. Roblot; Y. Giret; M. Bou Antoun; C. Morillot; X. Chassin; A. Cotten; J. Zerbib; L. Fournier
• Keywords: Region convolutional neuronal networks (RCNN); Convolutional neuronal network (CNN); Datasets as Topic; Artificial intelligence (AI); Magnetic Resonance Imaging; Tibial Meniscus Injuries; 03 medical and health sciences; 0302 clinical medicine; [INFO.INFO-IM]Computer Science [cs]/Medical Imaging; Humans; Magnetic resonance imaging (MRI); Neural Networks, Computer; Meniscus tear; Algorithms

The purpose of this study was to build and evaluate a high-performance algorithm to detect and characterize the presence of a meniscus tear on magnetic resonance imaging examination (MRI) of the knee.An algorithm was trained on a dataset of 1123 MR images of the knee. We separated the main task into three sub-tasks: first to detect the position of both horns, second to detect the presence of a tear, and last to determine the orientation of the tear. An algorithm based on fast-region convolutional neural network (CNN) and faster-region CNN, was developed to classify the tasks. The algorithm was thus used on a test dataset composed of 700 images for external validation. The performance metric was based on area under the curve (AUC) analysis for each task and a final weighted AUC encompassing the three tasks was calculated.The use of our algorithm yielded an AUC of 0.92 for the detection of the position of the two meniscal horns, of 0.94 for the presence of a meniscal tear and of 083 for determining the orientation of the tear, resulting in a final weighted AUC of 0.90.We demonstrate that our algorithm based on fast-region CNN is able to detect meniscal tears and is a first step towards developing more end-to-end artificial intelligence-powered diagnostic tools.