Presenter Dr. Sanders Chang of Icahn School of Medicine at Mount Sinai Hospital in New York City and colleagues used a deep-learning algorithm called SubtleMR with spine MRI images from 43 patients, comparing them with conventional spine MRI exams for a total of 98 image sets. Two radiologist readers ranked the diagnostic quality of the images (either usable for diagnosis or unusable), clarity of osseous and extraosseous structures, and any artifacts. The researchers used the kappa measure to assess interobserver agreement.
The study found that intraobserver agreement was 0.85 and that there was no significant difference in diagnostic quality between the conventional images and those processed with deep learning. More than 98% of the exams showed clarity of osseous and extraosseous structures, and conventional and deep learning-processed images did not differ significantly. The readers found artifacts in 30.1% of the conventional spine MRI images and in 36.1% of the images processed with the deep-learning algorithm.
Since the study found that images enhanced with deep learning were diagnostically comparable to conventional ones, it suggests that deep learning shows promise for improving workflow and thus, patient experience, the team concluded in its abstract.
"Spine MRI ... enhanced by deep learning methods can produce quality similar to conventionally acquired images," it wrote. "This may help improve acquisition times and in turn allow for improved patient experience and better imaging efficiency."
This paper received a Roadie 2021 award for the most popular abstract by page views in this Road to RSNA section.