Abstract
Catheters are life support devices. Human expertise is often required for the analysis of X-rays in order to achieve the best positioning without misplacement complications. Many hospitals in underprivileged regions around the world lack the sufficient radiology expertise to frequently process X-rays for patients with catheters and tubes. This deficiency may lead to infections, thrombosis, and bleeding due to misplacement of catheters. In the last 2 decades, deep learning has provided solutions to various problems including medical imaging challenges. So instead of depending solely on radiologists to detect catheter/tube misplacement in X-rays, computers could exploit their fast and precise detection capability to notify physicians of a possible complication and aid them identify the cause. Several groups attempted to solve this problem but in the absence of large and rich datasets that include many types of catheters and tubes. In this paper, we utilize the RANZCR-CLiP dataset to train an EfficientNet B1 classification model to classify the presence and placement of 4 types of catheters/tubes. In order to improve our classification results, we used Ben Graham’s preprocessing method to improve image contrast and remove noise. In addition, we convert catheter/tube landmarks to masks and concatenate them to images to provide guidance on the catheter’s/tube’s existence and placement. Finally, EfficientNet B1 reached a ROC AUC of 96.73% and an accuracy of 91.92% on the test set.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Seifert, H., Jansen, B., Widmer, A.F., Farr, B.M.: Central venous catheter. In: Catheter-Related Infections, 2nd edn., pp. 293–326, December 2021. https://doi.org/10.5005/jp/books/12452_12
Sigmon, D.F., An, J.: Nasogastric tube. StatPearls, November 2021. https://www.ncbi.nlm.nih.gov/books/NBK556063/. Accessed 16 Apr 2022
Ahmed, R.A., Boyer, T.J.: Endotracheal tube. StatPearls, November (2021). https://www.ncbi.nlm.nih.gov/books/NBK539747/. Accessed 16 Apr 2022
RANZCR CLiP - Catheter and Line Position Challenge | Kaggle. https://www.kaggle.com/competitions/ranzcr-clip-catheter-line-classification/. Accessed 15 Apr 2022
Buslaev, A., Iglovikov, V.I., Khvedchenya, E., Parinov, A., Druzhinin, M., Kalinin, A.A.: Albumentations: fast and flexible image augmentations. Information 11(2) (2020). https://doi.org/10.3390/INFO11020125
Hu, J., Shen, L., Albanie, S., Sun, G., Wu, E.: Squeeze-and-excitation networks. IEEE Trans. Pattern Anal. Mach. Intell. 42(8), 2011–2023 (2017). https://doi.org/10.48550/arxiv.1709.01507
Tan, M., Le, Q.V.: EfficientNet: rethinking model scaling for convolutional neural networks. In: 36th International Conference on Machine Learning, ICML 2019, vol. 2019, pp. 10691–10700, May 2019. https://doi.org/10.48550/arxiv.1905.11946
Defazio, A., Jelassi, S.: Adaptivity without compromise: a momentumized, adaptive, dual averaged gradient method for stochastic optimization (2021). https://doi.org/10.48550/arxiv.2101.11075
Li, H., Xiong, P., An, J., Wang, L.: Pyramid attention network for semantic segmentation. In: British Machine Vision Conference 2018, BMVC 2018, May 2018. https://doi.org/10.48550/arxiv.1805.10180
Lin, T.Y., Dollár, P., Girshick, R., He, K., Hariharan, B., Belongie, S.: Feature pyramid networks for object detection. In: Proceedings - 30th IEEE Conference on Computer Vision and Pattern Recognition, CVPR 2017, vol. 2017, pp. 936–944, November 2017. https://doi.org/10.1109/CVPR.2017.106
Pitts, T., Gidopoulos, N.I., Lathiotakis, N.N.: Performance of the constrained minimization of the total energy in density functional approximations: the electron repulsion density and potential (2018)
Henderson, R.D.E., Yi, X., Adams, S.J., Babyn, P.: Automatic detection and classification of multiple catheters in neonatal radiographs with deep learning. J. Digit. Imaging 34(4), 888–897 (2021). https://doi.org/10.1007/S10278-021-00473-Y/FIGURES/5
Lakhani, P.: Deep convolutional neural networks for endotracheal tube position and X-ray image classification: challenges and opportunities. J. Digit. Imaging 30(4), 460–468 (2017). https://doi.org/10.1007/S10278-017-9980-7/FIGURES/10
Niehues, S.M., et al.: Deep-learning-based diagnosis of bedside chest X-ray in intensive care and emergency medicine. Investig. Radiol. 56(8), 525–534 (2021). https://doi.org/10.1097/RLI.0000000000000771
Khan, A.B.M., Ali, S.M.A.: Early detection of malpositioned catheters and lines on chest X-rays using deep learning. In: ICAICST 2021 - 2021 International Conference on Artificial Intelligence and Computer Science Technology, pp. 51–55, June 2021. https://doi.org/10.1109/ICAICST53116.2021.9497809
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this paper
Cite this paper
Sarhan, H.M., Ali, H., Ehab, E., Selim, S., Elattar, M. (2022). Efficient Pipeline for Rapid Detection of Catheters and Tubes in Chest Radiographs. In: Yang, G., Aviles-Rivero, A., Roberts, M., Schönlieb, CB. (eds) Medical Image Understanding and Analysis. MIUA 2022. Lecture Notes in Computer Science, vol 13413. Springer, Cham. https://doi.org/10.1007/978-3-031-12053-4_64
Download citation
DOI: https://doi.org/10.1007/978-3-031-12053-4_64
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-12052-7
Online ISBN: 978-3-031-12053-4
eBook Packages: Computer ScienceComputer Science (R0)