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Harushi Mori

Publications and source records attributed to Harushi Mori.

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Deep Learning Estimation of Sex, Age, Height, and Weight from CT-derived Digitally Reconstructed Radiographs

Purpose: To develop and validate a deep learning ensemble for estimating adult sex, age, height, and weight from coronal digitally reconstructed radiographs (DRRs) generated from diagnostic CT. Materials and Methods: This retrospective study included 128,621 CT examinations from 80,004 adults at nine institutions in Japan. Three multitask models-ConvNeXt-Base, ViT-Base/16, and MaxViT-Base-were fine-tuned using coronal DRRs and combined by weighted averaging. Data were split by institution into training (114,147 examinations; seven institutions), tuning (4,305; one institution), and test (10,169; one institution) sets; generalizability was assessed on two non-Japanese datasets. Accuracy and mean absolute error (MAE) were used to evaluate sex classification and age, height, and weight regression, respectively. Body surface area (BSA)-corrected heart and liver volume trends were compared using true versus estimated height and weight. Results: In the test set (median age, 69.9 years; 4,899 of 10,169 [48.2%] male), overall sex-classification accuracy was 0.997 (95% CI, 0.996-0.998), and MAEs were 3.57 years (3.51-3.63), 2.59 cm (2.54-2.64), and 3.40 kg (3.34-3.47) for age, height, and weight, respectively. In examinations covering the chest through pelvis, accuracy was 1.000, and MAEs were 3.15 years, 2.28 cm, and 3.18 kg, respectively. BSA calculated from estimated values reproduced age-related heart and liver volume trends obtained using true values. On non-Japanese datasets, height error increased but was reduced by continued fine-tuning. Conclusion: The ensemble estimated adult sex, age, height, and weight from CT-derived DRRs, with generally lower errors in examinations with broader anatomical coverage.

cs.CV

Eye-Tracking as a Tool to Quantify the Effects of CAD Display on Radiologists' Interpretation of Chest Radiographs

Rationale and Objectives: Computer-aided detection systems for chest radiographs are widely used, and concurrent reader displays, such as bounding-box (BB) highlights, may influence the reading process. This pilot study used eye tracking to conduct a preliminary experiment to quantify which aspects of visual search were affected. Materials and Methods: We sampled 180 chest radiographs from the VinDR-CXR dataset: 120 with solitary pulmonary nodules or masses and 60 without. The BBs were configured to yield an overall display sensitivity and specificity of 80%. Three radiologists (with 11, 5, and 1 years of experience, respectively) interpreted each case twice - once with BBs visible and once without - after a washout of >= 2 weeks. Eye movements were recorded using an EyeTech VT3 Mini. Metrics included interpretation time, time to first fixation on the lesion, lesion dwell time, total gaze-path length, and lung-field coverage ratio. Outcomes were modeled using a linear mixed model, with reading condition as a fixed effect and case and reader as random intercepts. The primary analysis was restricted to true positives (n=96). Results: Concurrent BB display prolonged interpretation time by 4.9 s (p<0.001) and increased lesion dwell time by 1.3 s (p<0.001). Total gaze-path length increased by 2,076 pixels (p<0.001), and lung-field coverage ratio increased by 10.5% (p<0.001). Time to first fixation on the lesion was reduced by 1.3 s (p<0.001). Conclusion: Eye tracking captured measurable alterations in search behavior associated with concurrent BB displays during chest radiograph interpretation. These findings support the feasibility of this approach and highlight the need for larger studies to confirm effects and explore implications across modalities and clinical contexts.

eess.IV

Method for Generating Synthetic Data Combining Chest Radiography Images with Tabular Clinical Information Using Dual Generative Models

The generation of synthetic medical records using Generative Adversarial Networks (GANs) is becoming crucial for addressing privacy concerns and facilitating data sharing in the medical domain. In this paper, we introduce a novel method to create synthetic hybrid medical records that combine both image and non-image data, utilizing an auto-encoding GAN (alphaGAN) and a conditional tabular GAN (CTGAN). Our methodology encompasses three primary steps: I) Dimensional reduction of images in a private dataset (pDS) using the pretrained encoder of the αGAN, followed by integration with the remaining non-image clinical data to form tabular representations; II) Training the CTGAN on the encoded pDS to produce a synthetic dataset (sDS) which amalgamates encoded image features with non-image clinical data; and III) Reconstructing synthetic images from the image features using the alphaGAN's pretrained decoder. We successfully generated synthetic records incorporating both Chest X-Rays (CXRs) and thirteen non-image clinical variables (comprising seven categorical and six numeric variables). To evaluate the efficacy of the sDS, we designed classification and regression tasks and compared the performance of models trained on pDS and sDS against the pDS test set. Remarkably, by leveraging five times the volume of sDS for training, we achieved classification and regression results that were comparable, if slightly inferior, to those obtained using the native pDS. Our method holds promise for publicly releasing synthetic datasets without undermining the potential for secondary data usage.

eess.IV