Computer-aided Assessment of Catheters and Tubes onRadiographs: How Good Is Artificial Intelligence for Assessment?

Abstract

Catheters are the second most common abnormal findings on radiographs. The position of catheters must be assessed on all radiographs, as serious complications can arise if catheters are malpositioned. However, due to the large number of radiographs performed each day, there can be substantial delays between the time a radiograph is performed and when it is interpreted by a radiologist. Computer-aided approaches hold the potential to assist in prioritizing radiographs with potentially malpositioned catheters for interpretation and automatically insert text indicating the placement of catheters in radiology reports, thereby improving radiologists’ efficiency. Surprisingly, after 50 years of research in computer-aided diagnosis, there is still a paucity of study in this area. By carefully surveying the literature, we were only able to find 13 studies related to this task. Now, in the era of machine learning, or more specifically deep learning, the problem of catheter assessment is far more solvable. Therefore, we have performed a review of current algorithms and identified key challenges in building a reliable computer-aided diagnosis system for assessment of catheters on radiographs. This review may serve to further the development of machine learning approaches for this important use case.

Publication
In Radiology: Artifical Intelligence