Content-based image retrieval assists radiologists in diagnosing eye and orbital mass lesions in MRI
Abstract Diagnosing eye and orbit pathologies through radiological imaging presents considerable challenges due to their low prevalence, the extensive range of possible conditions, and their variable presentations, necessitating substantial domain-specific expertise. This study evaluates whether a M...
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Nature Portfolio
2025-04-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-025-94634-6 |
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| author | Josef Lorenz Rumberger Winna Lim Benjamin Wildfeuer Elisa Birgit Sodemann Augustin Lecler Simon Stemplinger Ahi Sema Issever Ali Sepahdari Sönke Langner Dagmar Kainmueller Bernd Hamm Katharina Erb-Eigner |
| author_facet | Josef Lorenz Rumberger Winna Lim Benjamin Wildfeuer Elisa Birgit Sodemann Augustin Lecler Simon Stemplinger Ahi Sema Issever Ali Sepahdari Sönke Langner Dagmar Kainmueller Bernd Hamm Katharina Erb-Eigner |
| author_sort | Josef Lorenz Rumberger |
| collection | DOAJ |
| description | Abstract Diagnosing eye and orbit pathologies through radiological imaging presents considerable challenges due to their low prevalence, the extensive range of possible conditions, and their variable presentations, necessitating substantial domain-specific expertise. This study evaluates whether a ML-based content-based image retrieval (CBIR) tool, combined with a curated database of orbital MRI cases with verified diagnoses, can enhance diagnostic accuracy and reduce reading time for radiologists diagnosing eye and orbital pathologies. It explores whether this tool alone, or in combination with status quo reference tools (e.g. Radiopaedia.org, StatDx) provides these benefits. In a multi-reader, multi-case study involving 36 radiologists and 48 retrospective orbital MRI cases, participants diagnosed eight cases: four using status quo reference tools and four with the addition of the CBIR tool. Analysis using linear mixed-effects models revealed significant improvements in diagnostic accuracy when using the CBIR tool alone (55.88% vs. 70.59%, p = 0.03, odds ratio = 2.07) and an even greater improvement when used alongside status quo tools (55.88% vs. 83.33%, p = 0.02, odds ratio = 3.65). Reading time decreased when using the CBIR tool alone (334 s vs. 236 s, p < 0.001) but increased when used in conjunction with status quo tools (334 s vs. 396 s, p < 0.001). These findings indicate that CBIR tools can significantly enhance diagnostic accuracy for eye and orbit diagnostics, though their impact on reading time varies. |
| format | Article |
| id | doaj-art-61dabe114db142cfbf8143ee7ba882f0 |
| institution | DOAJ |
| issn | 2045-2322 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj-art-61dabe114db142cfbf8143ee7ba882f02025-08-20T03:07:41ZengNature PortfolioScientific Reports2045-23222025-04-0115111010.1038/s41598-025-94634-6Content-based image retrieval assists radiologists in diagnosing eye and orbital mass lesions in MRIJosef Lorenz Rumberger0Winna Lim1Benjamin Wildfeuer2Elisa Birgit Sodemann3Augustin Lecler4Simon Stemplinger5Ahi Sema Issever6Ali Sepahdari7Sönke Langner8Dagmar Kainmueller9Bernd Hamm10Katharina Erb-Eigner11Max-Delbrück Center for Molecular Medicine in the Helmholtz AssociationDepartment of Radiology, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität Zu BerlinDepartment of Radiology, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität Zu BerlinDepartment of Radiology, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität Zu BerlinHôpital Fondation Adolphe de RothschildIndependent ResearcherDepartment of Radiology, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität Zu BerlinDiagnostic Neuroradiology, Department of Radiology, Scripps Clinic Medical GroupGreifswald University MedicineMax-Delbrück Center for Molecular Medicine in the Helmholtz AssociationDepartment of Radiology, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität Zu BerlinDepartment of Radiology, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität Zu BerlinAbstract Diagnosing eye and orbit pathologies through radiological imaging presents considerable challenges due to their low prevalence, the extensive range of possible conditions, and their variable presentations, necessitating substantial domain-specific expertise. This study evaluates whether a ML-based content-based image retrieval (CBIR) tool, combined with a curated database of orbital MRI cases with verified diagnoses, can enhance diagnostic accuracy and reduce reading time for radiologists diagnosing eye and orbital pathologies. It explores whether this tool alone, or in combination with status quo reference tools (e.g. Radiopaedia.org, StatDx) provides these benefits. In a multi-reader, multi-case study involving 36 radiologists and 48 retrospective orbital MRI cases, participants diagnosed eight cases: four using status quo reference tools and four with the addition of the CBIR tool. Analysis using linear mixed-effects models revealed significant improvements in diagnostic accuracy when using the CBIR tool alone (55.88% vs. 70.59%, p = 0.03, odds ratio = 2.07) and an even greater improvement when used alongside status quo tools (55.88% vs. 83.33%, p = 0.02, odds ratio = 3.65). Reading time decreased when using the CBIR tool alone (334 s vs. 236 s, p < 0.001) but increased when used in conjunction with status quo tools (334 s vs. 396 s, p < 0.001). These findings indicate that CBIR tools can significantly enhance diagnostic accuracy for eye and orbit diagnostics, though their impact on reading time varies.https://doi.org/10.1038/s41598-025-94634-6 |
| spellingShingle | Josef Lorenz Rumberger Winna Lim Benjamin Wildfeuer Elisa Birgit Sodemann Augustin Lecler Simon Stemplinger Ahi Sema Issever Ali Sepahdari Sönke Langner Dagmar Kainmueller Bernd Hamm Katharina Erb-Eigner Content-based image retrieval assists radiologists in diagnosing eye and orbital mass lesions in MRI Scientific Reports |
| title | Content-based image retrieval assists radiologists in diagnosing eye and orbital mass lesions in MRI |
| title_full | Content-based image retrieval assists radiologists in diagnosing eye and orbital mass lesions in MRI |
| title_fullStr | Content-based image retrieval assists radiologists in diagnosing eye and orbital mass lesions in MRI |
| title_full_unstemmed | Content-based image retrieval assists radiologists in diagnosing eye and orbital mass lesions in MRI |
| title_short | Content-based image retrieval assists radiologists in diagnosing eye and orbital mass lesions in MRI |
| title_sort | content based image retrieval assists radiologists in diagnosing eye and orbital mass lesions in mri |
| url | https://doi.org/10.1038/s41598-025-94634-6 |
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