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Using CAD Systems and E-Learning in radiologist training

CETA-Ciemat
October 14, 2013
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Using CAD Systems and E-Learning in radiologist training

Presented in HealthCom 2013 (Lisbon, Portugal)

CETA-Ciemat

October 14, 2013
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  1. CAD systems
    CAD systems
    and
    and e-learning
    e-learning
    using
    using
    in
    in
    radiologist
    radiologist
    training
    training
    HealthCom 2013
    César Suárez Ortega
    [email protected]
    CETA-CIEMAT
    Student designed by Piotrek Chuchla from The Noun Project

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  2. Breast cancer
    Breast cancer

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  3. Breast cancer
    Breast cancer
    high mortality
    high mortality

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  4. Breast cancer
    Breast cancer
    high mortality
    high mortality
    1
    1 of
    of 6
    6 deaths from cancer in women *
    deaths from cancer in women *
    * I.C Moreira et al. “Inbreast: Toward a Full-field Digital Mammographic Database”, Academic Radiology. 19 (2012) 236-248
    * I.C Moreira et al. “Inbreast: Toward a Full-field Digital Mammographic Database”, Academic Radiology. 19 (2012) 236-248

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  5. early detection
    early detection
    Best practice to reduce mortality
    * C. H. Lee, “Screening mammography: proven benefit, continued controversy”, Radiologic clinics of North America, vol. 40
    * C. H. Lee, “Screening mammography: proven benefit, continued controversy”, Radiologic clinics of North America, vol. 40
    *
    *

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  6. Double reading
    Double reading
    of mammograms
    of mammograms

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  7. Double reading
    Double reading
    of mammograms
    of mammograms
    Costly!
    Costly!
    Money designed by Atelier Iceberg from The Noun Project

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  8. Double reading
    Double reading
    of mammograms
    of mammograms
    Not enough
    Not enough
    radiologists!
    radiologists!
    Doctor designed by Piotrek Chuchla from The Noun Project
    *
    *
    * Kolb TM et al.; “Comparison of the performance screening mammography, physical examination, and
    * Kolb TM et al.; “Comparison of the performance screening mammography, physical examination, and
    breast US and evaluation of factors that influenve them: an analysis of 27, 825 patient evaluations”. Radiology.
    breast US and evaluation of factors that influenve them: an analysis of 27, 825 patient evaluations”. Radiology.
    2002; 225(1): 165-175
    2002; 225(1): 165-175

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  9. Any alternatives?

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  10. C
    Computer
    omputer
    D
    Diagnosis
    iagnosis
    A
    Aided
    ided

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  11. C
    Computer
    omputer
    D
    Diagnosis
    iagnosis
    A
    Aided
    ided
    Cancer
    Cancer
    detection
    detection
    rate
    rate
    Thumbs Up designed by Alv Jørgen Bovolden from The Noun Project

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  12. C
    Computer
    omputer
    D
    Diagnosis
    iagnosis
    A
    Aided
    ided RECALL
    RECALL
    rate
    rate
    Thumbs Up designed by Alv Jørgen Bovolden from The Noun Project

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  13. “Medical student attitudes toward radiology are
    Medical student attitudes toward radiology are
    significantly affected by early exposure to
    significantly affected by early exposure to
    didactic teaching in radiology
    didactic teaching in radiology”

    I.C Moreira et al. “Inbreast: Toward a Full-field Digital Mammographic Database”, Academic Radiology. 19 (2012) 236-248
    I.C Moreira et al. “Inbreast: Toward a Full-field Digital Mammographic Database”, Academic Radiology. 19 (2012) 236-248
    Students designed by Piotrek Chuchla from The Noun Project

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  14. E-learning
    &
    Medical
    education
    » Proven benefits
    Proven benefits
    » Increases
    Increases the
    the retention rate
    retention rate
    » Saves
    Saves costs
    costs
    » Improves the
    Improves the efficiency
    efficiency using
    using ICT
    ICT
    » Medical Informatics
    Medical Informatics
    » Buzzwords:
    Buzzwords:
    » Immediate Evaluation
    Immediate Evaluation
    » Simulated Cases
    Simulated Cases
    » Videoconferencing
    Videoconferencing
    » Virtual Patients
    Virtual Patients
    » Custom
    Custom applications needed
    applications needed
    Education designed by Patrick Trouvé from The Noun Project

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  15. E-learning
    &
    radiology
    » Lecture
    Lecture of radiographies
    of radiographies
    » Repository with
    Repository with real cases
    real cases
    » Auto-evaluation
    Auto-evaluation tools
    tools
    » Simulation
    Simulation cases
    cases
    » There is
    There is a need
    a need of applications
    of applications

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  16. E-learning
    &
    Radiology
    &
    CAD SYSTEMS
    Idea from The Noun Project

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  17. E-learning
    &
    CAD SYSTEMS
    » Very
    Very powerful
    powerful
    » Auto-evaluation
    Auto-evaluation
    » Familiriaty
    Familiriaty with CAD Systems
    with CAD Systems
    » Recall rate not so critical
    Recall rate not so critical
    » Don't replace
    Don't replace teachers
    teachers

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  18. aloe
    A platFORm for
    radiologist
    training
    In breast cancer
    diagnosis

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  19. Aloe objectives
    Aloe objectives
    » E-learning
    E-learning platform
    platform
    » Auto-evaluation
    Auto-evaluation using Machine Learning Classifiers
    using Machine Learning Classifiers
    » Modulable
    Modulable Multiple
    → Multiple
    → frontends
    frontends + One
    + One backend
    backend
    » Lots of
    Lots of anonymized real cases
    anonymized real cases!
    !
    » Workflow
    Workflow designed specifically for radiologists
    designed specifically for radiologists
    Responsive Design designed by Diego Naive from The Noun Project
    Target designed by Julia Stoffer from The Noun Project

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  20. Aloe pillars
    Aloe pillars
    B
    Breast
    reast C
    Cancer
    ancer D
    Database
    atabase
    R
    Repository
    epository
    M
    Mammography
    ammography I
    Image
    mage
    W
    Workstation for
    orkstation for A
    Analysis and
    nalysis and
    D
    Diagnosis
    iagnosis
    M
    Machine
    achine L
    Learning
    earning C
    Classifiers
    lassifiers
    Pillar designed by Cengiz SARI from The Noun Project
    *
    *
    * http://bcdr.eu
    * http://bcdr.eu

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  21. Currently
    Currently
    » REST backend →
    REST backend → 50%
    50%
    » MLCs →
    MLCs → 100%
    100%
    » Web frontend →
    Web frontend → 10%
    10%
    » Workflow →
    Workflow → 5%
    5%
    » Release a first version
    Release a first version
    » UX tests
    UX tests
    » Virtual classroom
    Virtual classroom
    » Test it with students!
    Test it with students!
    To Be Done
    To Be Done
    Worker designed by James Fenton from The Noun Project

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  22. conclusions
    conclusions
    » CAD systems are a
    CAD systems are a solid technology
    solid technology.
    .
    » Highly-skilled
    Highly-skilled radiologists are needed
    radiologists are needed.
    .
    » Better tools for training
    Better tools for training are needed.
    are needed.
    » CAD systems for auto-evaluation
    CAD systems for auto-evaluation.
    .
    » Further research
    Further research is needed.
    is needed.
    Education designed by Pete Fecteau from The Noun Project

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  23. PARTNERS
    PARTNERS
    acknowledgments to
    acknowledgments to

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  24. Any questions?
    Thanks!
    Question designed by Martin Delin from The Noun Project

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