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MATSUO Hidetoshi
University Hospital / Radiology
Assistant Professor

Research activity information

■ Award
  • Jun. 2023 神戸大学放射線科同門会, 優秀論文賞

  • Oct. 2019 神緑会(神戸大学医学部同窓会), 優秀賞, MRIとDeeplearningを用いた耳下腺腫瘍の良悪性判別の試み
    松尾秀俊

■ Paper
  • Hidetoshi Matsuo, Mizuho Nishio, Takaaki Matsunaga, Koji Fujimoto, Takamichi Murakami
    BACKGROUND/OBJECTIVES: This study aimed to investigate the accuracy of Tumor, Node, Metastasis (TNM) classification based on radiology reports using GPT3.5-turbo (GPT3.5) and the utility of multilingual large language models (LLMs) in both Japanese and English. METHODS: Utilizing GPT3.5, we developed a system to automatically generate TNM classifications from chest computed tomography reports for lung cancer and evaluate its performance. We statistically analyzed the impact of providing full or partial TNM definitions in both languages using a generalized linear mixed model. RESULTS: The highest accuracy was attained with full TNM definitions and radiology reports in English (M = 94%, N = 80%, T = 47%, and TNM combined = 36%). Providing definitions for each of the T, N, and M factors statistically improved their respective accuracies (T: odds ratio [OR] = 2.35, p < 0.001; N: OR = 1.94, p < 0.01; M: OR = 2.50, p < 0.001). Japanese reports exhibited decreased N and M accuracies (N accuracy: OR = 0.74 and M accuracy: OR = 0.21). CONCLUSIONS: This study underscores the potential of multilingual LLMs for automatic TNM classification in radiology reports. Even without additional model training, performance improvements were evident with the provided TNM definitions, indicating LLMs' relevance in radiology contexts.
    Oct. 2024, Cancers, 16(21) (21), English, International magazine
    Scientific journal

  • Takehiro Jimbo, Hidetoshi Matsuo, Yuya Imoto, Takumi Sodemura, Makoto Nishimori, Yoshinari Fukui, Takuya Hayashi, Tomoyuki Furuyashiki, Ryoichi Yokoyama
    Jan. 2024, Scientific reports, 14(1) (1), 2233 - 2233, English, International magazine

  • 胸部領域PET/MRIにおける深層学習併用減弱補正法の再現性検討
    野上 宗伸, 松尾 秀俊, 西尾 瑞穂, 曽 菲比, 立花 美保, 井上 純子, 栗本 貴子, 久保 和広, 岡沢 秀彦, 村上 卓道
    (一社)日本核医学会, 2024, 核医学, 61(Suppl.) (Suppl.), S173 - S173, Japanese

  • Mizuho Nishio, Hidetoshi Matsuo, Takaaki Matsunaga
    2024, Nihon Hoshasen Gijutsu Gakkai zasshi, 80(6) (6), 673 - 678, Japanese, Domestic magazine
    Scientific journal

  • Takaaki Matsunaga, Atsushi Kono, Mizuho Nishio, Takahiro Yoshii, Hidetoshi Matsuo, Mai Takahashi, Takuya Takahashi, Yu Taniguchi, Hidekazu Tanaka, Kenichi Hirata, Takamichi Murakami
    BACKGROUND AND PURPOSE: Mean pulmonary artery pressure (mPAP) is a key index for chronic thromboembolic pulmonary hypertension (CTEPH). Using machine learning, we attempted to construct an accurate prediction model for mPAP in patients with CTEPH. METHODS: A total of 136 patients diagnosed with CTEPH were included, for whom mPAP was measured. The following patient data were used as explanatory variables in the model: basic patient information (age and sex), blood tests (brain natriuretic peptide (BNP)), echocardiography (tricuspid valve pressure gradient (TRPG)), and chest radiography (cardiothoracic ratio (CTR), right second arc ratio, and presence of avascular area). Seven machine learning methods including linear regression were used for the multivariable prediction models. Additionally, prediction models were constructed using the AutoML software. Among the 136 patients, 2/3 and 1/3 were used as training and validation sets, respectively. The average of R squared was obtained from 10 different data splittings of the training and validation sets. RESULTS: The optimal machine learning model was linear regression (averaged R squared, 0.360). The optimal combination of explanatory variables with linear regression was age, BNP level, TRPG level, and CTR (averaged R squared, 0.388). The R squared of the optimal multivariable linear regression model was higher than that of the univariable linear regression model with only TRPG. CONCLUSION: We constructed a more accurate prediction model for mPAP in patients with CTEPH than a model of TRPG only. The prediction performance of our model was improved by selecting the optimal machine learning method and combination of explanatory variables.
    2024, PloS one, 19(4) (4), e0300716, English, International magazine
    Scientific journal

  • Mizuho Nishio, Takaaki Matsunaga, Hidetoshi Matsuo, Munenobu Nogami, Yasuhisa Kurata, Koji Fujimoto, Osamu Sugiyama, Toshiaki Akashi, Shigeki Aoki, Takamichi Murakami
    Elsevier BV, 2024, Informatics in Medicine Unlocked, 46, 101465 - 101465
    Scientific journal

  • Mizuho Nishio, Hidetoshi Matsuo, Takaaki Matsunaga, Koji Fujimoto, Morteza Rohanian, Farhad Nooralahzadeh, Fabio Rinaldi, Michael Krauthammer
    Dec. 2023, Proceedings of the 17th NTCIR Conference on Evaluation of Information Access Technologies, NTCIR, 155 - 162
    [Refereed]
    International conference proceedings

  • Hidetoshi Matsuo, Kazuhiro Kitajima, Atsushi K Kono, Kozo Kuribayashi, Takashi Kijima, Masaki Hashimoto, Seiki Hasegawa, Koichiro Yamakado, Takamichi Murakami
    BACKGROUND: Deep learning (DL) has been widely used for diagnosis and prognosis prediction of numerous frequently occurring diseases. Generally, DL models require large datasets to perform accurate and reliable prognosis prediction and avoid overlearning. However, prognosis prediction of rare diseases is still limited owing to the small number of cases, resulting in small datasets. PURPOSE: This paper proposes a multimodal DL method to predict the prognosis of patients with malignant pleural mesothelioma (MPM) with a small number of 3D positron emission tomography-computed tomography (PET/CT) images and clinical data. METHODS: A 3D convolutional conditional variational autoencoder (3D-CCVAE), which adds a 3D-convolutional layer and conditional VAE to process 3D images, was used for dimensionality reduction of PET images. We developed a two-step model that performs dimensionality reduction using the 3D-CCVAE, which is resistant to overlearning. In the first step, clinical data were input to condition the model and perform dimensionality reduction of PET images, resulting in more efficient dimension reduction. In the second step, a subset of the dimensionally reduced features and clinical data were combined to predict 1-year survival of patients using the random forest classifier. To demonstrate the usefulness of the 3D-CCVAE, we created a model without the conditional mechanism (3D-CVAE), one without the variational mechanism (3D-CCAE), and one without an autoencoder (without AE), and compared their prediction results. We used PET images and clinical data of 520 patients with histologically proven MPM. The data were randomly split in a 2:1 ratio (train : test) and three-fold cross-validation was performed. The models were trained on the training set and evaluated based on the test set results. The area under the receiver operating characteristic curve (AUC) for all models was calculated using their 1-year survival predictions, and the results were compared. RESULTS: We obtained AUC values of 0.76 (95% confidence interval [CI], 0.72-0.80) for the 3D-CCVAE model, 0.72 (95% CI, 0.68-0.77) for the 3D-CVAE model, 0.70 (95% CI, 0.66-0.75) for the 3D-CCAE model, and 0.69 (95% CI 0.65-0.74) for the without AE model. The 3D-CCVAE model performed better than the other models (3D-CVAE, p = 0.039; 3D-CCAE, p = 0.0032; and without AE, p = 0.0011). CONCLUSIONS: This study demonstrates the usefulness of the 3D-CCVAE in multimodal DL models learned using a small number of datasets. Additionally, it shows that dimensionality reduction via AE can be used to learn a DL model without increasing the overlearning risk. Moreover, the VAE mechanism can overcome the uncertainty of the model parameters that commonly occurs for small datasets, thereby eliminating the risk of overlearning. Additionally, more efficient dimensionality reduction of PET images can be performed by providing clinical data as conditions and ignoring clinical data-related features.
    Dec. 2023, Medical physics, 50(12) (12), 7548 - 7557, English, International magazine
    Scientific journal

  • Takehiro Jimbo, Hidetoshi Matsuo, Yuya Imoto, Takumi Sodemura, Makoto Nishimori, Yoshinari Fukui, Takuya Hayashi, Tomoyuki Furuyashiki, Ryoichi Yokoyama
    "Preprocessing" is the first step required in brain image analysis that improves the overall quality and reliability of the results. However, it is computationally demanding and time-consuming, particularly to handle and parcellate complicatedly folded cortical ribbons of the human brain. In this study, we aimed to shorten the analysis time for data preprocessing of 1410 brain images simultaneously on one of the world's highest-performing supercomputers, "Fugaku." The FreeSurfer was used as a benchmark preprocessing software for cortical surface reconstruction. All the brain images were processed simultaneously and successfully analyzed in a calculation time of 17.33 h. This result indicates that using a supercomputer for brain image preprocessing allows big data analysis to be completed shortly and flexibly, thus suggesting the possibility of supercomputers being used for expanding large data analysis and parameter optimization of preprocessing in the future.
    Nov. 2023, Scientific reports, 13(1) (1), 19901 - 19901, English, International magazine
    Scientific journal

  • Takaaki Matsunaga, Atsushi Kono, Hidetoshi Matsuo, Kaoru Kitagawa, Mizuho Nishio, Hiromi Hashimura, Yu Izawa, Takayoshi Toba, Kazuki Ishikawa, Akie Katsuki, Kazuyuki Ohmura, Takamichi Murakami
    RATIONALE AND OBJECTIVES: Pericardial fat (PF)-the thoracic visceral fat surrounding the heart-promotes the development of coronary artery disease by inducing inflammation of the coronary arteries. To evaluate PF, we generated pericardial fat count images (PFCIs) from chest radiographs (CXRs) using a dedicated deep-learning model. MATERIALS AND METHODS: We reviewed data of 269 consecutive patients who underwent coronary computed tomography (CT). We excluded patients with metal implants, pleural effusion, history of thoracic surgery, or malignancy. Thus, the data of 191 patients were used. We generated PFCIs from the projection of three-dimensional CT images, wherein fat accumulation was represented by a high pixel value. Three different deep-learning models, including CycleGAN were combined in the proposed method to generate PFCIs from CXRs. A single CycleGAN-based model was used to generate PFCIs from CXRs for comparison with the proposed method. To evaluate the image quality of the generated PFCIs, structural similarity index measure (SSIM), mean squared error (MSE), and mean absolute error (MAE) of (i) the PFCI generated using the proposed method and (ii) the PFCI generated using the single model were compared. RESULTS: The mean SSIM, MSE, and MAE were 8.56 × 10-1, 1.28 × 10-2, and 3.57 × 10-2, respectively, for the proposed model, and 7.62 × 10-1, 1.98 × 10-2, and 5.04 × 10-2, respectively, for the single CycleGAN-based model. CONCLUSION: PFCIs generated from CXRs with the proposed model showed better performance than those generated with the single model. The evaluation of PF without CT may be possible using the proposed method.
    Oct. 2023, Academic radiology, English, International magazine
    Scientific journal

  • Aki Miyazaki, Kengo Ikejima, Mizuho Nishio, Minoru Yabuta, Hidetoshi Matsuo, Koji Onoue, Takaaki Matsunaga, Eiko Nishioka, Atsushi Kono, Daisuke Yamada, Ken Oba, Reiichi Ishikura, Takamichi Murakami
    To evaluate the diagnostic performance of our deep learning (DL) model of COVID-19 and investigate whether the diagnostic performance of radiologists was improved by referring to our model. Our datasets contained chest X-rays (CXRs) for the following three categories: normal (NORMAL), non-COVID-19 pneumonia (PNEUMONIA), and COVID-19 pneumonia (COVID). We used two public datasets and private dataset collected from eight hospitals for the development and external validation of our DL model (26,393 CXRs). Eight radiologists performed two reading sessions: one session was performed with reference to CXRs only, and the other was performed with reference to both CXRs and the results of the DL model. The evaluation metrics for the reading session were accuracy, sensitivity, specificity, and area under the curve (AUC). The accuracy of our DL model was 0.733, and that of the eight radiologists without DL was 0.696 ± 0.031. There was a significant difference in AUC between the radiologists with and without DL for COVID versus NORMAL or PNEUMONIA (p = 0.0038). Our DL model alone showed better diagnostic performance than that of most radiologists. In addition, our model significantly improved the diagnostic performance of radiologists for COVID versus NORMAL or PNEUMONIA.
    Oct. 2023, Scientific reports, 13(1) (1), 17533 - 17533, English, International magazine
    Scientific journal

  • Mizuho Nishio, Hidetoshi Matsuo, Yasuhisa Kurata, Osamu Sugiyama, Koji Fujimoto
    We aimed to develop and evaluate an automatic prediction system for grading histopathological images of prostate cancer. A total of 10,616 whole slide images (WSIs) of prostate tissue were used in this study. The WSIs from one institution (5160 WSIs) were used as the development set, while those from the other institution (5456 WSIs) were used as the unseen test set. Label distribution learning (LDL) was used to address a difference in label characteristics between the development and test sets. A combination of EfficientNet (a deep learning model) and LDL was utilized to develop an automatic prediction system. Quadratic weighted kappa (QWK) and accuracy in the test set were used as the evaluation metrics. The QWK and accuracy were compared between systems with and without LDL to evaluate the usefulness of LDL in system development. The QWK and accuracy were 0.364 and 0.407 in the systems with LDL and 0.240 and 0.247 in those without LDL, respectively. Thus, LDL improved the diagnostic performance of the automatic prediction system for the grading of histopathological images for cancer. By handling the difference in label characteristics using LDL, the diagnostic performance of the automatic prediction system could be improved for prostate cancer grading.
    MDPI AG, Feb. 2023, Cancers, 15(5) (5), 1535 - 1535
    Scientific journal

  • 胸部PET/MRIの減弱補正 高速Zero-TE MRIを用いた深層学習によるノイズ除去および擬似CT生成
    野上 宗伸, 松尾 秀俊, 西尾 瑞穂, 立花 美保, 井上 純子, 曽 菲比, 久保 和広, 栗本 貴子, 村上 卓道
    (一社)日本核医学会, 2023, 核医学, 60(Suppl.) (Suppl.), S184 - S184, Japanese

  • ZTE MRIから2.5次元法深層学習で生成した骨要素を含む減弱補正が胸部領域のSUVに与える影響
    立花 美保, 野上 宗伸, 松尾 秀俊, 西尾 瑞穂, 井上 純子, 曽 菲比, 栗本 貴子, 久保 和広, 村上 卓道
    (一社)日本核医学会, 2023, 核医学, 60(Suppl.) (Suppl.), S206 - S206, Japanese

  • 胸部PET/MRIの減弱補正 高速Zero-TE MRIを用いた深層学習によるノイズ除去および擬似CT生成
    野上 宗伸, 松尾 秀俊, 西尾 瑞穂, 立花 美保, 井上 純子, 曽 菲比, 久保 和広, 栗本 貴子, 村上 卓道
    (一社)日本核医学会, 2023, 核医学, 60(Suppl.) (Suppl.), S184 - S184, Japanese

  • ZTE MRIから2.5次元法深層学習で生成した骨要素を含む減弱補正が胸部領域のSUVに与える影響
    立花 美保, 野上 宗伸, 松尾 秀俊, 西尾 瑞穂, 井上 純子, 曽 菲比, 栗本 貴子, 久保 和広, 村上 卓道
    (一社)日本核医学会, 2023, 核医学, 60(Suppl.) (Suppl.), S206 - S206, Japanese

  • Mizuho Nishio, Eiji Ota, Hidetoshi Matsuo, Takaaki Matsunaga, Aki Miyazaki, Takamichi Murakami
    PURPOSE: The purpose of this study is to compare two libraries dedicated to the Markov chain Monte Carlo method: pystan and numpyro. In the comparison, we mainly focused on the agreement of estimated latent parameters and the performance of sampling using the Markov chain Monte Carlo method in Bayesian item response theory (IRT). MATERIALS AND METHODS: Bayesian 1PL-IRT and 2PL-IRT were implemented with pystan and numpyro. Then, the Bayesian 1PL-IRT and 2PL-IRT were applied to two types of medical data obtained from a published article. The same prior distributions of latent parameters were used in both pystan and numpyro. Estimation results of latent parameters of 1PL-IRT and 2PL-IRT were compared between pystan and numpyro. Additionally, the computational cost of the Markov chain Monte Carlo method was compared between the two libraries. To evaluate the computational cost of IRT models, simulation data were generated from the medical data and numpyro. RESULTS: For all the combinations of IRT types (1PL-IRT or 2PL-IRT) and medical data types, the mean and standard deviation of the estimated latent parameters were in good agreement between pystan and numpyro. In most cases, the sampling time using the Markov chain Monte Carlo method was shorter in numpyro than that in pystan. When the large-sized simulation data were used, numpyro with a graphics processing unit was useful for reducing the sampling time. CONCLUSION: Numpyro and pystan were useful for applying the Bayesian 1PL-IRT and 2PL-IRT. Our results show that the two libraries yielded similar estimation result and that regarding to sampling time, the fastest libraries differed based on the dataset size.
    2023, PeerJ. Computer science, 9, e1620, English, International magazine
    Scientific journal

  • Mizuho Nishio, Daigo Kobayashi, Hidetoshi Matsuo, Yasuyo Urase, Eiko Nishioka, Takamichi Murakami
    PURPOSE: This study proposes a Bayesian multidimensional nominal response model (MD-NRM) to statistically analyze the nominal response of multiclass classifications. MATERIALS AND METHODS: First, for MD-NRM, we extended the conventional nominal response model to achieve stable convergence of the Bayesian nominal response model and utilized multidimensional ability parameters. We then applied MD-NRM to a 3-class classification problem, where radiologists visually evaluated chest X-ray images and selected their diagnosis from one of the three classes. The classification problem consisted of 150 cases, and each of the six radiologists selected their diagnosis based on a visual evaluation of the images. Consequently, 900 (= 150 × 6) nominal responses were obtained. In MD-NRM, we assumed that the responses were determined by the softmax function, the ability of radiologists, and the difficulty of images. In addition, we assumed that the multidimensional ability of one radiologist were represented by a 3 × 3 matrix. The latent parameters of the MD-NRM (ability parameters of radiologists and difficulty parameters of images) were estimated from the 900 responses. To implement Bayesian MD-NRM and estimate the latent parameters, a probabilistic programming language (Stan, version 2.21.0) was used. RESULTS: For all parameters, the Rhat values were less than 1.10. This indicates that the latent parameters of the MD-NRM converged successfully. CONCLUSION: The results show that it is possible to estimate the latent parameters (ability and difficulty parameters) of the MD-NRM using Stan. Our code for the implementation of the MD-NRM is available as open source.
    Dec. 2022, Japanese journal of radiology, 41(4) (4), 449 - 455, English, Domestic magazine
    Scientific journal


  • 小路田 泰之, 神田 知紀, 松尾 秀俊
    (株)Gakken, Dec. 2022, 画像診断, 43(1) (1), 62 - 63, Japanese

  • 小路田 泰之, 神田 知紀, 松尾 秀俊
    (株)Gakken, Sep. 2022, 画像診断, 42(11) (11), A12 - A13, Japanese

  • Mizuho Nishio, Daigo Kobayashi, Eiko Nishioka, Hidetoshi Matsuo, Yasuyo Urase, Koji Onoue, Reiichi Ishikura, Yuri Kitamura, Eiro Sakai, Masaru Tomita, Akihiro Hamanaka, Takamichi Murakami
    This retrospective study aimed to develop and validate a deep learning model for the classification of coronavirus disease-2019 (COVID-19) pneumonia, non-COVID-19 pneumonia, and the healthy using chest X-ray (CXR) images. One private and two public datasets of CXR images were included. The private dataset included CXR from six hospitals. A total of 14,258 and 11,253 CXR images were included in the 2 public datasets and 455 in the private dataset. A deep learning model based on EfficientNet with noisy student was constructed using the three datasets. The test set of 150 CXR images in the private dataset were evaluated by the deep learning model and six radiologists. Three-category classification accuracy and class-wise area under the curve (AUC) for each of the COVID-19 pneumonia, non-COVID-19 pneumonia, and healthy were calculated. Consensus of the six radiologists was used for calculating class-wise AUC. The three-category classification accuracy of our model was 0.8667, and those of the six radiologists ranged from 0.5667 to 0.7733. For our model and the consensus of the six radiologists, the class-wise AUC of the healthy, non-COVID-19 pneumonia, and COVID-19 pneumonia were 0.9912, 0.9492, and 0.9752 and 0.9656, 0.8654, and 0.8740, respectively. Difference of the class-wise AUC between our model and the consensus of the six radiologists was statistically significant for COVID-19 pneumonia (p value = 0.001334). Thus, an accurate model of deep learning for the three-category classification could be constructed; the diagnostic performance of our model was significantly better than that of the consensus interpretation by the six radiologists for COVID-19 pneumonia.
    May 2022, Scientific reports, 12(1) (1), 8214 - 8214, English, International magazine
    Scientific journal

  • 深層学習を用いた肺結節の三次元CT画像の生成(Generation of Three-Dimensional CT Images of Lung Nodules using Deep Learning)
    Matsunaga Takaaki, Nishio Mizuho, Matsuo Hidetoshi, Miyazaki Aki, Kono Atsushi, Sakamoto Ryo, Muramatsu Chisako, Fujita Hiroshi, Murakami Takamichi
    (公社)日本医学放射線学会, Mar. 2022, 日本医学放射線学会学術集会抄録集, 81回, S232 - S232, English

  • 立花 美保, 野上 宗伸, 松尾 秀俊, 西尾 瑞穂, 犬養 純子, 曽 菲比, 栗本 貴子, 久保 和広, 村上 卓道
    (一社)日本核医学会, 2022, 核医学, 59(1) (1), 35 - 35, Japanese

  • 深層学習を用いてZTE MRIから生成した骨による減弱補正が胸部領域のSUVに及ぼす影響
    立花 美保, 野上 宗伸, 松尾 秀俊, 西尾 瑞穂, 犬養 純子, 曽 菲比, 栗本 貴子, 久保 和広, 村上 卓道
    (一社)日本核医学会, 2022, 核医学, 59(1) (1), 35 - 35, Japanese

  • 慢性血栓塞栓性肺高血圧症患者における低侵襲・高精度な肺動脈平均圧の予測モデル作成
    吉井 隆浩, 松尾 秀俊, 高橋 真依, 西尾 瑞穂, 河野 淳, 谷口 悠, 平田 健一, 村上 卓道
    (一社)日本医療情報学会, Nov. 2021, 医療情報学連合大会論文集, 41回, 1111 - 1114, Japanese

  • 大学病院における遺伝的アルゴリズムを用いた当直予定表作成システムの開発
    松尾 秀俊, 松永 卓明, 佐々木 康二, 岡田 卓也, 西尾 瑞穂, 河野 淳, 村上 卓道
    (一社)日本医療情報学会, Nov. 2021, 医療情報学連合大会論文集, 41回, 1122 - 1124, Japanese

  • 杉山 朋加, 小路田 泰之, 神田 知紀, 横尾 紫穂, 宮崎 亜樹, 松尾 秀俊, 村上 卓道
    金原出版(株), Sep. 2021, 臨床放射線, 66(9) (9), 937 - 942, Japanese

  • 慢性血栓塞栓性肺高血圧症患者における、重回帰分析を用いた肺動脈平均圧推定についての検討
    高橋 真依, 松尾 秀俊, 西尾 瑞穂, 松永 卓明, 河野 淳, 谷口 悠, 平田 健一, 村上 卓道
    (公社)日本医学放射線学会, Aug. 2021, 日本医学放射線学会秋季臨床大会抄録集, 57回, S400 - S400, Japanese

  • 西尾 瑞穂, 小林 大悟, 松尾 秀俊, 西岡 瑛子, 浦瀬 靖代, 尾上 宏治, 石藏 礼一, 村上 卓道
    医用画像情報学会, Jul. 2021, 医用画像情報学会雑誌, 38(2) (2), 53 - 56, Japanese

  • Hidetoshi Matsuo, Mizuho Nishio, Munenobu Nogami, Feibi Zeng, Takako Kurimoto, Sandeep Kaushik, Florian Wiesinger, Atsushi K Kono, Takamichi Murakami
    The integrated positron emission tomography/magnetic resonance imaging (PET/MRI) scanner facilitates the simultaneous acquisition of metabolic information via PET and morphological information with high soft-tissue contrast using MRI. Although PET/MRI facilitates the capture of high-accuracy fusion images, its major drawback can be attributed to the difficulty encountered when performing attenuation correction, which is necessary for quantitative PET evaluation. The combined PET/MRI scanning requires the generation of attenuation-correction maps from MRI owing to no direct relationship between the gamma-ray attenuation information and MRIs. While MRI-based bone-tissue segmentation can be readily performed for the head and pelvis regions, the realization of accurate bone segmentation via chest CT generation remains a challenging task. This can be attributed to the respiratory and cardiac motions occurring in the chest as well as its anatomically complicated structure and relatively thin bone cortex. This paper presents a means to minimise the anatomical structural changes without human annotation by adding structural constraints using a modality-independent neighbourhood descriptor (MIND) to a generative adversarial network (GAN) that can transform unpaired images. The results obtained in this study revealed the proposed U-GAT-IT + MIND approach to outperform all other competing approaches. The findings of this study hint towards possibility of synthesising clinically acceptable CT images from chest MRI without human annotation, thereby minimising the changes in the anatomical structure.
    Jun. 2021, Scientific reports, 12(1) (1), 11090 - 11090, English, International magazine
    Scientific journal

  • Kazuhiro Kitajima, Hidetoshi Matsuo, Atsushi Kono, Kozo Kuribayashi, Takashi Kijima, Masaki Hashimoto, Seiki Hasegawa, Takamichi Murakami, Koichiro Yamakado
    OBJECTIVES: This study analyzed an artificial intelligence (AI) deep learning method with a three-dimensional deep convolutional neural network (3D DCNN) in regard to diagnostic accuracy to differentiate malignant pleural mesothelioma (MPM) from benign pleural disease using FDG-PET/CT results. RESULTS: For protocol A, the area under the ROC curve (AUC)/sensitivity/specificity/accuracy values were 0.825/77.9% (81/104)/76.4% (55/72)/77.3% (136/176), while those for protocol B were 0.854/80.8% (84/104)/77.8% (56/72)/79.5% (140/176), for protocol C were 0.881/85.6% (89/104)/75.0% (54/72)/81.3% (143/176), and for protocol D were 0.896/88.5% (92/104)/73.6% (53/72)/82.4% (145/176). Protocol D showed significantly better diagnostic performance as compared to A, B, and C in ROC analysis (p = 0.031, p = 0.0020, p = 0.041, respectively). MATERIALS AND METHODS: Eight hundred seventy-five consecutive patients with histologically proven or suspected MPM, shown by history, physical examination findings, and chest CT results, who underwent FDG-PET/CT examinations between 2007 and 2017 were investigated in a retrospective manner. There were 525 patients (314 MPM, 211 benign pleural disease) in the deep learning training set, 174 (102 MPM, 72 benign pleural disease) in the validation set, and 176 (104 MPM, 72 benign pleural disease) in the test set. Using AI with PET/CT alone (protocol A), human visual reading (protocol B), a quantitative method that incorporated maximum standardized uptake value (SUVmax) (protocol C), and a combination of PET/CT, SUVmax, gender, and age (protocol D), obtained data were subjected to ROC curve analyses. CONCLUSIONS: Deep learning with 3D DCNN in combination with FDG-PET/CT imaging results as well as clinical features comprise a novel potential tool shows flexibility for differential diagnosis of MPM.
    Impact Journals, {LLC}, Jun. 2021, Oncotarget, 12(12) (12), 1187 - 1196, English, International magazine
    Scientific journal

  • Yasuyuki Kojita, Hidetoshi Matsuo, Tomonori Kanda, Mizuho Nishio, Keitaro Sofue, Munenobu Nogami, Atsushi K Kono, Masatoshi Hori, Takamichi Murakami
    OBJECTIVES: To evaluate a deep learning model for predicting gestational age from fetal brain MRI acquired after the first trimester in comparison to biparietal diameter (BPD). MATERIALS AND METHODS: Our Institutional Review Board approved this retrospective study, and a total of 184 T2-weighted MRI acquisitions from 184 fetuses (mean gestational age: 29.4 weeks) who underwent MRI between January 2014 and June 2019 were included. The reference standard gestational age was based on the last menstruation and ultrasonography measurements in the first trimester. The deep learning model was trained with T2-weighted images from 126 training cases and 29 validation cases. The remaining 29 cases were used as test data, with fetal age estimated by both the model and BPD measurement. The relationship between the estimated gestational age and the reference standard was evaluated with Lin's concordance correlation coefficient (ρc) and a Bland-Altman plot. The ρc was assessed with McBride's definition. RESULTS: The ρc of the model prediction was substantial (ρc = 0.964), but the ρc of the BPD prediction was moderate (ρc = 0.920). Both the model and BPD predictions had greater differences from the reference standard at increasing gestational age. However, the upper limit of the model's prediction (2.45 weeks) was significantly shorter than that of BPD (5.62 weeks). CONCLUSIONS: Deep learning can accurately predict gestational age from fetal brain MR acquired after the first trimester. KEY POINTS: • The prediction of gestational age using ultrasound is accurate in the first trimester but becomes inaccurate as gestational age increases. • Deep learning can accurately predict gestational age from fetal brain MRI acquired in the second and third trimester. • Prediction of gestational age by deep learning may have benefits for prenatal care in pregnancies that are underserved during the first trimester.
    Jun. 2021, European radiology, 31(6) (6), 3775 - 3782, English, International magazine
    Scientific journal

  • 超高精細CTのための深層学習に基づくイメージ超解像処理(Deep-learning-based Image Super Resolution for Super High-resolution Computed Tomography)
    Nishio Mizuho, Yamagishi Yosuke, Matsuo Hidetoshi, Kagawa Kiyosumi, Negi Noriyuki, Kono Atsushi, Murakami Takamichi
    (公社)日本医学放射線学会, Mar. 2021, 日本医学放射線学会学術集会抄録集, 80回, S203 - S203, English

  • 深層学習を用いたZTE MRIによる胸部PET/MRIの吸収補正に関する定量的検証
    野上 宗伸, 松尾 秀俊, 西尾 瑞穂, 曽 菲比, 犬養 純子, 立花 美保, 栗本 貴子, 久保 和広, 村上 卓道
    (一社)日本核医学会, 2021, 核医学, 58(Suppl.) (Suppl.), S196 - S196, English

  • 深層学習を用いたZTE MRIによる胸部PET/MRIの吸収補正に関する定量的検証
    野上 宗伸, 松尾 秀俊, 西尾 瑞穂, 曽 菲比, 犬養 純子, 立花 美保, 栗本 貴子, 久保 和広, 村上 卓道
    (一社)日本核医学会, 2021, 核医学, 58(Suppl.) (Suppl.), S196 - S196, English

  • 田原 潤子, 田中 千賀, 松尾 秀俊, 神田 知紀, 神保 直江, 伊藤 智雄, 田中 雄悟, 眞庭 謙昌
    金原出版(株), Jan. 2021, 臨床放射線, 66(1) (1), 59 - 64, Japanese

  • Mizuho Nishio, Koji Fujimoto, Hidetoshi Matsuo, Chisako Muramatsu, Ryo Sakamoto, Hiroshi Fujita
    Purpose: The purpose of this study was to develop and evaluate lung cancer segmentation with a pretrained model and transfer learning. The pretrained model was constructed from an artificial dataset generated using a generative adversarial network (GAN). Materials and Methods: Three public datasets containing images of lung nodules/lung cancers were used: LUNA16 dataset, Decathlon lung dataset, and NSCLC radiogenomics. The LUNA16 dataset was used to generate an artificial dataset for lung cancer segmentation with the help of the GAN and 3D graph cut. Pretrained models were then constructed from the artificial dataset. Subsequently, the main segmentation model was constructed from the pretrained models and the Decathlon lung dataset. Finally, the NSCLC radiogenomics dataset was used to evaluate the main segmentation model. The Dice similarity coefficient (DSC) was used as a metric to evaluate the segmentation performance. Results: The mean DSC for the NSCLC radiogenomics dataset improved overall when using the pretrained models. At maximum, the mean DSC was 0.09 higher with the pretrained model than that without it. Conclusion: The proposed method comprising an artificial dataset and a pretrained model can improve lung cancer segmentation as confirmed in terms of the DSC metric. Moreover, the construction of the artificial dataset for the segmentation using the GAN and 3D graph cut was found to be feasible.
    2021, Frontiers in artificial intelligence, 4, 694815 - 694815, English, International magazine
    Scientific journal

  • Hidetoshi Matsuo, Mizuho Nishio, Tomonori Kanda, Yasuyuki Kojita, Atsushi K Kono, Masatoshi Hori, Masanori Teshima, Naoki Otsuki, Ken-Ichi Nibu, Takamichi Murakami
    We hypothesized that, in discrimination between benign and malignant parotid gland tumors, high diagnostic accuracy could be obtained with a small amount of imbalanced data when anomaly detection (AD) was combined with deep leaning (DL) model and the L2-constrained softmax loss. The purpose of this study was to evaluate whether the proposed method was more accurate than other commonly used DL or AD methods. Magnetic resonance (MR) images of 245 parotid tumors (22.5% malignant) were retrospectively collected. We evaluated the diagnostic accuracy of the proposed method (VGG16-based DL and AD) and that of classification models using conventional DL and AD methods. A radiologist also evaluated the MR images. ROC and precision-recall (PR) analyses were performed, and the area under the curve (AUC) was calculated. In terms of diagnostic performance, the VGG16-based model with the L2-constrained softmax loss and AD (local outlier factor) outperformed conventional DL and AD methods and a radiologist (ROC-AUC = 0.86 and PR-ROC = 0.77). The proposed method could discriminate between benign and malignant parotid tumors in MR images even when only a small amount of data with imbalanced distribution is available.
    Nov. 2020, Scientific reports, 10(1) (1), 19388 - 19388, English, International magazine
    [Refereed]
    Scientific journal

  • Mizuho Nishio, Shunjiro Noguchi, Hidetoshi Matsuo, Takamichi Murakami
    This study aimed to develop and validate computer-aided diagnosis (CXDx) system for classification between COVID-19 pneumonia, non-COVID-19 pneumonia, and the healthy on chest X-ray (CXR) images. From two public datasets, 1248 CXR images were obtained, which included 215, 533, and 500 CXR images of COVID-19 pneumonia patients, non-COVID-19 pneumonia patients, and the healthy samples, respectively. The proposed CADx system utilized VGG16 as a pre-trained model and combination of conventional method and mixup as data augmentation methods. Other types of pre-trained models were compared with the VGG16-based model. Single type or no data augmentation methods were also evaluated. Splitting of training/validation/test sets was used when building and evaluating the CADx system. Three-category accuracy was evaluated for test set with 125 CXR images. The three-category accuracy of the CAD system was 83.6% between COVID-19 pneumonia, non-COVID-19 pneumonia, and the healthy. Sensitivity for COVID-19 pneumonia was more than 90%. The combination of conventional method and mixup was more useful than single type or no data augmentation method. In conclusion, this study was able to create an accurate CADx system for the 3-category classification. Source code of our CADx system is available as open source for COVID-19 research.
    Oct. 2020, Scientific reports, 10(1) (1), 17532 - 17532, English, International magazine
    [Refereed]
    Scientific journal

  • 胸部PET/MRIの吸収補正 別症例のCTを用いてZTEから偽CTを深層学習により作成する検討
    野上 宗伸, 松尾 秀俊, 西尾 瑞穂, 曽 菲比, 犬養 純子, Wiesinger Florian, Kaushik Sandeep, 栗本 貴子, 久保 和広, 村上 卓道
    (一社)日本核医学会, Oct. 2020, 核医学, 57(Suppl.) (Suppl.), S157 - S157, English

  • Shinichi Fukuhara, Tomohiro Sameshima, Hidetoshi Matsuo, Tamaki Ohashi
    BACKGROUND: Although fractures of the sternum are rare in young children, owing to the compliance of the chest wall, these fractures are still possible and require thorough examination. We present a case that emphasizes the usefulness of point-of-care ultrasound in the diagnosis of a pediatric sternal fracture complicated by a subcutaneous abscess. CASE REPORT: A 5-year-old boy presented with tenderness of the sternum, with diffuse swelling extending bilaterally to the anterior chest wall. Ultrasound imaging identified irregular alignment of the sternum with a subcutaneous abscess and swirling of purulent material within the abscess in the fracture area. These findings were confirmed on enhanced chest computed tomography and had not been visible at the time of the first evaluation 6 days prior. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Our case demonstrates the usefulness of point-of-care ultrasound for the diagnosis and appropriate management of a sternal fracture complicated by a subcutaneous abscess in a young child. As ultrasound imaging is easy to perform at the bedside, it is useful for examining pediatric patients with swelling of the anterior chest and local tenderness of the sternum to rule out a sternal fracture, even if these fractures are deemed to be uncommon in children.
    May 2019, The Journal of emergency medicine, 56(5) (5), 536 - 539, English, International magazine
    [Refereed]
    Scientific journal

  • 巨大肺仮性動脈瘤に対してコイルおよびvascular plugで塞栓術を行った1例
    松尾 秀俊, 魚谷 健祐, 松永 卓明, 宮永 洋人, 伊藤 貴代, 山崎 愉子, 濱中 章洋, 久島 健之
    (一社)日本インターベンショナルラジオロジー学会, Nov. 2018, IVR: Interventional Radiology, 33(3) (3), 319 - 319, Japanese

■ MISC
  • 放射線技術学研究におけるPythonの活用術 応用編(11)胸部単純X線写真の診断レポートの自動作成
    西尾 瑞穂, 松尾 秀俊, 松永 卓明
    京都 : 日本放射線技術学会, Jun. 2024, 日本放射線技術学会雑誌 = Japanese journal of radiological technology, 80(6) (6), 673 - 678, Japanese

  • 胸部PET/MRIの減弱補正:高速Zero-TE MRIを用いた深層学習によるノイズ除去および擬似CT生成
    野上宗伸, 野上宗伸, 松尾秀俊, 西尾瑞穂, 立花美保, 井上純子, 曽菲比, 久保和広, 栗本貴子, 村上卓道, 村上卓道
    2023, 核医学(Web), 60(Supplement) (Supplement)

  • ZTE MRIから2.5次元法深層学習で生成した骨要素を含む減弱補正が胸部領域のSUVに与える影響
    立花美保, 野上宗伸, 野上宗伸, 松尾秀俊, 西尾瑞穂, 井上純子, 曽菲比, 栗本貴子, 久保和広, 村上卓道, 村上卓道
    2023, 核医学(Web), 60(Supplement) (Supplement)

  • Accurate prediction model of pulmonary artery mean pressure using minimally invasive examinations in chronic thromboembolic pulmonary hypertension patients
    吉井隆浩, 松尾秀俊, 高橋真依, 西尾瑞穂, 河野淳, 谷口悠, 平田健一, 村上卓道
    2021, 医療情報学連合大会論文集(CD-ROM), 41st

  • 深層学習を用いたZTE MRIによる胸部PET/MRIの吸収補正に関する定量的検証
    野上宗伸, 松尾秀俊, 西尾瑞穂, 曽菲比, 犬養純子, 立花美保, 栗本貴子, 久保和広, 村上卓道, 村上卓道
    2021, 核医学(Web), 58(Supplement) (Supplement)

  • Development of a Duty Schedule Generation System Using Genetic Algorithm in a University Hospital
    松尾秀俊, 松永卓明, 佐々木康二, 岡田卓也, 西尾瑞穂, 河野淳, 村上卓道
    2021, 医療情報学連合大会論文集(CD-ROM), 41st

  • Development of Deep Learning Model for COVID-19 Pneumonia in Chest X-ray Images
    西尾瑞穂, 小林大悟, 松尾秀俊, 西岡瑛子, 浦瀬靖代, 尾上宏治, 石藏礼一, 村上卓道
    2021, 医用画像情報学会雑誌(Web), 38(2) (2)

  • MR画像とDeep learningを用いた耳下腺腫瘍の良悪性判別の試み
    松尾 秀俊
    (一社)神緑会, Dec. 2020, 神緑会学術誌, 36, 60 - 61, Japanese

  • 胸部PET/MRIの吸収補正 別症例のCTを用いてZTEから偽CTを深層学習により作成する検討
    野上 宗伸, 松尾 秀俊, 西尾 瑞穂, 曽 菲比, 犬養 純子, Wiesinger Florian, Kaushik Sandeep, 栗本 貴子, 久保 和広, 村上 卓道
    (一社)日本核医学会, Oct. 2020, 核医学, 57(Suppl.) (Suppl.), S157 - S157, English

  • 最新技術とIVR 深層学習を用いた人工知能の基本とIVRにおける臨床応用の可能性
    松尾 秀俊
    (一社)日本インターベンショナルラジオロジー学会, Aug. 2020, 日本インターベンショナルラジオロジー学会雑誌, 35(Suppl.) (Suppl.), 126 - 126, Japanese

  • 小路田 泰之, 神田 知紀, 松尾 秀俊
    (株)学研メディカル秀潤社, Aug. 2020, 画像診断, 40(10) (10), 1056 - 1059, Japanese

  • 胎児MRIの頭部画像を用いたディープラーニングによる胎児の週数予測
    小路田泰之, 松尾秀俊, 神田知紀, 西尾瑞穂, 河野淳, 祖父江慶太郎, 野上宗伸, 村上卓道
    2020, 日本神経放射線学会プログラム・抄録集, 49th

  • 胸部PET/MRIの吸収補正:別症例のCTを用いてZTEから偽CTを深層学習により作成する検討
    野上宗伸, 松尾秀俊, 西尾瑞穂, 曽菲比, 犬養純子, WIESINGER Florian, KAUSHIK Sandeep, 栗本貴子, 久保和広, 村上卓道
    2020, 核医学(Web), 57(Supplement) (Supplement)

  • アミロイド沈着により著明な石灰化を呈した前縦隔リンパ腫の1例
    松尾 秀俊, 岸田 雄治, 神田 知紀, 神保 直江, 伊藤 智雄, 田中 雄悟, 眞庭 謙昌, 村上 卓道
    (公社)日本医学放射線学会, Sep. 2019, 日本医学放射線学会秋季臨床大会抄録集, 55回, S550 - S550, Japanese

  • Chronic kidney disease(CKD)患者に対し炭酸ガス造影を用いたEVARの検討
    宮永 洋人, 魚谷 健祐, 濱中 章洋, 松尾 秀俊, 松永 卓明, 山崎 愉子, 久島 健之, 濱口 真里, 松枝 崇, 深瀬 圭吾, 杉本 貴樹, 杉本 幸司
    (一社)日本インターベンショナルラジオロジー学会, May 2019, 日本インターベンショナルラジオロジー学会雑誌, 34(Suppl.) (Suppl.), 257 - 257, Japanese

■ Lectures, oral presentations, etc.
  • A Multilingual Approach to Structured Data Extraction from Radiological Reports using Large Language Models: Focus on TNM Staging Accuracy
    Hidetoshi Matsuo
    ECR 2024 - European Congress of Radiology, Feb. 2024, English
    Poster presentation

  • Diagnostic accuracy of AI detection of intracranial hemorrhage using vision transformers and large datasets: Application to post-mortem CT
    Hidetoshi Matsuo
    ECR 2023 - European Congress of Radiology, Mar. 2023, English
    Poster presentation

  • 基礎から学ぶAI技術~deep learningって何?~
    松尾秀俊
    最先端医療画像研究会, Nov. 2022

  • Prognostic prediction of patients with malignant mesothelioma using 3D PET images and clinical data with self-supervised learning
    Hidetoshi Matsuo, Kazuhiro Kitajima, Atsushi Kono, Kozo Kuribayashi, Masaki Hashimoto, Takamichi Murakami
    ECR 2022 - European Congress of Radiology, Jul. 2022, English

  • 基礎から学ぶAI技術~deep learningって何?~
    松尾 秀俊
    播淡画像診断研究会, Feb. 2022
    [Invited]

  • Identification of Malignant Pleural Mesothelioma by Artificial Intelligent combining 3D structure of Positron Emission Tomography Images and Clinical Data
    Matsuo H, Kitajima K, Kono A, Kuribayashi K, Hashimoto M, Murakami T
    ECR 2021 - European Congress of Radiology

  • Anomaly Detection for a Small Amount and Highly Biased Dataset: Discrimination of Magnetic Resonance Images between Benign and Malignant Parotid Tumors
    Hidetoshi Matsuo, Mizuho Nishio, Tomonori Kanda, Atsushi K. Kono, Masanori Teshima, Naoki Otsuki, Kenichi Nibu, Takamichi Murakami
    RSNA 2020 - Annual meeting of Radiological Society of North America

  • Basics of Artificial Intelligence Using Deep Learning and Possibility of Clinical Application in IVR
    Hidetoshi Matsuo
    第49回日本 IVR 学会総会, Aug. 2020, Japanese
    [Invited]

  • Classification of MR Images between Benign and Malignant Parotid Tumors using Deep Learning.
    H. Matsuo, Y. Kojita, M. Nishio, T. Kanda, A. Kono, N. Otsuki, K.-I. Nibu, T. Murakami
    ECR 2020 - European Congress of Radiology

■ Research Themes
  • Development of a Novel Attenuation Correction Method for Integrated PET/MRI Systems
    野上 宗伸, 松尾 秀俊, 辻川 哲也, 岡沢 秀彦
    Japan Society for the Promotion of Science, Grants-in-Aid for Scientific Research, Grant-in-Aid for Scientific Research (C), Kobe University, 01 Apr. 2024 - 31 Mar. 2029

  • Multitask Image-Natural Language Correspondence Model Development using Large-Scale Medical Image Dataset
    松尾 秀俊
    Japan Society for the Promotion of Science, Grants-in-Aid for Scientific Research, Grant-in-Aid for Early-Career Scientists, Kobe University, 01 Apr. 2023 - 31 Mar. 2028

  • Application of large language models to medical natural language processing
    西尾 瑞穂, 藤本 晃司, 松尾 秀俊
    Japan Society for the Promotion of Science, Grants-in-Aid for Scientific Research, Fund for the Promotion of Joint International Research (International Collaborative Research), Kobe University, 08 Sep. 2023 - 31 Mar. 2026

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