Background: Accurate labeling of obstruction site on upright abdominal radiograph is a challenging task. The lack of ground truth leads to poor performance on supervised learning models. To address this issue, self-supervised learning (SSL) is proposed to classify normal, small bowel obstruction (SBO), and large bowel obstruction (LBO) radiographs using a few confirmed samples. Methods: A few number of confirmed and a large number of unlabeled radiographs were categorized based on the ground truth. The SSL model was firstly trained on the unlabeled radiographs, and then fine-tuned on the confirmed radiographs. ResNet50 and VGG16 were used for the embedded base encoders, whose weights and parameters were adjusted during training process. Furthermore, it was tested on an independent dataset, compared with supervised learning models and human interpreters. Finally, the t-SNE and Grad-CAM were used to visualize the model's interpretation.
Study Type
OBSERVATIONAL
Enrollment
4,500
TheFirst Affiliated Hospital of Soochow University
Suzhou, Jiangsu, China
Diagnostic and classification performance
Accuracy, Recall, Precision, F1-score and confusion matrix
Time frame: 1 week
Visualized interpretation of the self-supervised model
Grad-CAM and t-SNE to visualize the interpretation of the SSL model
Time frame: 1 week
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