2018 AAPM Annual Meeting
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Session Title: Quantitative Imaging in Radiomics and Machine Learning
Question 1: AI algorithms surveillance post implementation is needed to:
Reference:The ACR Data Science Institute and AI Advisory Group: Harnessing the Power of Artificial Intelligence to Improve Patient Care;McGinty, Geraldine B. et al.; Journal of the American College of Radiology , Volume 15 , Issue 3 , 577 - 579
Choice A:Ensure the on-going safety and accuracy of the algorithm.
Choice B:Monitor bias.
Choice C:Help vendors improve their algorithms.
Choice D:Provide feedback to facilities about algorithm performance for quality improvement.
Choice E:All of the above.
Question 2: The primary goal of validating algorithms is to:
Reference:On fairness and calibration. Geoff Pleiss, Manish Raghavan, Felix Wu, Jon Kleinberg, Kilian Q. Weinberger; 31st Conference on Neural Information Processing Systems (NIPS 2017), Long Beach, CA, USA.
Choice A:Help vendors refine their software.
Choice B:Help train the algorithm.
Choice C:Ensure the algorithm generalizes beyond the training sample and performs without bias.
Choice D:Incorporate clinical knowledge into the software.
Question 3: Which of the following is NOT an algorithm used to generate predictive models in machine learning?
Reference:Niedzielski JS, Yang J, Stingo F, Liao Z, Gomez D, Mohan R, Martel M, Briere T, Court L. A Novel Methodology using CT Imaging Biomarkers to Quantify Radiation Sensitivity in the Esophagus with Application to Clinical Trials. Sci Rep. 2017 Jul 20;7(1):6034.
Choice A:Deep Neural Networks.
Choice B:Random Forrest.
Choice C:Support Vector Machines.
Choice D:K-means clustering.
Question 4: Which of the following is NOT a concern for Machine Learning algorithms applied to clinical data?
Reference:Valdes G, Solberg TD, Heskel M, Ungar L, Simone CB 2nd. Using machine learning to predict radiation pneumonitis in patients with stage I non-small cell lung cancer treated with stereotactic body radiation therapy. Phys Med Biol. 2016 Aug 21;61(16):6105-20.
Choice A:Availability.
Choice B:Susceptibility to overfitting.
Choice C:Interpretability.
Choice D:Accuracy.
Question 5: Which cross validation method is best used to estimate uncertainty ranges of fitted parameters?
Reference:Bradley Efron and Trevor Hastie. Computer Age Statistical Inference. Cambridge: Cambridge University Press. 2017.
Choice A:The Bootstrap.
Choice B:90/10.
Choice C:The Jack-knife.
Question 6: If feature selection is performed prior to a model building step, cross validation should be performed at what point(s)?
Reference:http://www.alfredo.motta.name/cross-validation-done-wrong/ https://lagunita.stanford.edu/c4x/HumanitiesScience/StatLearning/asset/cv_boot.pdf (pages 17-21)
Choice A:For set aside data.
Choice B:For iterative results of the modeling building process.
Choice C:Feature selection plus model building.
Question 7: Conventional radiomics involves segmentation, feature extraction, dimensionality reduction, and machine learning. “Habitat” imaging obviates the need for which step?
Reference:Gatenby RA, Grove O, Gillies RJ. Quantitative Imaging in Cancer Evolution and Ecology. Radiology 269(1):8-15, 2013.
Choice A:Segmentation.
Choice B:Feature extraction.
Choice C:Dimensionality reduction.
Choice D:Machine learning.
Question 8: Conventional radiomics involves segmentation, feature extraction, dimensionality reduction, and machine learning. Deep learning obviates the need for which steps?
Reference:Napel S, Mu W, Perassi B, Aeerts H, Gillies RJ. Quantitative Imaging of Cancer in the Post-genomic Era: Radio(geno)mics, Deep Learning and Habitats. Cancer, 2018 (in press)
Choice A:Segmentation and dimensionality reduction.
Choice B:Segmentation and feature extraction.
Choice C:Segmentation, feature extraction, and dimensionality reduction.
Choice D:Machine learning.
Question 9: Which of the following is the main impediment to development of DL-based quantitative imaging tools?
Reference:Steven E. Dilsizian and Eliot L. Siegel. Artificial Intelligence in Medicine and Cardiac Imaging: Harnessing Big Data and Advanced Computing to Provide Personalized Medical Diagnosis and Treatment. Current Cardiology Reports 16:441, 2014. James A. Brink, Ronald L. Arenson, Thomas M. Grist, Jonathan S. Lewin, Dieter Enzmann. Bits and bytes: the future of radiology lies in informatics and information technology. European Radiology. 27(9):3647–3651, 2017.
Choice A:Lack of interest in applying quantitative measures in clinical practice.
Choice B:Lack of sufficiently large annotated data sets.
Choice C:Lack of demonstrated value for QI tools.
Choice D:Lack of tools to create good annotations.
Choice E:DL-based tools take too long to apply in clinical practice.
Question 10: The only FDA-cleared imaging biomarker is:
Reference:https://www.fda.gov/downloads/Drugs/Guidances/UCM458483.pdf https://www.fda.gov/drugs/developmentapprovalprocess/drugdevelopmenttoolsqualificationprogram/biomarkerqualificationprogram/ucm535383.htm
Choice A:Hippocampal volume for Alzheimer disease.
Choice B:Hippocampal volume for temporal lobe epilepsy.
Choice C:Total kidney volume for polycystic kidney disease.
Choice D:Proton density in fatty liver.
Choice E:Relative cerebral blood volume in glioblastoma.
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