# Development of Automatic Endotracheal Tube and Carina Detection on Portable Supine Chest Radiographs using Artificial Intelligence

arXiv: https://arxiv.org/abs/2206.03017 · HTML: https://mlsanity.com/paper/2206.03017/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 12 of its 21 references that are in the map.
- First posted on arXiv 7 Jun 2022.

## Builds on (most cited first, 12 of 12)

- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Faster R-CNN: Towards Real-Time Object Detection with Region Proposal Networks](https://mlsanity.com/paper/1506.01497/) (2015)
- [Mask R-CNN](https://mlsanity.com/paper/1703.06870/) (2017)
- [Feature Pyramid Networks for Object Detection](https://mlsanity.com/paper/1612.03144/) (2016)
- [Aggregated Residual Transformations for Deep Neural Networks](https://mlsanity.com/paper/1611.05431/) (2016)
- [MMDetection: Open MMLab Detection Toolbox and Benchmark](https://mlsanity.com/paper/1906.07155/) (2019)
- [Cascade R-CNN: Delving into High Quality Object Detection](https://mlsanity.com/paper/1712.00726/) (2017)
- [R-FCN: Object Detection via Region-based Fully Convolutional Networks](https://mlsanity.com/paper/1605.06409/) (2016)
- [Mask Scoring R-CNN](https://mlsanity.com/paper/1903.00241/) (2019)
- [MaskLab: Instance Segmentation by Refining Object Detection with Semantic and Direction Features](https://mlsanity.com/paper/1712.04837/) (2017)
- [Computer-Aided Assessment of Catheters and Tubes on Radiographs: How Good is Artificial Intelligence for Assessment?](https://mlsanity.com/paper/2002.03413/) (2020)
- [Endotracheal Tube Detection and Segmentation in Chest Radiographs using Synthetic Data](https://mlsanity.com/paper/1908.07170/) (2019)

## Abstract (arXiv)

The image quality of portable supine chest radiographs is inherently poor due to low contrast and high noise. The endotracheal intubation detection requires the locations of the endotracheal tube (ETT) tip and carina. The goal is to find the distance between the ETT tip and the carina in chest radiography. To overcome such a problem, we propose a feature extraction method with Mask R-CNN. The Mask R-CNN predicts a tube and a tracheal bifurcation in an image. Then, the feature extraction method is used to find the feature point of the ETT tip and that of the carina. Therefore, the ETT-carina distance can be obtained. In our experiments, our results can exceed 96% in terms of recall and precision. Moreover, the object error is less than 4.7751± 5.3420 mm, and the ETT-carina distance errors are less than 5.5432± 6.3100 mm. The external validation shows that the proposed method is a high-robustness system. According to the Pearson correlation coefficient, we have a strong correlation between the board-certified intensivists and our result in terms of ETT-carina distance.