Exploring AI-based System Design for Pixel-level Protected Health Information Detection in Medical Images
- URL: http://arxiv.org/abs/2501.09552v3
- Date: Tue, 29 Apr 2025 12:35:25 GMT
- Title: Exploring AI-based System Design for Pixel-level Protected Health Information Detection in Medical Images
- Authors: Tuan Truong, Ivo M. Baltruschat, Mark Klemens, Grit Werner, Matthias Lenga,
- Abstract summary: We present an AI-based pipeline for PHI detection comprising text detection, text extraction, and text analysis.<n>We benchmark three models, YOLOv11, EasyOCR, and GPT-4o, across different setups corresponding to these components.<n>The combination of YOLOv11 for text localization and GPT-4o for extraction and analysis yields the best results.
- Score: 0.5825410941577593
- License: http://creativecommons.org/licenses/by/4.0/
- Abstract: De-identification of medical images is a critical step to ensure privacy during data sharing in research and clinical settings. The initial step in this process involves detecting Protected Health Information (PHI), which can be found in image metadata or imprinted within image pixels. Despite the importance of such systems, there has been limited evaluation of existing AI-based solutions, creating barriers to the development of reliable and robust tools. In this study, we present an AI-based pipeline for PHI detection, comprising three key components: text detection, text extraction, and text analysis. We benchmark three models, YOLOv11, EasyOCR, and GPT-4o, across different setups corresponding to these components, evaluating the performance based on precision, recall, F1 score, and accuracy. All setups demonstrate excellent PHI detection, with all metrics exceeding 0.9. The combination of YOLOv11 for text localization and GPT-4o for extraction and analysis yields the best results. However, this setup incurs higher costs due to GPT-4o's token generation. Conversely, an end-to-end pipeline that relies solely on GPT-4o shows lower performance but highlights the potential of multimodal models for complex tasks. We recommend fine-tuning a dedicated object detection model and utilizing built-in OCR tools to achieve optimal performance and cost-effectiveness. Additionally, leveraging language models such as GPT-4o can facilitate thorough and flexible analysis of text content.
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