Department of Nuclear Medicine, Odense University Hospital, 5000, Odense, Denmark.
Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
J Nucl Cardiol. 2022 Aug;29(4):2001-2010. doi: 10.1007/s12350-021-02649-z. Epub 2021 May 12.
BACKGROUND: We aimed to establish and test an automated AI-based method for rapid segmentation of the aortic wall in positron emission tomography/computed tomography (PET/CT) scans. METHODS: For segmentation of the wall in three sections: the arch, thoracic, and abdominal aorta, we developed a tool based on a convolutional neural network (CNN), available on the Research Consortium for Medical Image Analysis (RECOMIA) platform, capable of segmenting 100 different labels in CT images. It was tested on F-sodium fluoride PET/CT scans of 49 subjects (29 healthy controls and 20 angina pectoris patients) and compared to data obtained by manual segmentation. The following derived parameters were compared using Bland-Altman Limits of Agreement: segmented volume, and maximal, mean, and total standardized uptake values (SUVmax, SUVmean, SUVtotal). The repeatability of the manual method was examined in 25 randomly selected scans. RESULTS: CNN-derived values for volume, SUVmax, and SUVtotal were all slightly, i.e., 13-17%, lower than the corresponding manually obtained ones, whereas SUVmean values for the three aortic sections were virtually identical for the two methods. Manual segmentation lasted typically 1-2 hours per scan compared to about one minute with the CNN-based approach. The maximal deviation at repeat manual segmentation was 6%. CONCLUSIONS: The automated CNN-based approach was much faster and provided parameters that were about 15% lower than the manually obtained values, except for SUVmean values, which were comparable. AI-based segmentation of the aorta already now appears as a trustworthy and fast alternative to slow and cumbersome manual segmentation.
背景:我们旨在建立和测试一种基于人工智能的自动方法,用于快速分割正电子发射断层扫描/计算机断层扫描(PET/CT)扫描中的主动脉壁。
方法:为了分割主动脉壁的三个部分:升主动脉、胸主动脉和腹主动脉,我们开发了一种基于卷积神经网络(CNN)的工具,该工具可在 Research Consortium for Medical Image Analysis(RECOMIA)平台上使用,能够对 CT 图像中的 100 个不同标签进行分割。该工具在 49 名受试者(29 名健康对照者和 20 名心绞痛患者)的 F-氟代脱氧葡萄糖 PET/CT 扫描中进行了测试,并与手动分割获得的数据进行了比较。使用 Bland-Altman 协议界限比较了以下衍生参数:分割体积以及最大、平均和总标准化摄取值(SUVmax、SUVmean、SUVtotal)。在 25 个随机选择的扫描中检查了手动方法的可重复性。
结果:CNN 衍生的体积、SUVmax 和 SUVtotal 值均略低(13-17%),而三个主动脉部分的 SUVmean 值对于两种方法几乎相同。手动分割每扫描通常需要 1-2 小时,而基于 CNN 的方法只需大约 1 分钟。重复手动分割的最大偏差为 6%。
结论:基于人工智能的自动方法更快,提供的参数比手动获得的参数低约 15%,除了 SUVmean 值,这两种方法相当。基于人工智能的主动脉分割现在已经成为一种可靠且快速的替代缓慢而繁琐的手动分割的方法。
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