Hu Tao, Lei Yu, Su Jiabin, Yang Heng, Ni Wei, Gao Chao, Yu Jinhua, Wang Yuanyuan, Gu Yuxiang
Department of Electronic Engineering, Fudan University, Shanghai, China.
Department of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, China.
Int J Neurosci. 2023 May;133(5):512-522. doi: 10.1080/00207454.2021.1929214. Epub 2021 Nov 23.
Moyamoya disease (MMD) is a serious intracranial cerebrovascular disease. Cerebral hemorrhage caused by MMD will bring life risk to patients. Therefore, MMD detection is of great significance in the prevention of cerebral hemorrhage. In order to improve the accuracy of digital subtraction angiography (DSA) in the diagnosis of ischemic MMD, in this paper, a deep network architecture combined with 3D convolutional neural network (3D CNN) and bidirectional convolutional gated recurrent unit (BiConvGRU) is proposed to learn the spatiotemporal features for ischemic MMD detection.
Firstly, 2D convolutional neural network (2D CNN) is utilized to extract spatial features for each frame of DSA. Secondly, the long-term spatiotemporal features of DSA sequence are extracted by BiConvGRU. Thirdly, the short-term spatiotemporal features of DSA are further extracted by 3D convolutional neural network (3D CNN). In addition, different features are extracted when gray images and optical flow images pass through the network, and multiple features are extracted by features fusion. Finally, the fused features are utilized to classify.
The proposed method was quantitatively evaluated on a data sets of 630 cases. The experimental results showed a detection accuracy of 0.9788, sensitivity and specificity were 0.9780 and 0.9796, respectively, and area under curve (AUC) was 0.9856. Compared with other methods, we can get the highest accuracy and AUC.
The experimental results show that the proposed method is stable and reliable for ischemic MMD detection, which provides an option for doctors to accurately diagnose ischemic MMD.
烟雾病(MMD)是一种严重的颅内脑血管疾病。烟雾病引起的脑出血会给患者带来生命危险。因此,烟雾病检测在预防脑出血方面具有重要意义。为了提高数字减影血管造影(DSA)对缺血性烟雾病诊断的准确性,本文提出一种结合三维卷积神经网络(3D CNN)和双向卷积门控循环单元(BiConvGRU)的深度网络架构,用于学习缺血性烟雾病检测的时空特征。
首先,利用二维卷积神经网络(2D CNN)提取DSA每帧的空间特征。其次,通过BiConvGRU提取DSA序列的长期时空特征。第三,通过三维卷积神经网络(3D CNN)进一步提取DSA的短期时空特征。此外,灰度图像和光流图像通过网络时提取不同特征,并通过特征融合提取多种特征。最后,利用融合后的特征进行分类。
在一个包含630例病例的数据集上对所提方法进行了定量评估。实验结果显示检测准确率为0.9788,灵敏度和特异性分别为0.9780和0.9796,曲线下面积(AUC)为0.9856。与其他方法相比,我们能获得最高的准确率和AUC。
实验结果表明,所提方法对缺血性烟雾病检测稳定可靠,为医生准确诊断缺血性烟雾病提供了一种选择。