Intensive Care Unit, People's Hospital of Zhongmou, Zhengzhou 451450, Henan, China.
Department of Cardiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan, China.
J Healthc Eng. 2021 Jul 22;2021:4543702. doi: 10.1155/2021/4543702. eCollection 2021.
The clinical characteristics and vascular computed tomography (CT) imaging characteristics of patients were explored so as to assist clinicians in diagnosing patients with atherosclerosis. 316 patients with atherosclerosis who were hospitalized for emergency treatment were treated with rapamycin (RAPA) in the hospital. A group of manually delineated left ventricular myocardia (LVM) on the patient's coronary computed tomography angiography (CCTA) were selected as the region of interest for imaging features extracted. The CCTA images of 80% of patients were randomly selected for training, and those of 20% of patients were used for verification. The correlation matrix method was used to remove redundant image omics features under different correlation thresholds. In the validation set, CCTA diagnostic parameters were about 40 times higher than the manually segmented data. The average dice similarity coefficient was 91.6%. The proposed method also produced a very small centroid distance (mean 1.058 mm, standard deviation 1.245 mm) and volume difference (mean 1.640), with a segmentation time of about 1.45 ± 0.51 s, compared to about 744.8 ± 117.49 s for physician manual segmentation. Therefore, the deep learning model effectively segmented the atherosclerotic lesion area, measured and assisted the diagnosis of future atherosclerosis clinical cases, improved medical efficiency, and accurately identified the patient's lesion area. It had great application potential in helping diagnosis and curative effect analysis of atherosclerosis.
探索了患者的临床特征和血管计算机断层扫描(CT)成像特征,以帮助临床医生诊断动脉粥样硬化患者。316 名因急症住院接受雷帕霉素(RAPA)治疗的动脉粥样硬化患者。选择患者冠状动脉计算机断层扫描血管造影(CCTA)上手动描绘的左心室心肌(LVM)的一组作为提取成像特征的感兴趣区域。随机选择 80%患者的 CCTA 图像进行训练,随机选择 20%患者的 CCTA 图像进行验证。使用相关矩阵方法在不同相关阈值下去除冗余的图像组学特征。在验证集中,CCTA 诊断参数大约是手动分割数据的 40 倍。平均骰子相似系数为 91.6%。与医生手动分割相比,所提出的方法还产生了非常小的质心距离(均值 1.058mm,标准差 1.245mm)和体积差异(均值 1.640),分割时间约为 1.45±0.51s。因此,深度学习模型有效地分割了动脉粥样硬化病变区域,测量并辅助了未来动脉粥样硬化临床病例的诊断,提高了医疗效率,并准确识别了患者的病变区域。它在帮助诊断和分析动脉粥样硬化的疗效方面具有很大的应用潜力。