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改良分水岭算法下磁共振成像分析后路治疗腰椎布鲁氏菌性脊柱炎伴脓肿的疗效

Analysis of the Curative Effect of Posterior Approach on Lumbar Brucellar Spondylitis with Abscess through Magnetic Resonance Imaging under Improved Watershed Algorithm.

作者信息

Feng Zuoji, Wang Xiaomei, Yin Xiling, Han Jingqi, Tang Weijie

机构信息

Department of Orthopaedics, Huangdao District Hospital of Traditional Chinese Medicine, Qingdao 266500, China.

Operating Room, Huangdao District Hospital of Traditional Chinese Medicine, Qingdao 266500, China.

出版信息

Contrast Media Mol Imaging. 2021 Jul 10;2021:1933706. doi: 10.1155/2021/1933706. eCollection 2021.

Abstract

To explore the performance of improved watershed algorithm in processing magnetic resonance imaging (MRI) images and the effect of the processed images on the treatment of lumbar brucellar spondylitis (BS) with abscess by the posterior approach, the watershed algorithm was improved by adding constraints such as noise reduction and regional area attribute. 50 patients with abscessed lumbar disc herniation admitted to the hospital from January 2018 to January 2019 were selected, and all of them were examined by MRI. They were rolled into two groups in random. The treatment group ( = 25) accepted surgery with the aid of MRI images processed by the improved watershed algorithm, and the control group (Ctrl group) ( = 25) accepted surgery with the aid of unprocessed MRI images. The improved watershed algorithm can accurately segment the spine, and the segmentation results were relatively excellent. In contrast with the unprocessed MRI image, that processed by the improved watershed algorithm had a positive effect on the operation. In contrast with the Ctrl group, the visual analogue scale pain score (VAS), oxygen desaturation index (ODI), erythrocyte sedimentation rate (ESR), and high sensitivity C-reactive protein (CRP) were obviously lower ( < 0.05). The improved watershed algorithm proposed performs better in MRI image processing and can effectively enhance the resolution of MRI images. At the same time, the posterior approach has a good effect in the treatment of lumbar BS with abscess and is worthy of clinical promotion.

摘要

为探讨改进的分水岭算法在处理磁共振成像(MRI)图像中的性能以及处理后的图像对后路治疗腰椎布鲁氏菌性脊柱炎(BS)合并脓肿的效果,通过添加降噪和区域面积属性等约束条件对分水岭算法进行改进。选取2018年1月至2019年1月收治的50例腰椎间盘突出合并脓肿患者,均行MRI检查。将其随机分为两组。治疗组(n = 25)借助改进的分水岭算法处理后的MRI图像接受手术,对照组(Ctrl组)(n = 25)借助未处理的MRI图像接受手术。改进的分水岭算法能够准确分割脊柱,分割结果较为优异。与未处理的MRI图像相比,经改进的分水岭算法处理后的图像对手术有积极作用。与Ctrl组相比,治疗组视觉模拟评分法疼痛评分(VAS)、氧饱和度下降指数(ODI)、红细胞沉降率(ESR)及高敏C反应蛋白(CRP)明显更低(P < 0.05)。所提出的改进分水岭算法在MRI图像处理中表现更佳,能够有效提高MRI图像分辨率。同时,后路手术在治疗腰椎BS合并脓肿方面效果良好,值得临床推广。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b32b/8292047/fdf07726866b/CMMI2021-1933706.001.jpg

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