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卷积神经网络在诊断不孕症中对输卵管通畅性的磁共振成像特征分析与评价。

Magnetic Resonance Imaging Feature Analysis and Evaluation of Tubal Patency under Convolutional Neural Network in the Diagnosis of Infertility.

机构信息

First Clinical Medical College, Nanjing University of Chinese Medicine, Nanjing 210023, Jiangsu, China.

出版信息

Contrast Media Mol Imaging. 2021 Sep 17;2021:5175072. doi: 10.1155/2021/5175072. eCollection 2021.

Abstract

To explore the diagnostic value of MRI image features based on convolutional neural network for tubal unobstructed infertility, 30 infertile female patients were first selected as the research objects, who admitted to the hospital from May 2018 to January 2020. They all underwent routine MRI examinations and CNN-based MR-hysteron-salpingography (HSG) examinations, in order to discuss the diagnostic accuracy of the two examinations. In the research, it was necessary to observe the patients' imaging results, calculate the diagnosis rate of the two examination results, and analyze the application effect of the CNN algorithm, thereby selecting the best reconstruction method. In this study, the analysis was conducted on the basis of no statistical difference in the baseline data of the included patients. The results of undersampling reconstruction at 2-fold, 4-fold, and 6-fold showed that CNN for data consistency layer (CNN_DC) had a better effect, and its peak signal-to-noise ratio (PSNR) was lower sharply than that of the other two reconstruction methods, while the normalized mean square error (NMSE) and structural similarity index measure (SSIM) were higher markedly than the values of the other two reconstruction methods. The diagnostic rate of routine MRI examination of the fallopian tube and other parts of the uterus was lower than or equal to that of MR-HSG examination by CNN. Routine MRI examinations of fallopian tube imaging artifacts were large, and the definition was reduced, which increased the difficulty of identification. However, MR-HSG examination by CNN indicated that the imaging artifacts were low, the clarity was high, and the influence of noise was small, which was conducive to clinical diagnosis and identification. For endometriosis, the accuracy of MR-HSG was 33.33% and the accuracy of MRI was 46.67%. CNN MR-HSG inspection method was significantly better than the conventional MRI inspection method ( < 0.05). Therefore, the results of this study revealed that MR-HSG examination by CNN had a clear imaging effect and obvious inhibition effect on background signals and rapid image generation without the need for reconstruction with the same spatial resolution, which improved the imaging quality and could provide a reference value for clinical diagnosis and subsequent related studies.

摘要

为了探讨基于卷积神经网络的 MRI 图像特征对输卵管通畅性不孕的诊断价值,首先选择了 30 名不孕女性患者作为研究对象,这些患者均于 2018 年 5 月至 2020 年 1 月在我院接受治疗。所有患者均接受常规 MRI 检查和基于卷积神经网络的磁共振子宫输卵管造影(HSG)检查,以探讨两种检查的诊断准确率。研究中,需要观察患者的影像学结果,计算两种检查结果的诊断率,并分析 CNN 算法的应用效果,从而选择最佳的重建方法。本研究在纳入患者的基线数据无统计学差异的基础上进行分析。2 倍、4 倍和 6 倍下欠采样重建的结果表明,具有数据一致性层的卷积神经网络(CNN_DC)效果更好,其峰值信噪比(PSNR)明显低于其他两种重建方法,而归一化均方误差(NMSE)和结构相似性指数度量(SSIM)明显高于其他两种重建方法。常规 MRI 检查对输卵管和子宫其他部位的诊断率低于 CNN 下的 MR-HSG 检查。常规 MRI 检查输卵管成像伪影较大,清晰度降低,增加了识别难度。但是,CNN 下的 MR-HSG 检查表明,成像伪影低,清晰度高,噪声影响小,有利于临床诊断和识别。对于子宫内膜异位症,MR-HSG 的准确率为 33.33%,MRI 的准确率为 46.67%。CNN MR-HSG 检查方法明显优于常规 MRI 检查方法( < 0.05)。因此,本研究结果表明,CNN 下的 MR-HSG 检查具有清晰的成像效果,对背景信号有明显的抑制作用,且图像生成速度快,无需以相同的空间分辨率进行重建,从而提高了成像质量,可为临床诊断及后续相关研究提供参考价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77b7/8464418/01d41f12451c/CMMI2021-5175072.001.jpg

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