Department of Neonatology, The Affiliated Huai'an No. 1 People's Hospital of Nanjing Medical University, Huai'an 223300, Jiangsu, China.
Department of Neurology, The Affiliated Huai'an No. 1 People's Hospital of Nanjing Medical University, Huai'an 223300, Jiangsu, China.
J Healthc Eng. 2021 Oct 27;2021:6183946. doi: 10.1155/2021/6183946. eCollection 2021.
This study was to explore the application value of chest computed tomography (CT) images processed by artificial intelligence (AI) algorithms in the diagnosis of neonatal bronchial pneumonia (NBP). The AI adaptive statistical iterative reconstruction (ASiR) algorithm was adopted to reconstruct the chest CT image to compare and analyze the effect of the reconstruction of CT image under the ASiR algorithm under different preweight and postweight values based on the objective measurement and subjective evaluation. 85 neonates with pneumonia treated in hospital from September 1, 2015, to July 1, 2020, were selected as the research objects to analyze their CT imaging characteristics. Subsequently, the peripheral blood of healthy neonates during the same period was collected, and the levels of C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) were detected. The efficiency of CT examination, CRP, ESR, and combined examination in the diagnosis of NBP was analyzed. The results showed that the subjective quality score, lung window subjective score, and mediastinal window subjective score were the highest after CT image reconstruction when the preweight value of the ASiR algorithm was 50%. After treatment, 79 NBP cases (92.9%) showed ground-glass features in CT images. Compared with the healthy neonates, the levels of CRP and ESR in the peripheral blood of neonates with bronchial pneumonia were much lower ( < 0.05). The accuracy rates of CT examination, CRP examination, ESR examination, CRP + ESR examination, and CRP + ESR + CT examination for the diagnosis of NBP were 80.7%, 75.3%, 75.1%, 80.3%, and 98.6%, respectively. CT technology based on AI algorithm showed high clinical application value in the feature analysis of NBP.
本研究旨在探讨人工智能(AI)算法处理的胸部计算机断层扫描(CT)图像在新生儿支气管肺炎(NBP)诊断中的应用价值。采用 AI 自适应统计迭代重建(ASiR)算法对胸部 CT 图像进行重建,基于客观测量和主观评价,比较和分析不同预权重和后权重值下 ASiR 算法下 CT 图像重建的效果。选取 2015 年 9 月 1 日至 2020 年 7 月 1 日在我院治疗的 85 例肺炎新生儿为研究对象,分析其 CT 影像学特征。随后,收集同期健康新生儿的外周血,检测 C 反应蛋白(CRP)和红细胞沉降率(ESR)水平。分析 CT 检查、CRP、ESR 及联合检查对 NBP 的诊断效率。结果显示,ASiR 算法的预权重值为 50%时,CT 图像重建后的主观质量评分、肺窗主观评分和纵隔窗主观评分最高。经治疗后,79 例 NBP 病例(92.9%)在 CT 图像中显示磨玻璃样特征。与健康新生儿相比,支气管肺炎新生儿外周血 CRP 和 ESR 水平明显降低(<0.05)。CT 检查、CRP 检查、ESR 检查、CRP+ESR 检查、CRP+ESR+CT 检查对 NBP 的诊断准确率分别为 80.7%、75.3%、75.1%、80.3%和 98.6%。基于 AI 算法的 CT 技术在 NBP 的特征分析中具有较高的临床应用价值。