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基于 OS-LALM-OGM 算法的计算机断层扫描图像在经导管主动脉瓣植入术前患者特征和合并症中的应用。

OS-LALM-OGM Algorithm-Based Computed Tomography Image for Characteristics and Comorbidities of Patients before Transcatheter Aortic Valve Implantation.

机构信息

Department of Radiology, Hunan Provincial People's Hospital, First Affiliated Hospital of Hunan Normal University, Changsha 410002, Hunan, China.

Department of Cardiology, Hunan Provincial People's Hospital, First Affiliated Hospital of Hunan Normal University, Changsha 410002, Hunan, China.

出版信息

J Healthc Eng. 2021 Nov 11;2021:3631208. doi: 10.1155/2021/3631208. eCollection 2021.

Abstract

Based on the ordered subsets (OS), a linear augmentation Lagrangian method (OS-LALM) was constructed, which was then combined with the optimized gradient method (OGM) to construct the OS-LALM-OGM, so as to discuss application of the computed tomography (CT) images based on OS-LALM-OGM in evaluation of clinical manifestations and complications of patients before transcatheter aortic valve implantation (TAVI). The OS-LALM-OGM was compared with the filtered back projection (FBP) and OS-LALM. In addition, it was applied to evaluate the conditions of 128 patients before TAVI. It was found that the peak signal-to-noise ratio (PSNR) of OS-LALM-OGM was greater than that of the FBP and OS-LALM when the number of iterations was 5, 20, and 40, while the root mean square error (RMSD) was the opposite ( < 0.05). The proportion of dyspnea was the highest, 38.28%, followed by angina (19.53%) and fainting (21.09%). The long diameter of the annulus and the average inner diameter of the annulus measured by the CT image based on the OS-LALM-OGM algorithm were greatly larger than the inner diameter of the aortic annulus measured by the CT based on the FBP algorithm ( < 0.05); the evaluation sensitivity (95.24%) and specificity (85.85%) of CT based on the OS-LALM-OGM algorithm were obviously greater than those of X-ray, which were 84.43% and 76.77%, respectively ( < 0.05). In short, the OS-LALM-OGM proposed had a relatively excellent effect on CT image reconstruction. The CT image based on the OS-LALM-OGM algorithm showed a better evaluation performance for patients before TAVI than the traditional FBP algorithm, showing higher sensitivity and specificity.

摘要

基于有序子集(OS),构建了一种线性增广拉格朗日方法(OS-LALM),并与优化梯度法(OGM)相结合,构建了 OS-LALM-OGM,探讨了基于 OS-LALM-OGM 的 CT 图像在经导管主动脉瓣植入术(TAVI)前患者临床表现和并发症评估中的应用。将 OS-LALM-OGM 与滤波反投影(FBP)和 OS-LALM 进行了比较,并将其应用于 128 例 TAVI 前患者的评估。结果发现,当迭代次数为 5、20 和 40 时,OS-LALM-OGM 的峰值信噪比(PSNR)大于 FBP 和 OS-LALM,而均方根误差(RMSD)则相反(<0.05)。呼吸困难的比例最高,为 38.28%,其次是心绞痛(19.53%)和晕厥(21.09%)。基于 OS-LALM-OGM 算法的 CT 图像测量的瓣环长径和瓣环平均内直径明显大于基于 FBP 算法的 CT 测量的主动脉瓣环内直径(<0.05);基于 OS-LALM-OGM 算法的 CT 评估敏感性(95.24%)和特异性(85.85%)明显大于 X 射线的 84.43%和 76.77%(<0.05)。总之,提出的 OS-LALM-OGM 对 CT 图像重建具有较好的效果。基于 OS-LALM-OGM 算法的 CT 图像对 TAVI 前患者的评估效果优于传统 FBP 算法,具有更高的敏感性和特异性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b02c/8601807/70729ea2012f/JHE2021-3631208.001.jpg

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