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基于深度学习算法的经导管主动脉瓣植入术术前患者及并发症的 CT 图像特征诊断。

CT Image Feature Diagnosis on the Basis of Deep Learning Algorithm for Preoperative Patients and Complications of Transcatheter Aortic Valve Implantation.

机构信息

Cardiovascular Surgery, Fuyang People's Hospital, Fuyang 236000, Anhui, China.

Structure I Ward, Fuwai Hospital, Chinese Academy of Medical Sciences, Beijing 100037, China.

出版信息

J Healthc Eng. 2021 Nov 29;2021:9734612. doi: 10.1155/2021/9734612. eCollection 2021.

Abstract

This work was aimed to explore the role of CT angiography information provided by deep learning algorithm in the diagnosis and complications of the disease focusing on congenital aortic valve disease and severe aortic valve stenosis. 120 patients who underwent ultrasound cardiography for aortic stenosis and underwent transcatheter aortic valve implantation (TAVI) in hospital were selected as the research objects. Patients received CT examination of deep learning algorithm within one week. The measurement methods were long and short diameter method, area method, and perimeter method. The deep learning algorithm was used to measure the long and short diameter, area, and perimeter of the target area before CT image processing. The results showed that the average diameter of long and short diameter measurement was 95% CI (0.84, 0.92), the average diameter of perimeter measurement was 95% CI (0.68, 0.87), and the average diameter of area measurement was 95% CI (0.72, 0.91). Among the 52 patients, 35 cases were hypertension (67%), 13 cases were diabetes (25%), 6 cases were chronic renal insufficiency (Cr > 2 mg/dL) (11%) (2 cases were treated with hemodialysis, 3.8%), 11 patients had chronic pulmonary disease (21%), 9 patients had cerebrovascular disease (17.3%) and atrial flutter and atrial fibrillation. Deep learning can achieve excellent results in CT image processing, and it was of great significance for the diagnosis of TAVI patients, improving the success rate of treatment and the prognosis of patients.

摘要

本研究旨在探讨深度学习算法提供的 CT 血管造影信息在先天性主动脉瓣疾病和严重主动脉瓣狭窄等疾病诊断和并发症中的作用。选取我院 120 例因主动脉瓣狭窄而行超声心动图检查并接受经导管主动脉瓣植入术(TAVI)的患者作为研究对象。患者在一周内接受深度学习算法 CT 检查。测量方法包括长径和短径法、面积法和周长法。深度学习算法用于在 CT 图像预处理前测量目标区域的长径和短径、面积和周长。结果显示,长径和短径测量的平均直径为 95%CI(0.84,0.92),周长测量的平均直径为 95%CI(0.68,0.87),面积测量的平均直径为 95%CI(0.72,0.91)。在 52 例患者中,35 例为高血压(67%),13 例为糖尿病(25%),6 例为慢性肾功能不全(Cr>2mg/dL)(11%)(2 例接受血液透析,3.8%),11 例有慢性肺部疾病(21%),9 例有脑血管病(17.3%)和心房颤动。深度学习可以在 CT 图像处理中取得优异的效果,对 TAVI 患者的诊断具有重要意义,提高了治疗成功率和患者预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea6e/8648451/c7488d3b6cc1/JHE2021-9734612.001.jpg

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