Intracardiac Catheter Room, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang, 441021 Hubei, China.
Comput Math Methods Med. 2022 Jan 17;2022:5876132. doi: 10.1155/2022/5876132. eCollection 2022.
The objective of this study was to explore the application value of digital subtraction angiography (DSA) images optimized by deep learning algorithms in vascular restenosis patients undergoing cardiovascular intervention and their nursing efficacy. In this study, a network model for removing artifacts was constructed based on a deep algorithm. 60 patients with coronary artery restenosis were selected as the research objects, and they were randomly divided into the CTA group guided by CT angiography (CTA) and digital subtraction angiography (DSA) group, with 30 cases in each group. The antiartifact network model constructed based on the depth algorithm was applied to the images of CTA and DSA for experiments. After cardiovascular intervention and clinical pathway nursing intervention, it was found that the diameter stenosis rate in the DSA group decreased from 65.82 ± 12.9% to 4.7 ± 1.3%, and the area stenosis rate decreased from 88.4 ± 14.3% to 5.4 ± 1.7%. During the follow-up period of 3-24 months, 3 out of 46 lesions in the DSA group showed restenosis, so the restenosis rate was 6.5%, which was significantly lower than the 18.4% in the CTA group ( < 0.05). In the DSA group, there was 1 case of bleeding, 0 case of hematoma, 2 cases of urinary retention, and 0 case of hypotension, so the total incidence of adverse reactions was 10%, which was significantly lower than the 30% of the CTA group ( < 0.05). The high-sensitivity C-reactive protein (hs-CRP) levels of the two groups of patients were 3.58 ± 2.02 mg/L and 4.36 ± 3.11 mg/L before surgery and 3.49 ± 2.18 mg/L and 4.57 ± 3.4 mg/L after the surgery. The postoperative hs-CRP level in the CTA group was slightly lower than that before the surgery and the postoperative hs-CRP level in the DSA group was slightly higher than that before the surgery, but they were not statistically significant ( > 0.05). The hs-CRP level of the DSA group before and after the surgery was slightly higher than that of the CTA group, but there was no significant difference ( > 0.05). In summary, the network model based on the deep learning algorithm can remove the artifacts in DSA images and present high-quality clear images, and convolutional neural network (CNN) algorithms had a strong ability to automatically learn features in the field of medical image processing and were worthy of being widely used and popularized. In addition, the DSA-guided intervention can reduce the rate of vascular stenosis in patients, showing low probability of postoperative restenosis and adverse reactions and a good clinical effect.
本研究旨在探讨深度学习算法优化的数字减影血管造影(DSA)图像在心血管介入治疗后血管再狭窄患者中的应用价值及其护理效果。本研究构建了一种基于深度算法的去伪影网络模型。选择 60 例冠状动脉再狭窄患者作为研究对象,随机分为 CT 血管造影(CTA)指导下的 CTA 组和数字减影血管造影(DSA)组,每组 30 例。将基于深度算法构建的抗伪影网络模型应用于 CTA 和 DSA 的图像进行实验。经过心血管介入和临床路径护理干预后,发现 DSA 组的直径狭窄率从 65.82±12.9%降至 4.7±1.3%,面积狭窄率从 88.4±14.3%降至 5.4±1.7%。在 3-24 个月的随访期间,DSA 组的 46 个病变中有 3 个出现再狭窄,再狭窄率为 6.5%,明显低于 CTA 组的 18.4%(<0.05)。DSA 组中,有 1 例出血,0 例血肿,2 例尿潴留,0 例低血压,不良反应总发生率为 10%,明显低于 CTA 组的 30%(<0.05)。两组患者术前高敏 C 反应蛋白(hs-CRP)水平分别为 3.58±2.02mg/L和 4.36±3.11mg/L,术后分别为 3.49±2.18mg/L和 4.57±3.4mg/L。CTA 组术后 hs-CRP 水平略低于术前,DSA 组术后 hs-CRP 水平略高于术前,但均无统计学意义(>0.05)。DSA 组术前和术后 hs-CRP 水平略高于 CTA 组,但差异无统计学意义(>0.05)。综上所述,基于深度学习算法的网络模型可以去除 DSA 图像中的伪影,呈现出高质量的清晰图像,卷积神经网络(CNN)算法在医学图像处理领域具有较强的自动学习特征的能力,值得广泛应用和推广。此外,DSA 引导的介入治疗可以降低患者血管狭窄率,术后再狭窄和不良反应发生率低,临床效果好。