Xie Zhonghai, Zhang Huaizhong
Huzhou Central Hospital, Huzhou 313000, Zhejiang, China.
Lishui City People's Hospital, Lishui 323000, Zhejiang, China.
J Healthc Eng. 2022 Feb 18;2022:3107965. doi: 10.1155/2022/3107965. eCollection 2022.
This study aimed to explore the effect of deep learning models on lung CT image lung parenchymal segmentation (LPS) and the application value of CT image texture features in the diagnosis of peripheral non-small-cell lung cancer (NSCLC). Data of peripheral lung cancer (PLC) patients was collected retrospectively and was divided into peripheral SCLC group and peripheral NSCLC group according to the pathological examination results, ResNet50 model and feature pyramid network (FPN) algorithm were undertaken to improve the Mask-RCNN model, and after the MaZda software extracted the texture features of the CT images of PLC patients, the Fisher coefficient was used to reduce the dimensionality, and the texture features of the CT images were analyzed and compared. The results showed that the average Dice coefficients of the 2D CH algorithm, Faster-RCNN, Mask-RCNN, and the algorithm proposed in the validation set were 0.882, 0.953, 0.961, and 0.986, respectively. The accuracy rates were 88.3%, 93.5%, 94.4%, and 97.2%. The average segmentation speeds in lung CT images were 0.289 s/sheet, 0.115 s/sheet, 0.108 s/sheet, and 0.089 s/sheet. The improved deep learning model showed higher accuracy, better robustness, and faster speed than other algorithms in the LPS of CT images. In summary, deep learning can achieve the LPS of CT images and show excellent segmentation efficiency. The texture parameters of GLCM in CT images have excellent differential diagnosis performance for NSCLC and SCLC and potential clinical application value.
本研究旨在探讨深度学习模型对肺CT图像肺实质分割(LPS)的影响以及CT图像纹理特征在周围型非小细胞肺癌(NSCLC)诊断中的应用价值。回顾性收集周围型肺癌(PLC)患者的数据,并根据病理检查结果分为周围型小细胞肺癌组和周围型非小细胞肺癌组,采用ResNet50模型和特征金字塔网络(FPN)算法对Mask-RCNN模型进行改进,经MaZda软件提取PLC患者CT图像的纹理特征后,采用Fisher系数进行降维,对CT图像的纹理特征进行分析比较。结果显示,二维CH算法、Faster-RCNN、Mask-RCNN以及本研究提出算法在验证集中的平均Dice系数分别为0.882、0.953、0.961和0.986,准确率分别为88.3%、93.5%、94.4%和97.2%,肺CT图像平均分割速度分别为0.289 s/张、0.115 s/张、0.108 s/张和0.089 s/张。改进后的深度学习模型在CT图像LPS中比其他算法具有更高的准确率、更好的鲁棒性和更快的速度。综上所述,深度学习可实现CT图像的LPS,且分割效率优异。CT图像中GLCM纹理参数对NSCLC和SCLC具有优异的鉴别诊断性能及潜在临床应用价值。