基于超声图像深度学习的肘管综合征诊断
Diagnosis of Cubital Tunnel Syndrome Using Deep Learning on Ultrasonographic Images.
作者信息
Shinohara Issei, Inui Atsuyuki, Mifune Yutaka, Nishimoto Hanako, Yamaura Kohei, Mukohara Shintaro, Yoshikawa Tomoya, Kato Tatsuo, Furukawa Takahiro, Hoshino Yuichi, Matsushita Takehiko, Kuroda Ryosuke
机构信息
Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan.
出版信息
Diagnostics (Basel). 2022 Mar 4;12(3):632. doi: 10.3390/diagnostics12030632.
Although electromyography is the routine diagnostic method for cubital tunnel syndrome (CuTS), imaging diagnosis by measuring cross-sectional area (CSA) with ultrasonography (US) has also been attempted in recent years. In this study, deep learning (DL), an artificial intelligence (AI) method, was used on US images, and its diagnostic performance for detecting CuTS was investigated. Elbow images of 30 healthy volunteers and 30 patients diagnosed with CuTS were used. Three thousand US images were prepared per each group to visualize the short axis of the ulnar nerve. Transfer learning was performed on 5000 randomly selected training images using three pre-trained models, and the remaining images were used for testing. The model was evaluated by analyzing a confusion matrix and the area under the receiver operating characteristic curve. Occlusion sensitivity and locally interpretable model-agnostic explanations were used to visualize the features deemed important by the AI. The highest score had an accuracy of 0.90, a precision of 0.86, a recall of 1.00, and an F-measure of 0.92. Visualization results show that the DL models focused on the epineurium of the ulnar nerve and the surrounding soft tissue. The proposed technique enables the accurate prediction of CuTS without the need to measure CSA.
尽管肌电图是诊断肘管综合征(CuTS)的常规方法,但近年来也有人尝试通过超声检查(US)测量横截面积(CSA)进行成像诊断。在本研究中,深度学习(DL)这一人工智能(AI)方法被应用于超声图像,并对其检测CuTS的诊断性能进行了研究。使用了30名健康志愿者和30名被诊断为CuTS患者的肘部图像。每组准备了3000张超声图像以显示尺神经的短轴。使用三个预训练模型对随机选择的5000张训练图像进行迁移学习,其余图像用于测试。通过分析混淆矩阵和受试者工作特征曲线下的面积对模型进行评估。使用遮挡敏感性和局部可解释模型无关解释来可视化人工智能认为重要的特征。最高得分的模型准确率为0.90,精确率为0.86,召回率为1.00,F值为0.92。可视化结果表明,深度学习模型关注尺神经的神经外膜和周围软组织。所提出的技术能够在无需测量CSA的情况下准确预测CuTS。