Cancer Center, The Second Affiliated Hospital of Chongqing Medical University, Chongqing 400000, China.
Comput Math Methods Med. 2022 May 4;2022:1994082. doi: 10.1155/2022/1994082. eCollection 2022.
This study was aimed at two image segmentation methods of three-dimensional (3D) U-shaped network (U-Net) and multilevel boundary sensing residual U-shaped network (RUNet) and their application values on the auxiliary diagnosis of lung cancer. In this study, on the basis of the 3D U-Net segmentation method, the multilevel boundary sensing RUNet was worked out after optimization. 92 patients with lung cancer were selected, and their clinical data were counted; meanwhile, the lung nodule detection was performed to obtain the segmentation effect under 3D U-Net. The accuracy of 3D U-Net and multilevel boundary sensing RUNet was compared on lung magnetic resonance imaging (MRI) after lung nodule segmentation. Patients with benign lung tumors were taken as controls; the blood immune biochemical indicators progastrin-releasing peptide (pro-CRP), carcinoembryonic antigen (CEA), and neuron-specific enolase (NSE) in patients with malignant lung tumors were analyzed. It was found that the accuracy, sensitivity, and specificity were all greater than 90% under the algorithm-based MRI of benign and malignant tumor patients. Based on the imaging signs for the MRI image of lung nodules, the segmentation effect of the RUNet was clearer than that of the 3D U-Net. In addition, serum levels of pro-CRP, NSE, and CAE in patients with benign lung tumors were 28.9 pg/mL, 12.5 ng/mL, and 10.8 ng/mL, respectively, which were lower than 175.6 pg/mL, 33.6 ng/mL, and 31.9 ng/mL in patients with malignant lung tumors significantly ( < 0.05). Thus, the RUNet image segmentation method was better than the 3D U-Net. The pro-CRP, CEA, and NSE could be used as diagnostic indicators for malignant lung tumors.
本研究旨在探讨三维(3D)U 型网络(U-Net)和多层次边界感知残差 U 型网络(RUNet)两种图像分割方法及其在肺癌辅助诊断中的应用价值。在本研究中,在 3D U-Net 分割方法的基础上,经过优化,得出了多层次边界感知 RUNet。选取 92 例肺癌患者,统计其临床资料;同时进行肺结节检测,获得 3D U-Net 下的分割效果。对肺结节分割后的肺磁共振成像(MRI)进行 3D U-Net 和多层次边界感知 RUNet 的准确性比较。以良性肺肿瘤患者为对照,分析恶性肺肿瘤患者的胃泌素释放肽前体(pro-CRP)、癌胚抗原(CEA)和神经元特异性烯醇化酶(NSE)等血液免疫生化指标。结果发现,良性和恶性肿瘤患者的 MRI 算法基于影像学特征,准确率、灵敏度和特异度均大于 90%。基于 MRI 图像的肺结节影像特征,RUNet 的分割效果比 3D U-Net 更清晰。此外,良性肺肿瘤患者血清 pro-CRP、NSE 和 CEA 水平分别为 28.9pg/mL、12.5ng/mL 和 10.8ng/mL,明显低于恶性肺肿瘤患者的 175.6pg/mL、33.6ng/mL 和 31.9ng/mL(<0.05)。因此,RUNet 图像分割方法优于 3D U-Net。pro-CRP、CEA 和 NSE 可作为恶性肺肿瘤的诊断指标。