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基于人工智能算法的胸部计算机断层扫描对心力衰竭合并睡眠呼吸暂停综合征的诊断。

Diagnosis of Heart Failure Complicated with Sleep Apnea Syndrome by Thoracic Computerized Tomography under Artificial Intelligence Algorithm.

机构信息

Department of Respiratory and Critical Care Medicine, Dingzhou People's Hospital, Dingzhou, 073000 Hebei, China.

Department of Critical Care Medicine, Dingzhou People's Hospital, Dingzhou, 073000 Hebei, China.

出版信息

Comput Math Methods Med. 2022 May 9;2022:3795097. doi: 10.1155/2022/3795097. eCollection 2022.

Abstract

The aim of this study was to explore the application effect of thoracic computerized tomography (CT) under single threshold segmentation algorithm in the diagnosis of heart failure (HF) complicated with sleep apnea syndrome. 30 patients diagnosed with HF complicated with sleep apnea syndrome were chosen for the research. Another 30 patients without sleep apnea syndrome were selected as the control group, whose age, height, and weight were similar to those of the experimental group. Then, a model for thoracic CT image segmentation was proposed under the single threshold segmentation algorithm, and the faster region convolutional neural network (Faster RCNN) was applied to label the thoracic respiratory lesions. All the patients underwent thoracic CT examination, and the obtained images were processed using the algorithm model above. After that, the morphology of the patient's respiratory tract after treatment was observed. The results suggested that the improved single threshold segmentation algorithm was effective for the image segmentation of patient lesions, and the Faster RCNN could effectively finish the labeling of the lesion area in the CT image. The classification accuracy of the Faster RCNN was about 0.966, and the loss value was about 0.092. With CT scanning under the algorithm, it was found that the airway collapse of the posterior palatal area, retrolingual area, and laryngopharyngeal area of the sleep apnea syndrome patients was significantly greater than that of the control group ( < 0.05). But there was no significant difference of the collapse of the nasopharyngeal area between the two groups ( > 0.05). The single threshold segmentation algorithm had a better segmentation accuracy for thoracic CT images in patients with HF and sleep apnea syndrome, so it had a highly promising application prospect in the diagnosis of the disease.

摘要

本研究旨在探讨单阈值分割算法在心力衰竭(HF)合并睡眠呼吸暂停综合征(SAS)患者中的应用效果。选择 30 例 HF 合并 SAS 的患者作为研究对象,另选同期年龄、身高、体重与观察组匹配的 30 例无睡眠呼吸暂停综合征的患者作为对照组。然后,基于单阈值分割算法提出一种适用于胸部 CT 图像分割的模型,应用快速区域卷积神经网络(Faster RCNN)对胸部呼吸病变进行标注。所有患者均行胸部 CT 检查,应用上述算法模型对获得的图像进行处理,观察患者治疗后呼吸道形态。结果表明,改进后的单阈值分割算法对患者病变图像的分割效果良好,Faster RCNN 能够有效地完成 CT 图像中病变区域的标注。Faster RCNN 的分类准确率约为 0.966,损失值约为 0.092。采用算法下的 CT 扫描发现,SAS 患者的后腭区、舌根区和喉咽区气道塌陷明显大于对照组( < 0.05),但两组的鼻咽区塌陷差异无统计学意义( > 0.05)。单阈值分割算法对 HF 合并睡眠呼吸暂停综合征患者的胸部 CT 图像具有更好的分割精度,因此在疾病诊断中有较高的应用前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1732/9110173/db9ba4b2e8da/CMMM2022-3795097.001.jpg

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