Department of Dermato-Venereal, Binzhou Medical University Hospital, Binzhou, 256603 Shandong, China.
School of Nursing, Binzhou Medical University, Binzhou, 256603 Shandong, China.
Comput Math Methods Med. 2022 May 28;2022:9726181. doi: 10.1155/2022/9726181. eCollection 2022.
The objective of this study was to explore the image classification and case characteristics of pigmented nevus (PN) diagnosed by dermoscopy under deep learning. 268 patients were included as the research objects and they were randomly divided into observation group ( = 134) and control group ( = 134). Image recognition algorithm was used for feature extraction, segmentation, and classification of dermoscopic images, and the image recognition and classification algorithm were studied as the performance and accuracy of fusion classifier were compared. The results showed that the classifier was optimized, and the linear kernel accuracy was 85.82%. The PN studied mainly included mixed nevus, junctional nevus, intradermal nevus, and acral nevus. The sensitivity under collaborative training was higher than that under feature training and fusion feature training, and the differences among three trainings were significant ( < 0.05). The sensitivity of the observation group was 88.65%, and the specificity was 90.26%, while the sensitivity and the specificity of the control group were 85.65% and 84.03%, respectively; there were significant differences between the two groups ( < 0.05). In conclusion, dermoscopy under deep learning could be applied as a diagnostic way of PN, which helped improve the accuracy of diagnosis. The dermoscopic manifestations of PN showed a certain corresponding relationship with the type of cases and could provide auxiliary diagnosis in clinical practice. It could be applied clinically.
本研究旨在探讨深度学习下利用共聚焦激光扫描显微镜诊断色素痣(PN)的图像分类和病例特征。纳入 268 例患者作为研究对象,随机分为观察组(n=134)和对照组(n=134)。采用图像识别算法对共聚焦激光扫描显微镜图像进行特征提取、分割和分类,并研究图像识别和分类算法,比较融合分类器的性能和准确率。结果表明,对分类器进行了优化,线性核准确率为 85.82%。研究的 PN 主要包括混合痣、交界痣、皮内痣和肢端痣。协同训练下的敏感性高于特征训练和融合特征训练,三种训练之间的差异有统计学意义(<0.05)。观察组敏感性为 88.65%,特异性为 90.26%,对照组敏感性和特异性分别为 85.65%和 84.03%,两组比较差异有统计学意义(<0.05)。结论:深度学习下的共聚焦激光扫描显微镜检查可作为 PN 的诊断方法,有助于提高诊断准确率。PN 的共聚焦激光扫描显微镜表现与病例类型具有一定的对应关系,可为临床实践提供辅助诊断,具有一定的临床应用价值。