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智能算法超声成像在子痫前期患者胎儿脑血流动力学变化中的应用。

Fetal Cerebral Hemodynamic Changes in Preeclampsia Patients by Ultrasonic Imaging under Intelligent Algorithm.

机构信息

Department of Obstetrics, Affiliated Zhejiang Hospital, Zhejiang University School of Medicine, Hangzhou 310030, Zhejiang, China.

Department of Gastroenterology, Shulan (Hangzhou) Hospital Affiliated to Zhejiang Shuren University Shulan International Medical College, Hangzhou 310022, Zhejiang, China.

出版信息

Comput Intell Neurosci. 2022 May 27;2022:4269308. doi: 10.1155/2022/4269308. eCollection 2022.

Abstract

This study was aimed at evaluating the adoption value of ultrasound imaging features on fetal cerebral hemodynamics in preeclampsia patients based on the partial difference algorithm and the hybrid segmentation network (HSegNet) algorithm. Forty pregnant women with preeclampsia diagnosed by ultrasound examination were selected as the research objects, and another forty normal pregnant women were selected as the control. Then, by using the partial differential algorithm, the imaging of fetal cerebral hemodynamics in preeclampsia patients was enhanced and optimized, and the general clinical data and experimental results were collected. The results showed that the automatic labeling of fetal cerebral artery in fetal middle cerebral artery (MCA) hemodynamic images was realized by HSegNet algorithm model, and the final accuracy was 97.3%, which had a good consistency with the manual annotation of doctors. Education level was a protective factor for preeclampsia (odds ratio (OR) = 0.535). Body mass index (BMI) and family history of hypertension during pregnancy were independent risk factors for preeclampsia (OR = 1.286, and 2.774, respectively). MCA end-diastolic volume (EDV) of preeclampsia fetuses was higher than that of normal fetuses. The MCA systolic-diastolic ratio (S/D), the pulsatility index (PI), and the resistive index (RI) in the preeclampsia group were significantly lower than those in the normal pregnancy group. The results showed that MCA PI, MCA RI, and MCA / had certain predictive values for the occurrence of adverse pregnancy outcomes ( < 0.05). In summary, the intelligent algorithm-based fetal MCA hemodynamic ultrasound image in the study could effectively predict pregnancy outcomes of patients and provide certain theoretical support for the subsequent reduction of adverse pregnancy outcomes in patients with preeclampsia.

摘要

本研究旨在基于偏微分算法和混合分割网络(HSegNet)算法评估超声成像特征在子痫前期患者胎儿脑血流动力学中的应用价值。选择 40 例经超声检查诊断为子痫前期的孕妇作为研究对象,另选择 40 例正常孕妇作为对照。然后,通过偏微分算法增强和优化子痫前期患者胎儿脑血流动力学的成像,并收集一般临床数据和实验结果。结果显示,HSegNet 算法模型实现了胎儿大脑中动脉(MCA)血流动力学图像中胎儿大脑动脉的自动标记,最终准确率为 97.3%,与医生的手动标注具有良好的一致性。教育水平是子痫前期的保护因素(比值比(OR)=0.535)。BMI 和妊娠期高血压家族史是子痫前期的独立危险因素(OR=1.286 和 2.774)。子痫前期胎儿 MCA 舒张末期容积(EDV)高于正常胎儿。子痫前期组 MCA 收缩期-舒张期比值(S/D)、搏动指数(PI)和阻力指数(RI)明显低于正常妊娠组。结果表明,MCA PI、MCA RI 和 MCA/对不良妊娠结局的发生有一定的预测价值(<0.05)。综上所述,本研究中基于智能算法的胎儿 MCA 血流动力学超声图像能有效预测患者的妊娠结局,为后续降低子痫前期患者不良妊娠结局提供一定的理论支持。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e855/9166994/6f0228f9d1c3/CIN2022-4269308.002.jpg

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