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基于人工智能的 CT 成像在手术刀治疗腰椎间盘突出症患者中的诊断价值。

Artificial Intelligence-Based CT Imaging on Diagnosis of Patients with Lumbar Disc Herniation by Scalpel Treatment.

机构信息

Department of Medicine, Shandong Medical College, Jinan 250002, Shandong, China.

Department of Orthopedics, The Affiliated Suqian Frist People's Hospital of Nanjing Medical University, Suqian 223899, Jiangsu, China.

出版信息

Comput Intell Neurosci. 2022 May 27;2022:3688630. doi: 10.1155/2022/3688630. eCollection 2022.

Abstract

The aim of this study was to explore the application effect of computed tomography (CT) image based on active contour segmentation algorithm in the treatment of lumbar disc herniation (LDH) with scalpel. 78 patients with LDH were selected and divided into a lateral crypt block treatment group (group A) and a scalpel treatment group (group B) randomly. All the patients were examined by lumbar CT images based on artificial intelligence (AI) algorithm. Then, the clinical efficacy and Japanese orthopedic association (JOA) and visual analogue scale (VAS) scores were compared between the two groups. It was found that the total effective rate in group B was higher (92.31% vs. 84.62%) (  0.05). After treatment, the disc height (DH) in group A was obviously lower, and the vertebral body slippage was obviously higher (  0.05) than before. After treatment, there were more patients with nerve root location changes, edema, or disappearance in group B (  0.05). In contrast with JOA and VAS scores before treatment, both the groups showed obvious differences after treatment, especially group B (  0.05). Therefore, the CT images based on the AI algorithm can be used to analyze the treatment effect of LDH, and the scalpel treatment was more effective.

摘要

本研究旨在探讨基于主动轮廓分割算法的 CT 图像在手术刀治疗腰椎间盘突出症(LDH)中的应用效果。选择 78 例 LDH 患者,随机分为侧隐窝块治疗组(A 组)和手术刀治疗组(B 组)。所有患者均采用人工智能(AI)算法检查腰椎 CT 图像。然后,比较两组患者的临床疗效和日本矫形协会(JOA)和视觉模拟量表(VAS)评分。结果发现,B 组总有效率较高(92.31%比 84.62%)(  0.05)。治疗后,A 组椎间盘高度(DH)明显降低,椎体滑脱明显升高(  0.05)。治疗后,B 组更多患者出现神经根位置改变、水肿或消失(  0.05)。与治疗前的 JOA 和 VAS 评分相比,两组治疗后均有明显差异,尤其是 B 组(  0.05)。因此,基于 AI 算法的 CT 图像可用于分析 LDH 的治疗效果,手术刀治疗更有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80fc/9167027/37c159b45e4c/CIN2022-3688630.001.jpg

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