Department of Radiology, Zibo Central Hospital, Zibo 255000, Shandong, China.
Contrast Media Mol Imaging. 2022 May 30;2022:3315121. doi: 10.1155/2022/3315121. eCollection 2022.
This study was aimed to explore the diagnostic value of magnetic resonance imaging (MRI) and magnetic resonance spectroscopy (MRS) in brain tumors under the fuzzy C-means (FCM) algorithm. The two-dimensional FCM hybrid algorithm was improved to be three-dimensional. The MRI images and MRS spectra of 127 patients with brain tumors (low-grade glioma group) and 54 healthy people (healthy group) were analyzed. The results suggested that the membership matrix of the improved algorithm had lower ambiguity, higher segmentation accuracy, closer relationship of intrapixels, and stronger irrelevance of interclass pixels. Through the analysis of gray matter volume, it was found that, compared with the healthy group, the gray matter and white matter volumes in the brain of high-grade glioma were higher, and those of low-grade glioma group were lower. The improved FCM algorithm could obtain a higher accuracy of 88.64% in segmenting images. It had a higher sensitivity to gray matter changes in brain tumors, reaching 92.72%; its specificity was not much different from that of traditional FCM, which were 83.61% and 88.06%, respectively. In the diagnostic value, the area under the curve of mean kurtosis was the largest, which was 0.962 ( < 0.001). The best critical value was 0.4096, which had a greater reference significance for clinical treatment and prognosis. The ratio of choline/N-acetyl-aspartate and the ratio of choline/creatine also showed significant differences in high- and low-grade gliomas ( < 0.05), but the specificity and sensitivity were slightly lower. It also had guiding significance for the grading of gliomas. Overall, the improved FCM algorithm had obvious advantages in the segmentation process of MRI images, which provided help for the clinical diagnosis of brain tumors.
本研究旨在探讨模糊 C 均值(FCM)算法下磁共振成像(MRI)和磁共振波谱(MRS)在脑肿瘤诊断中的价值。改进后的二维 FCM 混合算法被改进为三维。分析了 127 例脑肿瘤(低级别胶质瘤组)和 54 例健康人(健康组)的 MRI 图像和 MRS 谱。结果表明,改进算法的隶属度矩阵具有较低的模糊性、较高的分割精度、较高的像素内相关性和较弱的类间像素不相关性。通过灰质体积分析发现,与健康组相比,高级别胶质瘤患者大脑的灰质和白质体积更高,而低级别胶质瘤组的灰质和白质体积则更低。改进的 FCM 算法在图像分割中可获得 88.64%的高精度。它对脑肿瘤中灰质变化具有更高的敏感性,达到 92.72%;其特异性与传统 FCM 相差不大,分别为 83.61%和 88.06%。在诊断价值方面,平均峰度的曲线下面积最大,为 0.962( < 0.001)。最佳临界值为 0.4096,对临床治疗和预后具有更大的参考意义。胆碱/N-乙酰天冬氨酸比值和胆碱/肌酸比值在高低级别胶质瘤之间也有显著差异( < 0.05),但特异性和敏感性稍低。它对胶质瘤的分级也具有指导意义。总体而言,改进后的 FCM 算法在 MRI 图像的分割过程中具有明显的优势,为脑肿瘤的临床诊断提供了帮助。