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基于 MRI 图像的深度学习转移方法在脊柱疾病诊断中的应用。

Spinal disease diagnosis assistant based on MRI images using deep transfer learning methods.

机构信息

Guangxi Key Lab of Multi-Source Information Mining and Security, Guangxi Normal University, Guilin, China.

School of Artificial Intelligence, Nanning College for Vocational Technology, Nanning, China.

出版信息

Front Public Health. 2023 Feb 24;11:1044525. doi: 10.3389/fpubh.2023.1044525. eCollection 2023.

DOI:10.3389/fpubh.2023.1044525
PMID:36908475
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9998513/
Abstract

INTRODUCTION

In light of the potential problems of missed diagnosis and misdiagnosis in the diagnosis of spinal diseases caused by experience differences and fatigue, this paper investigates the use of artificial intelligence technology for auxiliary diagnosis of spinal diseases.

METHODS

The LableImg tool was used to label the MRIs of 604 patients by clinically experienced doctors. Then, in order to select an appropriate object detection algorithm, deep transfer learning models of YOLOv3, YOLOv5, and PP-YOLOv2 were created and trained on the Baidu PaddlePaddle framework. The experimental results showed that the PP-YOLOv2 model achieved a 90.08% overall accuracy in the diagnosis of normal, IVD bulges and spondylolisthesis, which were 27.5 and 3.9% higher than YOLOv3 and YOLOv5, respectively. Finally, a visualization of the intelligent spine assistant diagnostic software based on the PP-YOLOv2 model was created and the software was made available to the doctors in the spine and osteopathic surgery at Guilin People's Hospital.

RESULTS AND DISCUSSION

This software automatically provides auxiliary diagnoses in 14.5 s on a standard computer, is much faster than doctors in diagnosing human spines, which typically take 10 min, and its accuracy of 98% can be compared to that of experienced doctors in the comparison of various diagnostic methods. It significantly improves doctors' working efficiency, reduces the phenomenon of missed diagnoses and misdiagnoses, and demonstrates the efficacy of the developed intelligent spinal auxiliary diagnosis software.

摘要

简介

鉴于经验差异和疲劳导致的脊柱疾病诊断中潜在的漏诊和误诊问题,本文研究了人工智能技术在脊柱疾病辅助诊断中的应用。

方法

临床经验丰富的医生使用 LabelImg 工具对 604 名患者的 MRI 进行标注。然后,为了选择合适的目标检测算法,在百度 PaddlePaddle 框架上创建并训练了 YOLOv3、YOLOv5 和 PP-YOLOv2 的深度迁移学习模型。实验结果表明,PP-YOLOv2 模型在正常、IVD 膨出和脊椎滑脱的诊断中总体准确率达到 90.08%,分别比 YOLOv3 和 YOLOv5 高 27.5%和 3.9%。最后,创建了一个基于 PP-YOLOv2 模型的智能脊柱辅助诊断软件的可视化界面,并将该软件提供给桂林人民医院脊柱和骨科医生使用。

结果与讨论

该软件在标准计算机上自动提供辅助诊断,耗时仅为 14.5 秒,远快于医生手动诊断脊柱,后者通常需要 10 分钟,其 98%的准确率在与各种诊断方法的比较中可与经验丰富的医生相媲美。它显著提高了医生的工作效率,减少了漏诊和误诊现象,证明了开发的智能脊柱辅助诊断软件的有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7385/9998513/1deec0e2c93a/fpubh-11-1044525-g0007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7385/9998513/1a2e99174986/fpubh-11-1044525-g0001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7385/9998513/12bd2d5b610d/fpubh-11-1044525-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7385/9998513/1292868d2388/fpubh-11-1044525-g0006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7385/9998513/1deec0e2c93a/fpubh-11-1044525-g0007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7385/9998513/1a2e99174986/fpubh-11-1044525-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7385/9998513/8aeb9df93f95/fpubh-11-1044525-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7385/9998513/c0bfe7638b31/fpubh-11-1044525-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7385/9998513/dbc8d5d47798/fpubh-11-1044525-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7385/9998513/12bd2d5b610d/fpubh-11-1044525-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7385/9998513/1292868d2388/fpubh-11-1044525-g0006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7385/9998513/1deec0e2c93a/fpubh-11-1044525-g0007.jpg

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