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基于深度学习神经网络的 CT 扫描肝脏肿瘤计算机辅助诊断。

Computerized Diagnosis of Liver Tumors From CT Scans Using a Deep Neural Network Approach.

出版信息

IEEE J Biomed Health Inform. 2023 May;27(5):2456-2464. doi: 10.1109/JBHI.2023.3248489. Epub 2023 May 4.

Abstract

The liver is a frequent site of benign and malignant, primary and metastatic tumors. Hepatocellular carcinoma (HCC) and intrahepatic cholangiocarcinoma (ICC) are the most common primary liver cancers, and colorectal liver metastasis (CRLM) is the most common secondary liver cancer. Although the imaging characteristic of these tumors is central to optimal clinical management, it relies on imaging features that are often non-specific, overlap, and are subject to inter-observer variability. Thus, in this study, we aimed to categorize liver tumors automatically from CT scans using a deep learning approach that objectively extracts discriminating features not visible to the naked eye. Specifically, we used a modified Inception v3 network-based classification model to classify HCC, ICC, CRLM, and benign tumors from pretreatment portal venous phase computed tomography (CT) scans. Using a multi-institutional dataset of 814 patients, this method achieved an overall accuracy rate of 96%, with sensitivity rates of 96%, 94%, 99%, and 86% for HCC, ICC, CRLM, and benign tumors, respectively, using an independent dataset. These results demonstrate the feasibility of the proposed computer-assisted system as a novel non-invasive diagnostic tool to classify the most common liver tumors objectively.

摘要

肝脏是良性和恶性、原发性和转移性肿瘤的常见部位。肝细胞癌(HCC)和肝内胆管细胞癌(ICC)是最常见的原发性肝癌,结直肠癌肝转移(CRLM)是最常见的继发性肝癌。尽管这些肿瘤的影像学特征是最佳临床管理的关键,但它依赖于通常是非特异性的、重叠的、且受观察者间变异性影响的影像学特征。因此,在这项研究中,我们旨在使用深度学习方法从 CT 扫描中自动分类肝脏肿瘤,该方法可以客观地提取肉眼不可见的鉴别特征。具体来说,我们使用基于改进的 Inception v3 网络的分类模型,对预处理门静脉期 CT 扫描中的 HCC、ICC、CRLM 和良性肿瘤进行分类。使用多机构的 814 例患者数据集,该方法在使用独立数据集时,对 HCC、ICC、CRLM 和良性肿瘤的总体准确率分别达到 96%、94%、99%和 86%,灵敏度分别为 96%、94%、99%和 86%。这些结果表明,所提出的计算机辅助系统作为一种新的非侵入性诊断工具,用于客观地分类最常见的肝脏肿瘤是可行的。

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