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基于男孩青少年手腕MRI图像的骨龄评估纹理分析

Texture Analysis for the Bone Age Assessment from MRI Images of Adolescent Wrists in Boys.

作者信息

Obuchowicz Rafal, Nurzynska Karolina, Pierzchala Monika, Piorkowski Adam, Strzelecki Michal

机构信息

Department of Diagnostic Imaging, Jagiellonian University Medical College, 31-008 Krakow, Poland.

Department of Algorithmics and Software, Silesian University of Technology, 44-100 Gliwice, Poland.

出版信息

J Clin Med. 2023 Apr 7;12(8):2762. doi: 10.3390/jcm12082762.

Abstract

UNLABELLED

Currently, bone age is assessed by X-rays. It enables the evaluation of the child's development and is an important diagnostic factor. However, it is not sufficient to diagnose a specific disease because the diagnoses and prognoses may arise depending on how much the given case differs from the norms of bone age.

BACKGROUND

The use of magnetic resonance images (MRI) to assess the age of the patient would extend diagnostic possibilities. The bone age test could then become a routine screening test. Changing the method of determining the bone age would also prevent the patient from taking a dose of ionizing radiation, making the test less invasive.

METHODS

The regions of interest containing the wrist area and the epiphyses of the radius are marked on the magnetic resonance imaging of the non-dominant hand of boys aged 9 to 17 years. Textural features are computed for these regions, as it is assumed that the texture of the wrist image contains information about bone age.

RESULTS

The regression analysis revealed that there is a high correlation between the bone age of a patient and the MRI-derived textural features derived from MRI. For DICOM T1-weighted data, the best scores reached 0.94 R2, 0.46 RMSE, 0.21 MSE, and 0.33 MAE.

CONCLUSIONS

The experiments performed have shown that using the MRI images gives reliable results in the assessment of bone age while not exposing the patient to ionizing radiation.

摘要

未标注

目前,骨龄通过X射线进行评估。它能够评估儿童的发育情况,是一个重要的诊断因素。然而,它不足以诊断特定疾病,因为诊断和预后可能取决于给定病例与骨龄规范的差异程度。

背景

使用磁共振成像(MRI)评估患者年龄将扩展诊断可能性。骨龄测试随后可能成为一项常规筛查测试。改变确定骨龄的方法还可避免患者接受电离辐射剂量,使测试侵入性更小。

方法

在9至17岁男孩非优势手的磁共振成像上标记包含腕部区域和桡骨骨骺的感兴趣区域。计算这些区域的纹理特征,因为假定腕部图像的纹理包含有关骨龄的信息。

结果

回归分析显示,患者的骨龄与从MRI得出的纹理特征之间存在高度相关性。对于DICOM T1加权数据,最佳分数达到R2为0.94、均方根误差(RMSE)为0.46、均方误差(MSE)为0.21、平均绝对误差(MAE)为0.33。

结论

所进行的实验表明,使用MRI图像在评估骨龄时能给出可靠结果,同时不会使患者暴露于电离辐射。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2406/10141677/1bb4a92a9107/jcm-12-02762-g001.jpg

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