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基于注意力密集型空间金字塔 UNet 网络的 MRI 中冈上肌提取。

Supraspinatus extraction from MRI based on attention-dense spatial pyramid UNet network.

机构信息

Third Clinical Medical School, Nanjing University of Chinese Medicine, Nanjing, 210023, People's Republic of China.

Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, No. 100 Maigaoqiao Cross Street, Qixia District, Nanjing City, 210028, Jiangsu Province, People's Republic of China.

出版信息

J Orthop Surg Res. 2024 Jan 13;19(1):60. doi: 10.1186/s13018-023-04509-7.

Abstract

BACKGROUND

With potential of deep learning in musculoskeletal image interpretation being explored, this paper focuses on the common site of rotator cuff tears, the supraspinatus. It aims to propose and validate a deep learning model to automatically extract the supraspinatus, verifying its superiority through comparison with several classical image segmentation models.

METHOD

Imaging data were retrospectively collected from 60 patients who underwent inpatient treatment for rotator cuff tears at a hospital between March 2021 and May 2023. A dataset of the supraspinatus from MRI was constructed after collecting, filtering, and manually annotating at the pixel level. This paper proposes a novel A-DAsppUnet network that can automatically extract the supraspinatus after training and optimization. The analysis of model performance is based on three evaluation metrics: precision, intersection over union, and Dice coefficient.

RESULTS

The experimental results demonstrate that the precision, intersection over union, and Dice coefficients of the proposed model are 99.20%, 83.38%, and 90.94%, respectively. Furthermore, the proposed model exhibited significant advantages over the compared models.

CONCLUSION

The designed model in this paper accurately extracts the supraspinatus from MRI, and the extraction results are complete and continuous with clear boundaries. The feasibility of using deep learning methods for musculoskeletal extraction and assisting in clinical decision-making was verified. This research holds practical significance and application value in the field of utilizing artificial intelligence for assisting medical decision-making.

摘要

背景

随着深度学习在肌肉骨骼影像解读中的潜力不断被探索,本研究聚焦于常见的肩袖撕裂部位——冈上肌。旨在提出并验证一种深度学习模型,以自动提取冈上肌,并通过与几种经典图像分割模型的比较,验证其优越性。

方法

回顾性收集了 2021 年 3 月至 2023 年 5 月期间在一家医院因肩袖撕裂接受住院治疗的 60 名患者的影像学数据。通过收集、过滤和手动像素级标注,构建了一个包含 MRI 的冈上肌数据集。本文提出了一种新颖的 A-DAsppUnet 网络,经过训练和优化后可以自动提取冈上肌。通过三个评估指标(精度、交并比和 Dice 系数)来分析模型性能。

结果

实验结果表明,所提出模型的精度、交并比和 Dice 系数分别为 99.20%、83.38%和 90.94%。此外,与对比模型相比,所提出的模型具有显著优势。

结论

本文设计的模型能够从 MRI 中准确提取冈上肌,提取结果完整连续,边界清晰。验证了深度学习方法在肌肉骨骼提取和辅助临床决策中的可行性。这项研究在利用人工智能辅助医疗决策领域具有实际意义和应用价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d507/10787409/5ea2b199d8d0/13018_2023_4509_Fig1_HTML.jpg

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