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利用深度学习技术辅助儿科颅咽管瘤的诊断。

Diagnostic support in pediatric craniopharyngioma using deep learning.

机构信息

Department of Electrical Engineering, Faculty of Physical and Mathematical Sciences, University of Chile, Santiago, Chile.

Millennium Institute for Intelligent Healthcare Engineering, Santiago, Chile.

出版信息

Childs Nerv Syst. 2024 Aug;40(8):2295-2300. doi: 10.1007/s00381-024-06400-0. Epub 2024 Apr 22.

DOI:10.1007/s00381-024-06400-0
PMID:38647660
Abstract

PURPOSE

We studied a pediatric group of patients with sellar-suprasellar tumors, aiming to develop a convolutional deep learning algorithm for radiological assistance to classify them into their respective cohort.

METHODS

T1w and T2w preoperative magnetic resonance images of 226 Chilean patients were collected at the Institute of Neurosurgery Dr. Alfonso Asenjo (INCA), which were divided into three classes: healthy control (68 subjects), craniopharyngioma (58 subjects) and differential sellar/suprasellar tumors (100 subjects).

RESULTS

The PPV among classes was 0.828±0.039, and the NPV was 0.919±0.063. Also explainable artificial intelligence (XAI) was used, finding that structures that are relevant during diagnosis and radiological evaluation highly influence the decision-making process of the machine.

CONCLUSION

This is the first experience of this kind of study in our institution, and it led to promising results on the task of radiological diagnostic support based on explainable artificial intelligence (AI) and deep learning models.

摘要

目的

我们研究了一组鞍上-鞍旁肿瘤的儿科患者,旨在开发一种卷积深度学习算法,以协助放射学将其分类到各自的队列中。

方法

我们收集了智利 226 名患者在神经外科研究所 Dr. Alfonso Asenjo(INCA)的术前 T1w 和 T2w 磁共振图像,并将其分为三组:健康对照组(68 例)、颅咽管瘤(58 例)和蝶鞍/鞍上差异肿瘤(100 例)。

结果

各组间的阳性预测值为 0.828±0.039,阴性预测值为 0.919±0.063。此外,还使用了可解释的人工智能(XAI),发现对诊断和放射学评估相关的结构高度影响了机器的决策过程。

结论

这是我们机构首次进行此类研究的经验,它在基于可解释人工智能(AI)和深度学习模型的放射学诊断支持任务中取得了有前景的结果。

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本文引用的文献

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MAC-ResNet: Knowledge Distillation Based Lightweight Multiscale-Attention-Crop-ResNet for Eyelid Tumors Detection and Classification.MAC-ResNet:基于知识蒸馏的轻量级多尺度注意力裁剪残差网络用于眼睑肿瘤检测与分类
J Pers Med. 2022 Dec 29;13(1):89. doi: 10.3390/jpm13010089.
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Deep Learning in Neuroradiology: A Systematic Review of Current Algorithms and Approaches for the New Wave of Imaging Technology.神经放射学中的深度学习:对新一代成像技术当前算法和方法的系统综述。
Radiol Artif Intell. 2020 Mar 4;2(2):e190026. doi: 10.1148/ryai.2020190026. eCollection 2020 Mar.
3
Can tissue biomarkers reliably predict the biological behavior of craniopharyngiomas? A comprehensive overview.
组织生物标志物能否可靠地预测颅咽管瘤的生物学行为?全面综述。
Pituitary. 2018 Aug;21(4):431-442. doi: 10.1007/s11102-018-0890-6.
4
Tumour compartment transcriptomics demonstrates the activation of inflammatory and odontogenic programmes in human adamantinomatous craniopharyngioma and identifies the MAPK/ERK pathway as a novel therapeutic target.肿瘤区转录组学研究表明,人类造釉细胞瘤型颅咽管瘤中存在炎症和牙源性程序的激活,并确定 MAPK/ERK 通路为新的治疗靶点。
Acta Neuropathol. 2018 May;135(5):757-777. doi: 10.1007/s00401-018-1830-2. Epub 2018 Mar 14.
5
Excess morbidity and mortality in patients with craniopharyngioma: a hospital-based retrospective cohort study.颅咽管瘤患者的额外发病和死亡情况:一项基于医院的回顾性队列研究。
Eur J Endocrinol. 2018 Jan;178(1):93-102. doi: 10.1530/EJE-17-0707. Epub 2017 Oct 18.
6
New outlook on the diagnosis, treatment and follow-up of childhood-onset craniopharyngioma.儿童颅咽管瘤的诊断、治疗和随访的新观点。
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Erratum: Histological criteria for atypical pituitary adenomas--data from the German pituitary adenoma registry suggests modifications.勘误:非典型垂体腺瘤的组织学标准——来自德国垂体腺瘤登记处的数据提示需要修改。
Acta Neuropathol Commun. 2016 Feb 29;4:21. doi: 10.1186/s40478-016-0290-y.