Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Necmettin Erbakan University, Meram, Konya, 42050, Turkey.
Doganhisar Vocational School, Selcuk University, Konya, 42930, Turkey.
Eur Arch Otorhinolaryngol. 2024 Nov;281(11):6111-6121. doi: 10.1007/s00405-024-08870-z. Epub 2024 Jul 31.
Medical imaging segmentation is the use of image processing techniques to expand specific structures or areas in medical images. This technique is used to separate and display different textures or shapes in an image. The aim of this study is to develop a deep learning-based method to perform maxillary sinus segmentation using cone beam computed tomography (CBCT) images. The proposed segmentation method aims to provide better image guidance to surgeons and specialists by determining the boundaries of the maxillary sinus cavities. In this way, more accurate diagnoses can be made and surgical interventions can be performed more successfully.
In the study, axial CBCT images of 100 patients (200 maxillary sinuses) were used. These images were marked to identify the maxillary sinus walls. The marked regions are masked for use in the maxillary sinus segmentation model. U-Net, one of the deep learning methods, was used for segmentation. The training process was carried out for 10 epochs and 100 iterations per epoch. The epoch and iteration numbers in which the model showed maximum success were determined using the early stopping method.
After the segmentation operations performed with the U-Net model trained using CBCT images, both visual and numerical results were obtained. In order to measure the performance of the U-Net model, IoU (Intersection over Union) and F1 Score metrics were used. As a result of the tests of the model, the IoU value was found to be 0.9275 and the F1 Score value was 0.9784.
The U-Net model has shown high success in maxillary sinus segmentation. In this way, fast and highly accurate evaluations are possible, saving time by reducing the workload of clinicians and eliminating subjective errors.
医学影像分割是利用图像处理技术来扩展医学影像中的特定结构或区域。这项技术用于分离和显示图像中的不同纹理或形状。本研究旨在开发一种基于深度学习的方法,使用锥形束计算机断层扫描 (CBCT) 图像进行上颌窦分割。所提出的分割方法旨在通过确定上颌窦腔的边界,为外科医生和专家提供更好的图像指导。通过这种方式,可以做出更准确的诊断,并更成功地进行手术干预。
在研究中,使用了 100 名患者(200 个上颌窦)的轴向 CBCT 图像。这些图像被标记以识别上颌窦壁。标记的区域被屏蔽,用于上颌窦分割模型。使用 U-Net,一种深度学习方法,进行分割。训练过程进行了 10 个时期,每个时期有 100 次迭代。使用早期停止法确定模型表现出最大成功的时期和迭代次数。
在用 CBCT 图像训练的 U-Net 模型进行分割操作后,获得了视觉和数值结果。为了衡量 U-Net 模型的性能,使用了 IoU(交并比)和 F1 分数指标。通过对模型的测试,发现 IoU 值为 0.9275,F1 分数值为 0.9784。
U-Net 模型在上颌窦分割中表现出很高的成功率。通过这种方式,可以进行快速和高度准确的评估,通过减少临床医生的工作量和消除主观错误来节省时间。