Department of Electronic Information Engineering, Chengdu Jincheng College, Chengdu, China.
West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China.
BMC Med Imaging. 2024 Aug 19;24(1):220. doi: 10.1186/s12880-024-01377-3.
Pneumoconiosis has a significant impact on the quality of patient survival. This study aims to evaluate the performance and application value of improved Unet network technology in the recognition and segmentation of lesion areas of lung CT images in patients with pneumoconiosis.
A total of 1212 lung CT images of patients with pneumoconiosis were retrospectively included. The improved Unet network was used to identify and segment the CT image regions of the patients' lungs, and the image data of the granular regions of the lungs were processed by the watershed and region growing algorithms. After random sorting, 848 data were selected into the training set and 364 data into the validation set. The experimental dataset underwent data augmentation and were used for model training and validation to evaluate segmentation performance. The segmentation results were compared with FCN-8s, Unet network (Base), Unet (Squeeze-and-Excitation, SE + Rectified Linear Unit, ReLU), and Unet + + networks.
In the segmentation of lung CT granular region with the improved Unet network, the four evaluation indexes of Dice similarity coefficient, positive prediction value (PPV), sensitivity coefficient (SC) and mean intersection over union (MIoU) reached 0.848, 0.884, 0.895 and 0.885, respectively, increasing by 7.6%, 13.3%, 3.9% and 6.4%, respectively, compared with those of Unet network (Base), and increasing by 187.5%, 249.4%, 131.9% and 51.0%, respectively, compared with those of FCN-8s, and increasing by 14.0%, 31.2%, 4.7% and 9.7%, respectively, compared with those of Unet network (SE + ReLU), while the segmentation performance was also not inferior to that of the Unet + + network.
The improved Unet network proposed shows good performance in the recognition and segmentation of abnormal regions in lung CT images in patients with pneumoconiosis, showing potential application value for assisting clinical decision-making.
尘肺病对患者生存质量有重大影响。本研究旨在评估改进后的 U 型网络技术在识别和分割尘肺病患者肺部 CT 图像病变区域中的性能和应用价值。
回顾性纳入 1212 例尘肺病患者肺部 CT 图像。采用改进的 U 型网络识别和分割患者肺部 CT 图像区域,采用分水岭和区域生长算法处理肺部颗粒区域图像数据。经过随机排序,选择 848 份数据进入训练集,364 份数据进入验证集。实验数据集进行数据扩充,并用于模型训练和验证,以评估分割性能。将分割结果与 FCN-8s、U 型网络(基础)、U 型网络(挤压激励,SE+ReLU)和 U 型网络++进行比较。
在改进的 U 型网络对肺部 CT 颗粒区域的分割中,Dice 相似系数、阳性预测值(PPV)、灵敏度系数(SC)和平均交并比(MIoU)四项评价指标分别达到 0.848、0.884、0.895 和 0.885,分别比 U 型网络(基础)提高了 7.6%、13.3%、3.9%和 6.4%,比 FCN-8s 分别提高了 187.5%、249.4%、131.9%和 51.0%,比 U 型网络(SE+ReLU)分别提高了 14.0%、31.2%、4.7%和 9.7%,分割性能也不逊于 U 型网络++。
提出的改进的 U 型网络在识别和分割尘肺病患者肺部 CT 图像异常区域方面表现出良好的性能,具有辅助临床决策的潜在应用价值。