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深度学习在心肌灌注成像诊断和预后评估中的作用:一项系统综述。

The role of deep learning in myocardial perfusion imaging for diagnosis and prognosis: A systematic review.

作者信息

Hu Xueping, Zhang Han, Caobelli Federico, Huang Yan, Li Yuchen, Zhang Jiajia, Shi Kuangyu, Yu Fei

机构信息

Department of Nuclear Medicine, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China.

Institute of Nuclear Medicine, Tongji University School of Medicine, Shanghai, China.

出版信息

iScience. 2024 Nov 12;27(12):111374. doi: 10.1016/j.isci.2024.111374. eCollection 2024 Dec 20.

DOI:10.1016/j.isci.2024.111374
PMID:39654634
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11626733/
Abstract

The development of state-of-the-art algorithms for computer visualization has led to a growing interest in applying deep learning (DL) techniques to the field of medical imaging. DL-based algorithms have been extensively utilized in various aspects of cardiovascular imaging, and one notable area of focus is single-photon emission computed tomography (SPECT) myocardial perfusion imaging (MPI), which is regarded as the gold standard for non-invasive diagnosis of myocardial ischemia. However, due to the complex decision-making process of DL based on convolutional neural networks (CNNs), the explainability of DL results has become a significant area of research, particularly in the field of medical imaging. To better harness the potential of DL and to be well prepared for the ongoing DL revolution in nuclear imaging, this review aims to summarize the recent applications of DL in MPI, with a specific emphasis on the methods in explainable DL for the diagnosis and prognosis of MPI. Furthermore, the challenges and potential directions for future research are also discussed.

摘要

用于计算机可视化的先进算法的发展,引发了人们对将深度学习(DL)技术应用于医学成像领域的兴趣日益浓厚。基于DL的算法已在心血管成像的各个方面得到广泛应用,一个值得关注的显著领域是单光子发射计算机断层扫描(SPECT)心肌灌注成像(MPI),它被视为心肌缺血无创诊断的金标准。然而,由于基于卷积神经网络(CNN)的DL决策过程复杂,DL结果的可解释性已成为一个重要的研究领域,特别是在医学成像领域。为了更好地利用DL的潜力,并为核成像中正在进行的DL革命做好充分准备,本综述旨在总结DL在MPI中的最新应用,特别强调用于MPI诊断和预后的可解释DL方法。此外,还讨论了未来研究的挑战和潜在方向。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e276/11626733/9d0a751a25f9/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e276/11626733/716e7d21db7f/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e276/11626733/5afeb9dde00c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e276/11626733/c4e3528e3391/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e276/11626733/68a7d5dc60d5/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e276/11626733/9d0a751a25f9/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e276/11626733/716e7d21db7f/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e276/11626733/5afeb9dde00c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e276/11626733/c4e3528e3391/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e276/11626733/68a7d5dc60d5/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e276/11626733/9d0a751a25f9/gr4.jpg

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本文引用的文献

1
A deep learning-based automated diagnosis system for SPECT myocardial perfusion imaging.基于深度学习的 SPECT 心肌灌注成像自动诊断系统。
Sci Rep. 2024 Jun 12;14(1):13583. doi: 10.1038/s41598-024-64445-2.
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Explainable deep-learning-based ischemia detection using hybrid O-15 HO perfusion positron emission tomography and computed tomography imaging with clinical data.使用 O-15 HO 灌注正电子发射断层扫描和计算机断层扫描成像与临床数据的混合进行基于可解释深度学习的缺血检测。
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DEMIST: A Deep-Learning-Based Detection-Task-Specific Denoising Approach for Myocardial Perfusion SPECT.
DEMIST:一种基于深度学习的心肌灌注单光子发射计算机断层扫描特定检测任务去噪方法
IEEE Trans Radiat Plasma Med Sci. 2024 Apr;8(4):439-450. doi: 10.1109/trpms.2024.3379215. Epub 2024 Mar 25.
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Interventions about physical activity and diet and their impact on adolescent and young adult cancer survivors: a Prisma systematic review.关于身体活动和饮食的干预及其对青少年和青年癌症幸存者的影响:Prisma 系统评价。
Support Care Cancer. 2024 May 13;32(6):342. doi: 10.1007/s00520-024-08516-0.
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AI-derived epicardial fat measurements improve cardiovascular risk prediction from myocardial perfusion imaging.人工智能得出的心外膜脂肪测量值可改善心肌灌注成像的心血管风险预测。
NPJ Digit Med. 2024 Feb 3;7(1):24. doi: 10.1038/s41746-024-01020-z.
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Exposome in ischaemic heart disease: beyond traditional risk factors.外显子组与缺血性心脏病:超越传统危险因素。
Eur Heart J. 2024 Feb 7;45(6):419-438. doi: 10.1093/eurheartj/ehae001.
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Global Burden of Cardiovascular Diseases and Risks, 1990-2022.1990 - 2022年心血管疾病及其风险的全球负担
J Am Coll Cardiol. 2023 Dec 19;82(25):2350-2473. doi: 10.1016/j.jacc.2023.11.007.
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Prognostic Role of Dynamic CZT Imaging in Heart Failure With Preserved Ejection Fraction.动态 CZT 成像对射血分数保留心力衰竭的预后作用。
Clin Nucl Med. 2023 Aug 1;48(8):e364-e370. doi: 10.1097/RLU.0000000000004738. Epub 2023 Jun 8.
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