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中国基于深度学习方法进行新生儿脑损伤超声筛查

Deep learning approach for screening neonatal cerebral lesions on ultrasound in China.

作者信息

Lin Zhouqin, Zhang Haoming, Duan Xingxing, Bai Yan, Wang Jian, Liang Qianhong, Zhou Jingran, Xie Fusui, Shentu Zhen, Huang Ruobing, Chen Yayan, Yu Hongkui, Weng Zongjie, Ni Dong, Liu Lei, Zhou Luyao

机构信息

Department of Medical Ultrasonics, Shenzhen Children's Hospital, Shenzhen, PR China.

Shenzhen Pediatrics Institute of Shantou University Medical College, Shenzhen, PR China.

出版信息

Nat Commun. 2025 Aug 20;16(1):7778. doi: 10.1038/s41467-025-63096-9.

DOI:10.1038/s41467-025-63096-9
PMID:40835612
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12368173/
Abstract

Timely and accurate diagnosis of severe neonatal cerebral lesions is critical for preventing long-term neurological damage and addressing life-threatening conditions. Cranial ultrasound is the primary screening tool, but the process is time-consuming and reliant on operator's proficiency. In this study, a deep-learning powered neonatal cerebral lesions screening system capable of automatically extracting standard views from cranial ultrasound videos and identifying cases with severe cerebral lesions is developed based on 8,757 neonatal cranial ultrasound images. The system demonstrates an area under the curve of 0.982 and 0.944, with sensitivities of 0.875 and 0.962 on internal and external video datasets, respectively. Furthermore, the system outperforms junior radiologists and performs on par with mid-level radiologists, with 55.11% faster examination efficiency. In conclusion, the developed system can automatically extract standard views and make correct diagnosis with efficiency from cranial ultrasound videos and might be useful to deploy in multiple application scenarios.

摘要

及时、准确地诊断严重的新生儿脑部病变对于预防长期神经损伤和处理危及生命的状况至关重要。头颅超声是主要的筛查工具,但该过程耗时且依赖操作者的熟练程度。在本研究中,基于8757张新生儿头颅超声图像,开发了一种深度学习驱动的新生儿脑部病变筛查系统,该系统能够从头颅超声视频中自动提取标准视图并识别患有严重脑部病变的病例。该系统在内部和外部视频数据集上的曲线下面积分别为0.982和0.944,灵敏度分别为0.875和0.962。此外,该系统的表现优于初级放射科医生,与中级放射科医生相当,检查效率提高了55.11%。总之,所开发的系统能够从头颅超声视频中自动提取标准视图并高效地做出正确诊断,可能有助于在多种应用场景中部署。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bff/12368173/77fe9162ffe8/41467_2025_63096_Fig7_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bff/12368173/77fe9162ffe8/41467_2025_63096_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bff/12368173/ccb098036db9/41467_2025_63096_Fig1_HTML.jpg
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本文引用的文献

1
Can deep learning classify cerebral ultrasound images for the detection of brain injury in very preterm infants?深度学习能否对脑超声图像进行分类,以检测极早产儿的脑损伤?
Eur Radiol. 2025 Apr;35(4):1948-1958. doi: 10.1007/s00330-024-11028-4. Epub 2024 Aug 30.
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Diagnostic Accuracy of an Integrated AI Tool to Estimate Gestational Age From Blind Ultrasound Sweeps.基于盲扫超声的集成 AI 工具估算胎龄的诊断准确性。
JAMA. 2024 Aug 27;332(8):649-657. doi: 10.1001/jama.2024.10770.
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Predicting severe intraventricular hemorrhage or early death using machine learning algorithms in VLBWI of the Korean Neonatal Network Database.
使用韩国新生儿网络数据库中的机器学习算法预测极低出生体重儿的严重脑室出血或早期死亡。
Sci Rep. 2024 May 15;14(1):11113. doi: 10.1038/s41598-024-62033-y.
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Predicting early mortality and severe intraventricular hemorrhage in very-low birth weight preterm infants: a nationwide, multicenter study using machine learning.利用机器学习预测极低出生体重早产儿的早期死亡和严重脑室内出血:一项全国性多中心研究。
Sci Rep. 2024 May 12;14(1):10833. doi: 10.1038/s41598-024-61749-1.
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Prematurity and Low Birth Weight and Their Impact on Childhood Growth Patterns and the Risk of Long-Term Cardiovascular Sequelae.早产和低出生体重及其对儿童生长模式和长期心血管后遗症风险的影响。
Children (Basel). 2023 Sep 25;10(10):1599. doi: 10.3390/children10101599.
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The shortage of radiographers: A global crisis in healthcare.放射技师短缺:全球医疗保健危机。
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Need for Improvements in Medical Device Management in Low- and Middle-Income Countries: Applying Learnings from Japan's Experience.低收入和中等收入国家医疗设备管理改进的必要性:借鉴日本经验
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Pediatrics. 2023 Apr 1;151(4). doi: 10.1542/peds.2022-059138.
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