基于人工智能分割模型的计算机断层血管造影图像在先天性主动脉狭窄诊断中的应用

Sci. Program. Pub Date : 2022-01-07 DOI:10.1155/2022/9057901
Tao Zheng, Guofeng Shao, Qingyun Zhou, Qinning Wang, Mengmeng Ye
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引用次数: 0

摘要

本研究旨在分析人工智能背景下图像分割模型和计算机断层血管造影(CTA)对主动脉缩窄临床诊断的影响。本研究选取126例经手术诊断为先天性主动脉缩窄(CAC)的患者作为研究对象,进行常规数字减影血管造影(DSA)和CTA检查。然后,基于局部区域信息对传统的活动轮廓模型(AC模型)进行优化,构建新的图像分割模型,用于患者CTA图像的智能分割和重建。结果表明,与血管造影分割得到的AC模型和基于区域生长的图像分割模型(RG模型)相比,本文构建的算法对血管造影图像的分割范围更小,分割结果更准确。定量数据结果表明,所构建模型的演化次数和运行时间均小于AC和RG模型(P < 0.05)。CTA检查提示心内结构异常154例,检出率86.52%;心血管连接异常32例,检出率100%;心外血管异常79例,检出率95.18%。结果表明,本文提出的基于局部区域信息的优化图像分割模型对CT血管成像图像具有良好的分割性能,具有良好的分割效果和分割效率。基于人工智能图像分割模型的CTA对心脏血管连接异常、心外血管异常的诊断效果较好,可作为临床诊断CAC的有效检查方法。
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Artificial Intelligence Segmentation Model-Based Computed Tomography Angiography Image in the Diagnosis of Congenital Aortic Constriction
This study was to analyze the impacts of the image segmentation model and computed tomography angiography (CTA) on the clinical diagnosis of aortic constriction under the background of artificial intelligence. In this study, 126 patients with congenital aortic constriction (CAC) diagnosed by surgery were selected as the research objects and routine digital subtraction angiography (DSA) and CTA were performed. Then, the traditional active contour model (AC model) was optimized based on the local area information to construct a new image segmentation model for intelligent segmentation and reconstruction of the CTA images of patients. The results revealed that compared with the AC model and the image segmentation model based on region growth (RG model) obtained from angiography segmentation, the algorithm constructed in this study showed a smaller segmentation range for angiography images and more accurate segmentation results. The quantitative data results suggested that the evolution times and running time of the constructed model were less than those of the AC and RG models P < 0.05 . Based on the gold standard of DSA examination results, there were 122 correctly diagnosed cases, 3 missed diagnosed cases, and 1 misdiagnosed by CTA, so the diagnosis coincidence rate was 96.83%. Compared with DSA, the average inner diameter and average pressure difference of patients with precatheter, paracatheter, and postcatheter type were not greatly different in CTA P > 0.05 . The CTA examination suggested there were 154 cases with intracardiac structural abnormalities, with a detection rate of 86.52%; there were 32 cases of cardiac-vascular connection abnormalities, with a detection rate of 100%; and there were 79 extracardiac vascular abnormalities, with the detection rate of 95.18%. It indicated that the optimized image segmentation model based on local area information proposed in this paper has excellent segmentation performance for CT angiography images and has good segmentation effect and efficiency. The CTA based on the artificial intelligence image segmentation model showed a better diagnostic effect on abnormal heart-vascular connection and abnormal extracardiac blood vessels and can be used as an effective examination method for clinical diagnosis of CAC.
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