基于人工智能算法的腹部增强ct图像在腹主动脉瘤诊断中的应用

Sci. Program. Pub Date : 2021-12-28 DOI:10.1155/2021/8721464
Tao Zheng, Guofeng Shao, Qingyun Zhou, Qinning Wang, Mengmeng Ye
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引用次数: 1

摘要

本研究旨在探讨基于深度卷积神经网络算法的分割去噪技术处理的CT血管造影(CTA)图像在腹主动脉瘤(AAA)诊断和疾病变化检测中的临床价值。回顾性选择98例AAA破裂患者作为研究对象。根据CTA图像是否优化进行分组,将经过人工智能分割去噪的图像设为观察组,未优化的CTA图像设为对照组。比较治疗前后CTA图像的检测和诊断效果。以手术结果为标准分析诊断效果,并比较AAA最大直径测量结果与腔内血栓(ILT)比例测量结果。观察组诊断的敏感性和准确性(97.73%和94.9%)均高于对照组(95.45%和92.86%),但差异无统计学意义(P > 0.05)。当AAA直径不小于5cm时,所有结果均显示腔内血栓(ILT)覆盖率大于50%。当AAA直径小于5 cm时,只有55.56%的结果显示ILT覆盖率超过50%,差异有统计学意义(P > 0.05)。根据研究结果,发现腹主动脉壁血栓覆盖与AAA生长速率存在一定关系,深度卷积神经网络算法对CTA治疗有一定效果,但不明显。而CTA对AAA的临床诊断效果较好。
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Abdominal Enhanced Computed Tomography Image by Artificial Intelligence Algorithm in the Diagnosis of Abdominal Aortic Aneurysm
The purpose of this study was to investigate the clinical value of CT angiography (CTA) images processed by the segmentation denoising technique based on deep convolution neural network algorithm in the diagnosis of abdominal aortic aneurysm (AAA) and the detection of disease changes. A total of 98 patients with ruptured AAA were retrospectively selected as the study subjects. Patients were grouped according to whether the CTA images were optimized, the images receiving artificial intelligence segmentation and denoising were set as the observation group, and the CTA images without optimization were set as the control group. The detection and diagnosis effects of CTA images before and after the treatment were compared. The surgical results were used as the standard to analyze the diagnostic effect, and the maximum diameter measurement results of AAA and the proportion results of intraluminal thrombus (ILT) were compared. Although the sensitivity and accuracy of diagnosis in the observation group (97.73% and 94.9%) were higher than those in the control group (95.45% and 92.86%), there was no significant statistical significance ( P > 0.05 ). When the diameter of AAA was no less than 5 cm, all results showed that the coverage percentage of intraluminal thrombus (ILT) was over 50%. When the diameter of AAA was less than 5 cm, only 55.56% of the results showed that the percentage of ILT coverage was over 50%, with considerable differences ( P > 0.05 ). According to the results of the study, it was found that there was a certain relationship between the thrombus coverage of the abdominal aortic wall and the growth rate of AAA. The deep convolution neural network algorithm had a certain effect on the treatment of CTA, but it is not obvious. However, CTA had a better clinical diagnostic effect on AAA.
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