在临床实践中验证了一种用于重建,划分和测量升降器间歇的自动方法
Ying Chen1, Xin Lin1, Man Zhang1
1Department of Ultrasound, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong Province, China.
Neurourology and urodynamics
|June 26, 2023
概括
智能盆腔系统软件准确地重建,划分和测量Valsalva操作期间的升降器间隙 (LH),对大多数患者的手动评估具有很高的一致性.
科学领域:
- 医学成像医学成像
- 盆地诊断 盆地诊断 盆地诊断
- 超声波技术的超声波技术
背景情况:
- 精确评估升降器间隙 (LH) 对于诊断骨盆底疾病至关重要.
- 在跨膜超声波 (TPUS) 上手动评估LH可能耗时,并且受观察者之间的变化影响.
- 自动化软件为标准化和高效的LH分析提供了潜力.
研究的目的:
- 评估自动化软件程序 (智能盆腔系统) 与手动评估对LH重建,划分和测量的准确性和一致性.
- 在最大Valsalva机动TPUS检查期间评估软件的性能.
主要方法:
- 从100名患者的TPUS成像数据的回顾性分析.
- 自动化智能盆腔系统分析与手动评估LH的比较.
- 使用子相似度指数 (DSI),平均绝对距离 (MAD) 和豪斯多夫距离 (HDD) 来量化划界精度.
- 使用类内相关系数 (ICC) 和布兰德-阿尔特曼方法评估测量协议.
主要成果:
- 自动化软件在LH重建方面取得了94%的满意度.
- 在令人满意的重建中观察到自动和手动测量之间的高度一致性 (ICC高达0.987).
- 在与直肠气体的图像中观察到更低的精度 (DSI,MAD,HDD),影响后部LH边界识别.
结论:
- 智能盆腔系统在重建,划分和测量升降器间隙方面表现出良好的表现.
- 该软件为临床实践中的LH评估提供了一个可靠的工具,与手动评估相比.
- 直肠气体可能会影响后方升降器间隙识别的准确性,需要仔细审查.
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