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深度学习用于CT扫描中自动检测和定位创伤性腹部固体器官损伤
Chi-Tung Cheng1, Hou-Hsien Lin1, Chih-Po Hsu1
1Department of Trauma and Emergency Surgery, Chang Gung Memorial Hospital, Linkou, Chang Gung University, Taoyuan, Taiwan.
Journal of imaging informatics in medicine
|February 17, 2024
概括
深度学习模型 (DLM) 开发用于检测使用CT扫描的腹创伤 (BAT) 患者的固体器官损伤. 这些人工智能工具在帮助临床医生快速识别关键损伤方面表现有前途,改善创伤护理决策.
科学领域:
- 医疗成像医学成像
- 人工智能的人工智能
- 创伤外科 手术 创伤外科
背景情况:
- 计算机断层扫描 (CT) 是用于诊断突腹部创伤 (BAT) 的标准.
- 深度学习模型 (DLM) 提供了增强临床实践的潜力,但它们在创伤成像中的应用尚未得到充分探索.
- 在创伤护理中,迅速识别危及生命的伤害至关重要.
研究的目的:
- 开发和评估DLM用于在腹部CT扫描中自动检测固体器官损伤 (脏,肝脏,脏).
- 评估DLM在识别创伤损伤方面的诊断性能.
- 探索DLM作为创伤管理中的辅助工具的潜力.
主要方法:
- 使用来自单一创伤中心 (2008-2017) 的腹部CT扫描数据集开发DLM.
- 从最后一年开始,对1302次扫描 (87%) 进行培训和验证,对194次扫描 (13%) 进行测试.
- 使用包括精度,灵敏度,特异性和AUC在内的指标进行性能评估.
主要成果:
- 损伤DLM的精度达到0.938和特异性为0.952.
- 肝损伤DLM报告了0.820的准确性和0.847的特异性.
- 损伤DLM显示0.959的准确性和0.989的特异性.
结论:
- 一个DLM已成功开发,用于自动检测腹部CT扫描中的固体器官损伤.
- DLM对脏,肝脏和脏损伤具有可接受的诊断准确性.
- 虽然不取代临床医生,但DLM可以作为一种有价值的工具,以加快创伤护理中的治疗决策.
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