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使用人工智能在胎儿心脏超声波查中的肺静脉-左心房连接的三维可视化和检测
Reina Komatsu1, Masaaki Komatsu1,2,3, Katsuji Takeda2,3
1Department of Obstetrics and Gynecology, Showa Medical University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo 142-8666, Japan.
Bioengineering (Basel, Switzerland)
|January 28, 2026
概括
人工智能 (AI) 有助于检测胎儿肺静脉连接 (PVC) 异常. 这项技术可以改善全异常肺静脉连接 (TAPVC) 的产前诊断,这是一种严重的先天性心脏缺陷.
科学领域:
- 医疗成像医学成像
- 人工智能的人工智能
- 心脏病学 心脏病学
背景情况:
- 总异常肺静脉连接 (TAPVC) 是一种严重的先天性心脏缺陷,具有不理想的产前诊断.
- 一个正常的胎儿心脏表现出一个肺静脉 (PV) 到左心脏 (LA) 交叉点,这在TAPVC病例中是缺席的.
研究的目的:
- 开发和评估一种人工智能驱动的方法来可视化和检测胎儿PV-LA连接.
- 评估AI在改善TAPVC产前查方面的潜力.
主要方法:
- 在胎儿心脏超声波视频上使用了三维 (3D) 分段模型 (SegResNet,Swin UNETR,MedNeXt,SegFormer3D).
- 计算的PV-LA距离 (PLD) 和主要轴角 (PLA) 度量.
- 使用子系数和95%的豪斯多夫距离评估细分性能.
主要成果:
- 人工智能模型在可视化和检测PV-LA连接方面表现出足够的性能.
- 对于TAPVC选,MedNeXt-PLD和SegResNet-PLA在ROC曲线下分别实现了高面积 (0.844和0.840) 的区域.
- 人工智能方法显示出有潜力帮助检查人员捕获PV-LA连接.
结论:
- 开发的AI方法显示了提高TAPVC产前检测率的前景.
- 这项技术可以支持医疗保健提供者识别胎儿严重心脏异常.
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