重庆医学2024,Vol.53Issue(5) :723-726.DOI:10.3969/j.issn.1671-8348.2024.05.015

不同重建层厚CT图像对AI诊断肋骨骨折效能的影响

Diagnostic efficacy of AI in rib fracture under CT images with different reconstruction slice thickness

敖平 朱丽 修志刚 肖涵 李为民
重庆医学2024,Vol.53Issue(5) :723-726.DOI:10.3969/j.issn.1671-8348.2024.05.015

不同重建层厚CT图像对AI诊断肋骨骨折效能的影响

Diagnostic efficacy of AI in rib fracture under CT images with different reconstruction slice thickness

敖平 1朱丽 1修志刚 1肖涵 1李为民1
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作者信息

  • 1. 四川大学华西医院龙泉医院放射科,成都 610100
  • 折叠

摘要

目的 探讨不同重建层厚CT图像对人工智能(AI)诊断肋骨骨折效能的影响.方法 选取100例肋骨骨折患者的首次CT图像,分别以0.625、1.250、2.500、5.000 mm的层厚进行无间隔重建,应用AI的肋骨骨折筛查功能对4组层厚CT图像进行自动检测,比较不同重建层厚条件下AI对肋骨骨折诊断效能的差异.结果 AI在0.625、1.250、2.500、5.000 mm层厚诊断肋骨骨折的灵敏度分别为99.32%(436/439)、98.41%(432/439)、89.52%(393/439)、83.60%(367/439),假阳性率分别为4.80%(22/458)、0.92%(4/436)、0.76%(3/396)、0.27%(1/368).AI在0.625 mm及1.250 mm层厚的诊断灵敏度高于2.500 mm及5.000 mm,差异有统计学意义(P<0.05),而0.625 mm与1.250 mm层厚比较差异无统计学意义(P>0.05).AI在0.625 mm层厚诊断的假阳性率高于1.250、2.500及5.000 mm,差异有统计学意义(P<0.05),而1.250、2.500及5.000 mm层厚之间比较差异无统计学意义(P>0.05).结论 1.250 mm层厚CT图像对AI诊断肋骨骨折效能优于0.625、2.500及5.000 mm层厚.

Abstract

Objective To investigate the diagnostic efficiency of artificial intelligence(AI)in rib frac-ture under the computed tomography(CT)images with different reconstruction slice thickness.Methods The first CT images of 100 patients with rib fractures were selected,and the interval-free recon-struction was carried out with the thickness of 0.625 mm,1.250 mm,2.500 mm and 5.000 mm,respectively.The rib fracture screening function of AI was used to automatically detect the CT images of four groups,and the diagnostic efficiency of AI for rib fracture under different reconstruction thickness conditions was com-pared.Results The sensitivity of AI in the diagnosis of rib fracture at 0.625 mm,1.250 mm,2.500 mm and 5.000 mm thickness was 99.32%(436/439),98.41%(432/439),89.52%(393/439)and 83.60%(367/439),respectively.The false positive rate was 4.80%(22/458),0.92%(4/436),0.76%(3/396)and 0.27%(1/368).The diagnostic sensitivity of AI in 0.625 mm and 1.250 mm thickness was higher than that in 2.500 mm and 5.000 mm,and the difference was statistically significant(P<0.05),while there was no significant difference in the thickness of 0.625 mm and 1.250 mm.The false positive rate of AI in the diagnosis of 0.625 mm slice thickness was higher than that of 1.250 mm,2.500 mm and 5.000 mm,and the difference was sta-tistically significant(P<0.05),while there was no significant difference in the thickness of 1.250 mm,2.500 mm and 5.000 mm(P>0.05).Conclusion The diagnostic efficiency of AI in 1.250 mm CT images is better than that in 0.625 mm,2.500 mm and 5.000 mm CT images.

关键词

人工智能/多层螺旋CT/重建/层厚/肋骨骨折/诊断效能

Key words

artificial intelligence/multi-slice spiral CT/reconstruction/slice thickness/rib fracture/di-agnostic efficiency

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基金项目

2022年成都市医学科研课题项目(2022670)

出版年

2024
重庆医学
重庆市卫生信息中心,重庆市医学会

重庆医学

CSTPCD
影响因子:1.797
ISSN:1671-8348
参考文献量28
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