首页|基于AI的肺磨玻璃结节中医临床特点研究

基于AI的肺磨玻璃结节中医临床特点研究

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目的 通过客观、规范的方法分析肺磨玻璃中医临床特点,利用人工智能(AI)分析肺磨玻璃结节恶性风险,初步探究不同风险肺磨玻璃结节中医临床特点,为中医药干预肺结节提供参考.方法 采集75例肺磨玻璃结节患者中医四诊信息,运用证素辨证方法提取证素;利用AI判读患者胸部CT,分析不同风险肺磨玻璃结节中医临床特点.结果 肺磨玻璃结节患者中医证素以阴虚(77.33%)、气虚(56.00%)、阳虚(54.67%)、血虚(52.00%)等证素多见,亦可见痰(40.00%)、寒(37.33%)、气滞(32.00%)等实性证素;AI判读为高风险组较中低风险组气虚证素权值差异有统计学意义(P<0.05).结论 肺磨玻璃结节患者中医辨证以虚证为主,中医病机为气虚或气滞导致肺之气机不畅,引起局部痰、湿聚集于肺络而形成,而热证、瘀血证较少.
Research on the TCM clinical characteristics of pulmonary ground-glass opacity nodules based on AI
Objective To analyze the clinical characteristics of pulmonary ground-glass opacity nodules in traditional Chinese medicine(TCM)through objective and standardized methods,to use artificial intelligence(AI)to analyze their malignant risks,and preliminarily explore the TCM clinical characteristics of pulmonary ground-glass opacity nodules s with different risks,so as to lay a foundation for traditional Chinese medicine to intervene in lung nodules.Methods The four diagnostic information of 75 patients with pulmonary ground-glass opacity nodules s was collected,and their syndromes were figured out by syndrome differentiation.The chest CT reports of patients were interpreted by AI,and their TCM clinical characteristics of pulmonary ground-glass opacity nodules s with different risks were analyzed.Results The TCM syndromes in patients with pulmonary ground-glass opacity nodules s were mainly yin deficiency(77.33%),qi deficiency(56.00%),yang deficiency(54.67%),and blood deficiency(52.00%),as well as solid syndromes such as phlegm(40.00%),cold(37.33%),and qi stagnation(32.00%).There was a significant difference in the weight of qi deficiency syndrome between the high-risk group and the low-medium risk group according to the AI interpretation(P<0.05).Conclusion The TCM syndrome differentiation of patients with pulmonary ground-glass opacity nodules s is mainly characterized by a deficiency syndrome,and its TCM pathogenesis involves qi deficiency or qi stagnation,which leads to the obstruction of lung qi,causing local phlegm and dampness to accumulate in the lung collaterals,while the heat syndrome and blood the stasis syndrome are rare.

ground-glass opacity nodules of lungartificial intelligence(AI)Chinese medicinesyndrome

刘言、安鹏、侯海军、边灵杰、李雁、王林洋、王洪武

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北京中医药大学东直门医院,北京 101100

肺磨玻璃结节 AI 中医 证素

中央高校基本科研业务费专项资金资助项目

2022-JYB-JBZR-029

2024

吉林中医药
长春中医药大学

吉林中医药

CSTPCD
影响因子:0.843
ISSN:1003-5699
年,卷(期):2024.44(2)
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