首页|抗药性肺结核多模态影像数据库的建立及人工智能产品评价体系研究

抗药性肺结核多模态影像数据库的建立及人工智能产品评价体系研究

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目的 建立抗药性肺结核多模态影像数据库并采用人工智能产品评价体系进行评价.方法 收集750例耐药性肺结核患者资料,构建耐药性肺结核病多模态影像数据库;建立基于电子计算机断层扫描(CT)影像大数据的人工智能(AI)辅助诊断模型,研究耐药性肺结核病灶自动分割模型、鉴别诊断模型,设计激活函数,研发肺结核AI临床辅助诊断决策系统.结果 AI算法模型分割耐药性肺结核病灶的结果与金标准相近,具有较高的病灶分割准确度.研究纳入的750例患者中,由AI产品评价体系诊断出肺结核的例数为726例,诊断准确率为96.80%.ROC曲线分析显示,AI产品评价体系对抗药性肺结核的诊断的敏感度为95.73%,特异度为85.73%,准确度为96.80%,曲线下面积(AUC)为0.912(95%CI为0.865~0.956).结论 该研究首次构建了国内耐药性肺结核多模态影像数据库,且开发的AI辅助诊断系统具有较高的肺结核精准诊断及鉴别的价值.
Establishment of multi-modal image database of drug-resistant pulmonary tuberculosis and research on evaluation system of artificial intelligence products
Objective To establish a multi-modal image database of drug-resistant pulmonary tuberculosis and to evaluate it with artificial intelligence product evaluation system.Methods The data of 750 patients with drug-resistant pulmonary tuberculosis were collected,and a multi-modal image database of drug-resistant pulmonary tuberculosis was constructed.Established AI-aided di-agnosis model based on CT image big data,study automatic segmentation model and differential diagnosis model of drug-resistant pulmo-nary tuberculosis focus,and design activation function.AI clinical auxiliary diagnosis decision-making system for pulmonary tuberculo-sis was researched and developed.Results The results of segmentation of drug-resistant pulmonary tuberculosis lesions by AI algo-rithm model were close to the gold standard,and the segmentation accuracy was high.Among the 750 patients,726 cases were diagnosed by the artificial intelligence product evaluation system(96.80%).ROC curve analysis showed that the sensitivity,specificity,accuracy and AUC of the artificial intelligence product evaluation system for the diagnosis of drug-resistant tuberculosis were 95.73%,85.70%,96.80%and 0.912(95%CI is 0.865~0.956).Conclusion The multi-modal image database of drug-resistant pulmonary tuber-culosis in China is constructed for the first time,and the AI-aided diagnosis system developed has high value in accurate diagnosis and differential of pulmonary tuberculosis.

Drug-resistant pulmonary tuberculosisMultimodal image databaseAI aided diagnosis

周攀、何苗、王丹枫、邱蕾、雷振华、马瑛龙

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宁夏回族自治区第四人民医院,宁夏银川 750021

宁夏公安厅安康医院,宁夏银川 750011

耐药性肺结核 多模态影像数据库 AI辅助诊断

宁夏科技厅重点研发计划项目

2021BEG03054

2024

宁夏医学杂志
中华医学会宁夏分会

宁夏医学杂志

影响因子:0.706
ISSN:1001-5949
年,卷(期):2024.46(1)
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