心肺血管病杂志2024,Vol.43Issue(1) :58-62.DOI:10.3969/j.issn.1007-5062.2024.01.011

对主动脉根部计算机断层扫描血管造影的分割与评估-CVpilot人工智能系统的临床意义探讨

Segmentation and evaluation of computed tomography angiography of aortic root:discussion on clinical significance of CVpilot artificial intelligence system

黄晓斌 陈谦 柴浩 叶鹏 谢光辉 徐辉 马琛明 张海波 陈国中
心肺血管病杂志2024,Vol.43Issue(1) :58-62.DOI:10.3969/j.issn.1007-5062.2024.01.011

对主动脉根部计算机断层扫描血管造影的分割与评估-CVpilot人工智能系统的临床意义探讨

Segmentation and evaluation of computed tomography angiography of aortic root:discussion on clinical significance of CVpilot artificial intelligence system

黄晓斌 1陈谦 1柴浩 2叶鹏 3谢光辉 1徐辉 1马琛明 4张海波 5陈国中1
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作者信息

  • 1. 210006 南京医科大学附属南京医院 南京市第一医院
  • 2. 210006 南京医科大学附属南京医院 南京市第一医院胸外科
  • 3. 210006 南京医科大学附属南京医院 南京市第一医院心内科
  • 4. 拓微摹心数据科技(南京)有限公司
  • 5. 首都医科大学附属北京安贞医院-北京市心肺血管疾病研究所 心外科
  • 折叠

摘要

目的:通过评价CVpilot人工智能系统工作站与3mensio及Volume Viewer工作站的计算机断层扫描血管造影图像分析结果,从而探究该人工智能系统工作站在完成临床评估中主动脉根自动分割与评估的实用性和指导意义.方法:本回顾性单中心研究纳入2022年11月至2023年4月,接受经导管主动脉瓣置换术(transcatheter aortic valve replacement,TAVR)的113例患者的主动脉根部计算机断层扫描血管造影图像,分别使用使用3mensio、Volume Viewer工作站以及CVpilot人工智能系统工作站进行TAVR术前的评估分析.对三组评估结果和质量进行专家的主观评价以及客观的测量结果分析.结果:在CVpilot人工智能系统工作站的专家主观评价结果中,与3mensio工作站相比,91.2%的患者(n=103)达到Ⅲ级,6.2%的患者(n=7)达到Ⅱ级,2.6%的患者(n=3)达到Ⅰ级;与Volume Viewer工作站相比,92.0%的患者(n=104)达到Ⅲ级,5.4%的患者(n=6)达到Ⅱ级,2.6%的患者(n=3)达到Ⅰ级.在客观的测量结果统计学分析中,CVpilot人工智能系统工作站的测量结果与3mensio工作站(P均>0.05)或Volume Viewer工作站(P均>0.05)的测量结果,差异无统计学意义.结论:以上结果表明,CVpilot人工智能系统工作站具有良好的有效性和可靠性,可以准确完成主动脉根部的分割和关键解剖结构的测量,从而可以有效提升TAVR术前评估的临床效率.

Abstract

Objective:To evaluate the computed tomography angiographic image analysis results of CVpilot artificial intelligence system workstation,3mensio and Volume Viewer workstation,so as to explore the practicability and guiding significance of this artificial intelligence system workstation in the clinical evaluation of aortic root automatic segmentation and evaluation.Methods:The retrospective single-center study included computed tomography angiography of aortic root in 113 patients who underwent transcatheter aortic valve replacement(TAVR)from November 2022 to April 2023.3mensio,Volume Viewer workstation and CVpilot artificial intelligence system workstation were used to evaluate before TAVR.The evaluation quality of the three groups were assessed subjectively by experts and analyzed objectively.Results:Compared with 3mensio workstation,91.2%of patients(n=103)reached Grade Ⅲ,6.2% of patients(n=7)reached GradeⅡ,and 2.6% of patients(n=3)reached Grade Ⅰ.Compared with the Volume Viewer workstation,92.0%of patients(n=104)achieved Grade Ⅲ,5.4% of patients(n=6)achieved Grade Ⅱ,and 2.6% of patients(n=3)achieved Grade Ⅰ.In the statistical analysis of objective measurements,there was no significant difference between the measurements of CVpilot artificial intelligence system workstation and those of 3mensio workstation(all P>0.05)or Volume Viewer workstation(all P>0.05).Conclusions:The above results show that the CVpilot artificial intelligence system workstation has good effectiveness and reliability,and can accurately complete the segmentation of the aortic root and the measurement of key anatomical structures,so as to effectively improve the clinical efficiency of the preoperative evaluation of TAVR.

关键词

主动脉瓣/经导管主动脉瓣置换术/计算机断层扫描/深度学习/CVpilot

Key words

Aortic valve/Transcatheter aortic valve replacement/Computed tomography/Deep learning/CVpilot

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出版年

2024
心肺血管病杂志
北京市心肺血管疾病研究所,首都医科大学附属北京安贞医院

心肺血管病杂志

CSTPCD
影响因子:1.214
ISSN:1007-5062
被引量1
参考文献量13
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