中国临床医学影像杂志2024,Vol.35Issue(4) :277-282.DOI:10.12117/jccmi.2024.04.012

人工智能在基于CT灌注原始图像重组头颅CT血管成像的应用

Application value of artificial intelligence on reconstruction of cerebral CT angiography based on CT perfusion datasets

欧阳颖 张宇泽 苏茹茹 温孟皇 黄飚
中国临床医学影像杂志2024,Vol.35Issue(4) :277-282.DOI:10.12117/jccmi.2024.04.012

人工智能在基于CT灌注原始图像重组头颅CT血管成像的应用

Application value of artificial intelligence on reconstruction of cerebral CT angiography based on CT perfusion datasets

欧阳颖 1张宇泽 1苏茹茹 1温孟皇 1黄飚1
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作者信息

  • 1. 南方医科大学附属广东省人民医院(广东省医学科学院)放射科,广东 广州 510080
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摘要

目的:探讨利用人工智能软件从CTP原始图像中重组的CTA的临床应用价值.方法:收集临床疑似缺血性脑血管病患者 60 例,所有患者均进行头颅CT平扫、CTA与CTP检查,将CT灌注原始图像导入脑灌注智能分析系统获得重组CTA(即CTPA).以常规CTA扫描结果为参照,CTA与CTPA组各分析 540 个节段血管,采用Kappa检验比较两者图像质量以及脑动脉狭窄显示的一致性.结果:CTPA图像显示脑动脉强化程度、脑动脉细节显示能力、图像噪声及静脉污染等与CTA相似.CTA和CTPA对脑内动脉显示具有很好的一致性,Kw值均大于 0.75.共 540 个节段血管中,仅 15 个节段的血管存在CTPA与CTA显示不一致的结果.结论:利用AI软件,能够方便、快捷地迅速从CTP灌注原始图像中重组出血管图像,所得CTPA与常规CTA比较,有较好的一致性,能准确显示动脉狭窄和闭塞.

Abstract

Objective:To explore the application value of reconstructed CT angiography(CTA)derived from CTP datasets by using artificial intelligence(AI)software.Methods:Sixty patients with clinically suspected ischemic cerebrovascular disease were enrolled.All cases were examined by cerebral CT,CT angiography(CTA)and CT perfusion(CTP).The CT perfusion data of all patients were imported into the brain perfusion intelligent analysis system to obtain angiography(hereafter called CTPA).We analyzed 540 segmental vessels in CTA and CTPA groups,reference as conventional CTA.The Kappa test was used to compare the consistency of image quality and cerebral artery stenosis between two groups.Results:CTPA group was similar to CTA group in terms of cerebral artery enhancement,arteriole detail display ability,image noise and venous pollution.Kw val-ues were>0.75 for the consistency test between CTPA group and CTA group on the display of cerebral artery stenosis.Only 15 segments of the 540 segmental vessels were inconsistent between CTPA and CTA.Conclusion:By using AI software,the cerebral angiography can be reconstructed conveniently and quickly from CTP datasets.The CTPA can accurately display arte-rial stenosis and occlusion compared with the CTA.

关键词

卒中/体层摄影术,X线计算机

Key words

Stroke/Tomography,X-Ray Computed

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出版年

2024
中国临床医学影像杂志
中国医学影像技术研究会,中国医科大学

中国临床医学影像杂志

CSTPCD北大核心
影响因子:1.204
ISSN:1008-1062
被引量1
参考文献量26
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