“一体化全景成像人工智能平台”的临床应用价值分析.pdf

Mod Diagn Treat现代诊断与治疗2023 Jun 34渊12冤*院江西省科技厅项目渊项目编号20192BBG70047冤曰江西中医药大学研究生创新专项渊项目编号JZYC21S24)#院通信作者野一体化全景成像人工智能平台冶的临床应用价值分析*章高林1袁涂宏1袁2#袁施权1袁涂瑞芳3袁李卓远4渊1.江西中医药大学曰2.江西中医药大学附属医院关节骨科曰3.江西中医药大学附属医院影像科袁江西南昌 330000曰4.北京邮电大学袁北京 100876冤Clinic alApplicationValueofIntegratedPanoramicImagingArtificial Intelligence PlatformZHANG Gaolin1,TU Hong1,2,SHI Quan1,TU Ruifang3,LI Zhuoyuan4(1.Jiangxi University of Chinese Medicine;2.Department of Joint Orthopedics,Affiliated Hospital of Jiangxi University of Chinese Medicine;3.Imaging Department,Affiliated Hospital of Jiangxi University of Chinese Medicine,Nanchang 330004,Jiangxi;4.Beijing University of Postsand Telecommunications,Beijing 100876,China)Abstract:ObjectivesTo explore the application value of the full-length slice splicing software in the integratedpanoramic imaging artificial intelligence platform combined with the ordinary DR machine in the perioperativeperiod of knee replacement.MethodsA total of 30 patients who underwent TKA or UKA surgery in the Departmentof Joint Orthopedics in the Affiliated Hospital of Jiangxi University of Chinese Medicine from December 2021 toDecember 2022 were selected.The full-length weight-bearing films of all patients before and after surgery werecollected.For the observation group,we used the platform software combined with the ordinary DR machine to splicethe full-length films of the lower limbs.For the control group,we used the automatic splicing equipment andsoftware to splice the full-length films of the lower limbs,and measured the tibiofemoral angle of the spliced full-length weight-bearing films of the lower limbs.After that,the tibiofemoral angle measured in the observation groupof the same patient was compared with that in the control group,and the accuracy of the tibiofemoral anglemeasurement was analyzed and recorded.Then,the two films were compared in detail from the aspects of imagequality,seam accuracy,and connection image contrast to ensure the accuracy and consistency of the images.The twofilms were into class A images,class B images,and classC images.ResultsThere was no significant differencebetween the tibiofemoral angle of 30 patients who used the platform software for preoperative and postoperative imagestitching and the automatic stitching equipment in the hospital(P跃0.05),and the accuracy of tibiofemoral anglemeasurement was 100%.The rate of class A images was 95%,the rate of class B images was 5%,and there was noclass C image.It was confirmed that the quality of the full-length weight-bearing films of both lower limbs spliced bythe software of this platform was excellent,and the image clarity was excellent,which could accurately reflect the lowerlimb force line.The difference in image quality was not statistically significant compared with the images spliced bythe automatic splicing equipment and its softwarein the hospital(P跃0.05).ConclusionsThe full-length weight-bearingfilms of both lower limbs spliced by the platform software can accurately measure the lower limb force line andtibiofemoral angle.It has important application value for the hospital without automatic splicing equipment toformulate the preoperative plansfor knee replacement,to guide the positioning and osteotomy during operation,and toevaluate the curative effectsfor patients after operation.It is indeed worthy of clinical promotion and application.Key words:Knee replacement;Full-length splicing imaging technology;Full-length weight-bearing films of bothlower limbs摘要院目的探讨野一体化全景成像人工智能平台冶中的全长位片拼接软件结合普通DR机在膝关节置换围手术期的应用价值遥方法选取2021年12月至2022年12月于江西中医药大学附属医院关节骨科进行TKA或UKA手术的患者30例袁采集所有患者术前尧术后双下肢全长负重位片袁观察组利用本平台软件结合普通DR机进行下肢全长位片的拼接袁对照组利用院内全自动拼接设备及软件进行下肢全长位片的拼接袁并对拼接好的双下肢全长负重位片胫股1746窑窑Mod Diagn Treat现代诊断与治疗2023 Jun 34渊12冤随着近年来我国人口老龄化袁膝关节疾病如风湿性关节炎尧膝骨性关节炎等疾病越发常见袁目前骨科对治疗晚期膝关节疾病的有效手段之一是行关节置换手术渊TKA 或 UKA冤遥 而有研究表明袁重建下肢力线对膝关节置换手术的患者无论是人工假体关节生存率袁还是下肢功能的恢复都有着十分重要的意义咱1暂遥 而通过手术前让患者进行双下肢全长拼接摄影术袁则可以来全面对比尧了解患者双下肢的病变情况袁对 TKA 或 UKA 围手术期都有着非常重要的临床意义咱2暂曰这种方法是指通过对不同部位的下肢负重状态进行3 次 X 线片的拍摄袁再之后通过拼接软件的处理袁我们可以制作出一幅能够清晰地展示患者双髋至双踝关节的影像袁这种 X 片被命名为双下肢全长负重位片遥 可由专业拍摄仪器或者其他方式拼接三张 X 线片获得袁但由于专业拍摄仪器对拍摄的过程要求高袁并且其售价十分昂贵袁导致相当一部分医院受自身条件限制袁无法开展双下肢全长负重位片拍摄工作咱3暂遥 故本团队设计研发了一款能自动拼接全长位片的软件和合摄片过程中所需要的平台支架袁整个系统将其称为 野一体化全景成像人工智能平台冶遥通过平台内软件结合普通 DR 机器来拍摄三幅下肢负重状态下不同部位的 X 片袁并运用此软件对所摄X 片进行图像拼接后处理袁以期与院内全自动拼接设备及软件所拼接的双下肢全长负重位片达到相同的效果遥 报道如下遥1资料与方法1.1一般资料收集 2021 年 12 月至 2022 年 12 月于江西中医药大学附属医院关节骨科进行 TKA 或UKA 手术的患者 30 例袁依次拍摄双下肢全长负重位片遥其中男10例袁女20例曰年龄60耀85渊73.03依7.60冤岁遥由我院影像科医生及本团队人员负责并指导患者在术前及术后一周如期拍摄双下肢全长负重位片袁共拍摄原始图像 180 张袁本软件拼接后得到的全长位片 60 张袁院内全自动拼接设备及自带软件拼接完成的全长位片 60 张遥所有受试者都已经完全了解了这项研究的内容袁并且表示愿意配合袁并签署了 ICF遥1.2纳入与排除标准纳入标准院渊1冤所有患者均为我院关节骨科需行 TKA 或 UKA 手术病人遥 渊2冤本人能够顺利配合完成双下肢全长负重位片拍摄遥 渊3冤本人在知情的情况下同意进行此项研究遥 渊4冤临床资料及影像资料均齐全遥 排除标准院渊1冤我院关节骨科未行 TKA 或 UKA 手术者遥 渊2冤本人无法顺利完成双下肢全长负重位片拍摄者遥 渊3冤临床资料或影像资料不齐者遥1.3方法1.3.1仪器设备采用飞利浦 X 线成像系统渊Digi鄄tal Diagnost VR冤摄片尧本平台拼接软件尧全长站立支架尧院内全自动拼接设备及其软件尧平板探测器尧影像归档及传输系统渊PACS冤遥1.3.2本软件算法及拼接流程主要采用 OCR 技术袁包括文字检测和文字识别两方面袁提取相同文字区域完成后检验其完整性袁最后完成图片拼接过程遥见图 1遥1.3.2.1文本检测算法使用 DBNet 文本检测算法角进行测量袁后将同一患者观察组所测胫