AI辅助头颈CTA在诊断颅内动脉瘤中的应用

邓昊; 韦鑫; 曹闻挺; 艾光勇; 余菡; 方静; 吴博涵; 周治明; 陈金华; 陈维娟

doi:10.16016/j.1000-5404.202103144

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AI辅助头颈CTA在诊断颅内动脉瘤中的应用

临床医学 | 更新时间：2026-01-09

- AI辅助头颈CTA在诊断颅内动脉瘤中的应用
- Application of AI-assisted head and neck CT angiography in diagnosis of intracranial aneurysms
- 第三军医大学学报 2021年43卷第12期页码：1179-1184
- 作者机构：
  
  400010重庆，重庆医科大学附属第二医院放射科
- 作者简介：
  
  [陈维娟，E-mail: cwj811209@163.com CHEN Weijuan, E-mail: cwj811209@163.com
- 基金信息：
- DOI：10.16016/j.1000-5404.202103144
  中图分类号： R445.3;R651.1;R814.42
- 收稿：2021-03-17，
  
  修回：2021-04-25，
  
  纸质出版：2021-06-30
- 稿件说明：
移动端阅览
邓昊, 韦鑫, 曹闻挺, 等. AI辅助头颈CTA在诊断颅内动脉瘤中的应用[J]. 第三军医大学学报, 2021,43(12):1179-1184.

Hao DENG, Xin WEI, Wenting CAO, et al. Application of AI-assisted head and neck CT angiography in diagnosis of intracranial aneurysms[J]. Journal of Third Military Medical University, 2021, 43(12): 1179-1184.
邓昊, 韦鑫, 曹闻挺, 等. AI辅助头颈CTA在诊断颅内动脉瘤中的应用[J]. 第三军医大学学报, 2021,43(12):1179-1184. DOI： 10.16016/j.1000-5404.202103144.

Hao DENG, Xin WEI, Wenting CAO, et al. Application of AI-assisted head and neck CT angiography in diagnosis of intracranial aneurysms[J]. Journal of Third Military Medical University, 2021, 43(12): 1179-1184. DOI： 10.16016/j.1000-5404.202103144.

摘要

目的

探究人工智能(artificial intelligence，AI)在头颈CT血管成像(CT angiography，CTA)诊断颅内动脉瘤中的价值。

方法

回顾性分析本院2020年8月至2021年1月117例临床疑似颅内动脉瘤患者间隔2周内头颈CTA及数字减影血管造影(digital subtraction angiography，DSA)资料。以DSA结果为金标准，计算AI诊断动脉瘤的敏感度和准确率。记录AI自动测量动脉瘤径线的结果，并与DSA人工测量结果进行一致性检验。

结果

117例患者经DSA确诊为颅内动脉瘤105例，共计136个动脉瘤。①诊断效能方面，以患者为单位，AI对动脉瘤诊断的敏感度和准确率分别为87.6%和79.5%。以病灶为单位，对总体、＜3 mm、3~5 mm和＞5 mm的动脉瘤，AI诊断敏感度分别为79.4%、55.2%、81.5%和92.9%，准确率分别为72.0%、53.8%、75.3%和86.3%。②定量分析方面，对动脉瘤总体瘤体长径、总体瘤体短径、＞5 mm动脉瘤的瘤体长径、＜3 mm动脉瘤的瘤体长径和3~5 mm动脉瘤的瘤体长径的测量结果，AI自动测量和DSA人工测量的一致性分别为好、好、较好、差和差(ICC=0.778、0.822和0.722，

均＜0.001；ICC=0.113和0.142，

均＞0.05)。

结论

AI在头颈CTA诊断颅内动脉瘤中具有较高的价值，对瘤体长径＞5 mm的径线测量结果可作为参考标准，可以作为辅助诊断工具进一步推广和应用。

Abstract

Objective

To explore the clinical value of artificial intelligence (AI) in the diagnosis of intracranial aneurysms by head and neck CT angiography (CTA).

Methods

A total of 117 patients with clinically suspected intracranial aneurysms admitted in our hospital from August 2020 to January 2021 were enrolled

and their head and neck CTA and digital subtraction angiography (DSA) data were collected and retrospectively analyzed. Taking DSA results as the gold standard

the sensitivity and accuracy of AI in the diagnosis of intracranial aneurysms were calculated. In addition

the results of AI automatic measurement were recorded

and the consistency test was conducted with the results of DSA manual measurement.

Results

Among the 117 suspected patients

there were 105 cases diagnosed with intracranial aneurysms by DSA

with a total of 136 aneurysms. ①Diagnostic efficiency: The sensitivity and accuracy of AI for aneurysm diagnosis were 87.6% and 79.5%

respectively

taking patients as unit. While taking lesions as unit

the sensitivity of AI diagnosis was 55.2%

81.5%

92.9% and 79.4% for aneurysms

3 mm

3.5 mm

5 mm

as well as for the total number of aneurysms

respectively; And the accuracy was 53.8%

75.3%

86.3% and 72.0%. ②Quantitative analysis: The results of AI and DSA showed good consistency in the measurement of the total aneurysm length diameter

total short diameter

and

5 mm aneurysm length diameter (ICC=0.778

0.822 and 0.722

0.001); But poor consistency was seen in the measurement for

3 mm and 3~5 mm aneurysm length diameter (ICC=0.113

0.142

0.05).

Conclusion

AI has a high value in the application of head and neck CTA in the diagnosis of intracranial aneurysms

with its measurement results to be used as a reference standard in tumors with length diameter >5 mm

it can be further promoted and applied as an auxiliary diagnostic tool.

关键词

Keywords

references

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