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1.400044 重庆,重庆大学:医学院
2.400044 重庆,重庆大学:生物工程学院
3.400038 重庆,陆军军医大学(第三军医大学)生物医学工程与影像医学系数字医学教研室
4.030001 太原,山西医科大学组织胚胎学教研室
5.030013 太原,山西省肿瘤医院普外科
[吴毅,E-mail:wuy1979@tmmu.edu.cn WU Yi, E-mail: wuy1979@tmmu.edu.cn
[顾玮,E-mail:guwei@cqu.edu.cn GU Wei, E-mail: guwei@cqu.edu.cn
收稿:2022-11-08,
修回:2022-12-18,
纸质出版:2023-07-15
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呼延若曦, 吴哲, 许杉杉, 等. 基于Vgg16-Unet模型的MRI图像下前列腺分区智能分割研究[J]. 陆军军医大学学报, 2023,45(13):1441-1449.
Ruoxi HUYAN, Zhe WU, Shanshan XU, et al. Intelligent segmentation of prostate zones in MR images based on Vgg16-Unet[J]. Journal of Army Medical University, 2023, 45(13): 1441-1449.
呼延若曦, 吴哲, 许杉杉, 等. 基于Vgg16-Unet模型的MRI图像下前列腺分区智能分割研究[J]. 陆军军医大学学报, 2023,45(13):1441-1449. DOI: 10.16016/j.2097-0927.202211045.
Ruoxi HUYAN, Zhe WU, Shanshan XU, et al. Intelligent segmentation of prostate zones in MR images based on Vgg16-Unet[J]. Journal of Army Medical University, 2023, 45(13): 1441-1449. DOI: 10.16016/j.2097-0927.202211045.
目的
2
基于前列腺核磁共振图像(MRI),构建深度学习智能分割模型,展开MRI图像下前列腺分区的智能分割研究。
方法
2
收集山西省肿瘤医院2018年1月至2020年10月33例经MRI扫描的前列腺癌患者T2WI本地数据,包括T1期6例,T2期15例,T3期9例,T4期3例。选取荷兰奈梅亨拉德堡德大学医学中心提供的前列腺MRI公开数据集中前列腺癌患者的T2WI序列数据,共379例数据,所有数据按照7 ∶1 ∶2的比例随机划分为训练集265例、验证集38例和测试集76例。在Unet模型基础上以Vgg16模型为编码器,使用多层卷积层的同时利用迁移学习策略,构建Vgg16-Unet模型,以医师手工勾画和标注的前列腺分区(前纤维基质带、中央带、外周带、移形带)为金标准,在测试集上,采用Dice相似系数(Dice similarity coefficient,DSC)、95%豪斯多夫距离(95% Hausdorff surface Distance,HD95)评估模型对前列腺分区的分割精度。
结果
2
模型在测试集上对前纤维基质带、中央带、外周带、移形带实现了较为准确的分割,其平均DSC分别为56.95%、47.28%、80.78%、90.63%,平均HD95分别为20.84、20.02、15.39、11.20 mm。模型智能分割与手工标注测量的体积一致性较好,其差值均位于95%一致性区间内。
结论
2
构建的Vgg16-Unet模型分割精度优于Unet、Unet++、ResUnet++ 3个Unet经典变种网络,能够显著提高前列腺癌MRI图像分割效率,减轻医师工作量。
Objective
2
To create an intelligent segmentation model of deep learning based on the magnetic resonance (MR) images of the prostate zones.
Methods
2
The T2WI sequence data of 33 patients with prostate cancer
including 6 at T1 stage
15 at T2 stage
9 at T3 stage
and 3 at T4 stage
receiving MRI scanning in Shanxi Provincial Cancer Hospital from January 2018 to October 2020 were collected. While
the T2WI sequence data of 346 patients with prostate cancer from the Prostate MRI Public Dataset provided by Radboud University Nijmegen Medical Centre
Netherlands were also collected. Then these totally 379 cases were randomly divided into training sets
validation sets and test sets at a ratio of 7 ∶1 ∶2 (265
38 and 76 cases
respectively). Based on Unet model
Vgg16 was used as the encoder
and multiple layers of convolution were used with the transfer learning strategy at the same time to build a Vgg16-Unet model. Then with a gold standard of the prostate zones (anterior fibrous matrix zone
central zone
peripheral zone
and transition zone) manually segmented by doctors
Dice similarity coefficient (DSC) and 95% Hausdorff surface distance (HD95) were employed to evaluate the segmentation accuracy of the prostate zones on the test set.
Results
2
The model achieved relatively higher accuracy of segmentation for anterior fibrous matrix zone
central zone
peripheral zone and transition zone on the test set. The average DSC was 56.95%
47.28%
80.78%
and 90.63%
and the average HD95 value was 20.84
20.02
15.39 and 11.20 mm
respectively. The volume predicted by the model was consistent with the volume measured by manual segmentation
and their differences were basically within the 95% consistency interval.
Conclusion
2
The segmentation accuracy of our Vgg16-Unet model is better than that of 3 classical variants
Unet
Unet++ and ResUnet++. The model can significantly improve the segmentation efficiency of prostate cancer MRI images and reduce the workload of clinicians.
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