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基于PET/CT圖像紋理參數(shù)的肺結(jié)節(jié)診斷模型

Diagnostic models of pulmonary nodules based ontexture features of PET/CT images

作者: 馬圓  陳斯鵬  田思佳  梁志剛  崔春蕾  郭秀花 
單位:首都醫(yī)科大學(xué)公共衛(wèi)生學(xué)院(北京100069)
關(guān)鍵詞: PET/CT;肺結(jié)節(jié);圖像紋理;診斷模型;支持向量機(jī) 
分類號:R318.04
出版年·卷·期(頁碼):2017·36·3(257-261)
摘要:

目的 基于PET/CT融合圖像紋理參數(shù)建立肺結(jié)節(jié)良惡性診斷模型,提高肺癌的識別率。 方法 選取宣武醫(yī)院核醫(yī)學(xué)科經(jīng)PET/CT檢查的52例肺結(jié)節(jié)患者,收集其PET/CT影像圖像及人口學(xué)、影像學(xué)信息。以Contourlet變換和灰度共生矩陣相結(jié)合的方式,對PET/CT圖像的感興趣區(qū)域提取紋理參數(shù)。基于所提取的紋理參數(shù)建立支持向量機(jī)模型,得到每個肺結(jié)節(jié)良惡性判別結(jié)果。為了提高模型的診斷效果,將結(jié)節(jié)邊緣、最大攝取值、有暈征等影像學(xué)信息也納入模型,重新建立支持向量機(jī)模型。通過靈敏度、特異度、正確率等指標(biāo)對模型診斷效果進(jìn)行評價(jià)。結(jié)果 紋理參數(shù)肺結(jié)節(jié)診斷模型的靈敏度、特異度分別為90.7%、93.5%,紋理參數(shù)結(jié)合影像學(xué)信息的肺結(jié)節(jié)診斷模型的靈敏度、特異度分別為95.7%、100.0%。結(jié)論 基于PET/CT圖像紋理參數(shù)建立的支持向量機(jī)模型對良惡性肺結(jié)節(jié)具有較好的鑒別診斷效果。

Objective  To establish diagnostic models for pulmonary nodules based on texture features of PET/CT images and improve the identification of lung cancer.Methods  We selected 52 patients who underwent 18F-PET/CT scan from the Department of Nuclear Medicine of Capital Medical University Xuanwu Hospital,then the PET/CT images and the information of demography and medical imaging were collected .The PET/CT texture parameters were extracted by Contourlet conversion and co-occurrence matrix arithmetic.Based on which we built the SVM (support vector machine) diagnosis models and got the results of classification for each pulmonary nodule.To improve the effectiveness of diagnostic models,we also built SVM models with the parameters of nodule margin,maximum standard uptake value and halo sign.At last we evaluated the effectiveness of the diagnostic models by the index of sensitivity,specificity,accuracy,etc.Results The diagnostic model of texture features had the sensitivity of 90.7% and specificity of 93.5%.The diagnostic model based on texture plus medical imaging information had the sensitivity of 95.7% and specificity of 100.0%.Conclusions  This diagnosis models based on texture features of PET/CT images have good classification of  benign and malignant nodules.

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