基于多特征拟合诊断胃部褪色调肿瘤性病变的人工智能系统
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武汉大学人民医院消化内科

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湖北省消化疾病微创诊治临床医学研究中心(2023CCB005)


An artificial intelligence system based on multi-feature fitting for diagnosing gastric whitish neoplastic lesions
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Department of Gastroenterology, Renmin Hospital of Wuhan University

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The Project of Hubei Provincial Clinical Research Center for Digestive Disease Minimally Invasive Incision (grant no. 2023CCB005, to Honggang Yu)

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    摘要:

    目的 构建一个基于多特征拟合的人工智能诊断系统,用于白光内镜下诊断胃褪色调肿瘤性病变。 方法 收集武汉大学人民医院和中国人民解放军总医院第七医学中心2012年12月至2021年7月间的胃镜图像,根据入选和排除标准,最终选取了267名患者的823张胃部褪色调病灶图像。通过文献检索选取了5个与褪色调肿瘤性病变有关的白光下的镜下特征:病灶的位置(胃中上部\胃下部\部位无法判断)、病灶边界是否清晰(清晰\不清晰)、病灶的表面是否粗糙(粗糙\光滑)、病灶是否近圆形(近圆形\非近圆形)\病灶是否凹陷(凹陷\非凹陷)。把带有人工标注特征的图像输入机器学习算法中训练,选出最优的模型作为多特征拟合诊断系统;用同样的数据集训练测试了传统的单一深度学习模型,并对两个模型的诊断精度进行比较,并邀请8位不同级别的内镜医生进行人机比较。 结果 多特征拟合诊断系统的准确度,灵敏度,特异度分别是82.11%, 78.43%和84.72%。病灶特征按权重占比由高到低依次是病灶是否凹陷(权重占比0.71)、病灶位置(权重占比0.11)、病灶表面是否粗糙(权重占比0.08)、病灶边界是否清晰(权重占比0.06)和病灶是否近圆形(权重占比0.04)。多特征拟合诊断系统的诊断准确度显著高于非专家内镜医生(82.11% vs 74.31%, p= 0.008),与专家内镜医生水平相当(82.11% vs 83.20%, p= 0.700)。多特征拟合诊断系统与传统深度学习模型准确度没有显著性差异(82.11% vs 82.93%, p=1.000)。 结论 本研究构建了一个基于多特征拟合的人工智能诊断系统,用于在白光下诊断胃的褪色调肿瘤性病变,具有较好的精度,未来有望用于临床辅助内镜医生提高对胃褪色调肿瘤性病变的诊断能力。

    Abstract:

    Objective To construct an artificial intelligence diagnostic system based on multi-feature fitting for diagnosing gastric whitish neoplastic lesions under white-light endoscopy. Methods Gastroscopic images from Renmin Hospital of Wuhan University and The Seventh Medical Center of Chinese PLA General Hospital were collected between December 2012 and July 2021. A total of 823 images of gastric whitish lesions from 267 patients were finally selected based on the inclusion and exclusion criteria. Five white-light endoscopic features that are associated with gastric whitish lesions were selected through a literature search: the location of the lesion (upper-middle stomach \ lower stomach \ undistinguished), the boundary of the lesion (clear \ unclear), the surface of the lesion (rough \ smooth), the roundness of the lesion (nearly circular \ non-circular), whether the lesion was depressed (depressed\ non-depressed). The models were trained by feeding images with manually labelled features into a machine learning algorithm for fitting, and selecting the optimal model as our multi-feature fitting diagnostic system; A conventional single deep learning model was trained with the same dataset. The diagnostic performance of the two models were compared, and six endoscopists at different levels were invited to make a human-computer comparison. Results The accuracy, sensitivity, and specificity of the multi-feature fitting diagnostic system were 82.11%, 78.43%, and 84.72%, respectively. The lesion characteristics in descending order of weighting were whether the lesion was depressed (weighting 0.71), the location of the lesion (weighting 0.11), whether the surface of the lesion was rough (weighting 0.08), whether the boundary of the lesion was clear (weighting 0.06), and whether the lesion was subcircular (weighting 0.04). The diagnostic accuracy of the multi-feature fitting diagnostic system was significantly higher than that of non-expert endoscopists (82.11% vs 74.31%, p= 0.008) and comparable to that of expert endoscopists (82.11% vs 83.20%, p= 0.700). There was no significant difference in accuracy between the multi-feature fitting diagnostic system and the traditional deep learning model (82.11% vs 82.93%, p=1.000). Conclusion In this study, an artificial intelligence diagnostic system based on multi-feature fitting was constructed for the diagnosis of gastric whitish tumorous lesions under white light with good accuracy, which is expected to be used in the future to assist endoscopists clinically to improve the detection rate of gastric whitish tumorous lesions.

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曾晓铨,董泽华,李艳霞,等.基于多特征拟合诊断胃部褪色调肿瘤性病变的人工智能系统[J].中华消化内镜杂志,,().

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  • 收稿日期:2024-05-07
  • 最后修改日期:2024-05-20
  • 录用日期:2024-07-29
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