透過您的圖書館登入
IP:3.137.180.32
  • 期刊

Computer-Aided Dianosis of Liver Tumors in Non-Enganced CT Images

電腦輔助診斷未顯影CT影像之肝臟腫瘤

摘要


目的 施打含碘顯影劑之後的電腦斷層影像,對於肝臟腫瘤的診斷有極高的準確率,唯具有潛在的腎臟毒性及過敏的問題。本研究的目的在於評估類神經網路應用在未顯影CT影像上對於鑑別診斷肝臟腫瘤的可能角色。 方法 本研究總共收集164個肝臟病人,包含80個惡性病灶及84個良性病灶。首先在電腦斷層影像中懷疑為腫瘤的區域先行人工圈選,之後這一部份次影像中的紋路資訊則被抽取,最後再以多層次類神經網路分類系統的方式作良性及惡性腫瘤的鑑別。 結果 本研究所提出電腦補助診斷系統,對於診斷惡性腫瘤的正確率有80.5%,敏感度有75%,特異性則有85.7%,正向預估值為83.3%,負向預估值為78.3%。 結論 本研究所提出的電腦補助診斷系統,對於鑑別肝臟腫瘤良惡性有一定程度的準確率,因此具有潛在的價值,值得繼續開發研究以降低病人在接受電腦斷層檢查時,須要施打含碘顯影劑的可能性。由於類神經網路系統可以被訓練,因此只要有更大量的影像,這個分類系統將更為準確。

並列摘要


Objectives. Computed tomography (CT) after iodinated contrast agent injection is highly accurate for diagnosing liver tumors but may cause renal toxicity and allergic reaction. This study aimed to evaluate the potential role of the neural network in the differential diagnosis of liver tumors in non-enhanced CT images. Methods. We studied 164 hepatic lesions including 80 malignant tumors and 84 hemangiomas. Each suspicious tumor region in the digitized CT image was manually selected. The textural information of the sub-image was extracted and then the multilayer perception (MLP) neural network classified the tumor as benign or malignant according to auto-covariance features. In the experiment, all hepatic lesions were sampled with k-fold cross-validation (k= 10) to evaluate the performance. Results. The accuracy of the proposed computer-aided diagnosis (CAD) system for classifying malignancies was 80.5%, the sensitivity was 75.0%, the specificity was 85.7%, the positive predictive value was 83.3% and the negative predictive value was 78.3%. Conclusions. This system differentiates benign from malignant liver tumors with relatively high accuracy and is therefore clinically useful in reducing the need for iodinated contrast agent injection in CT examination. Because the neural network is trainable, it could be further optimized by including a larger set of tumor images.

延伸閱讀