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arXiv 2405.01409cs.CVcs.AI
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面向超声导航引导的目标条件强化学习

Goal-conditioned reinforcement learning for ultrasound navigation guidance

King’s College London(伦敦国王学院);Siemens Healthcare Limited(西门子医疗有限公司);Siemens Healthineers(西门子医疗);Siemens Healthineers AG(西门子医疗股份公司);Carol Davila University of Medicine and Pharmacy Bucharest(布加勒斯特卡罗尔·达维拉医药大学);Fortis Institute of Medical Sciences(富蒂斯医学院);Guy’s and St Thomas’ NHS Foundation Trust(盖伊和圣托马斯国民保健信托基金)

Abdoul Aziz Amadou, Vivek Singh, Florin C. Ghesu, Young-Ho Kim, Laura Stanciulescu, Harshitha P. Sai, Puneet Sharma, Alistair Young, Ronak Rajani, Kawal Rhode

AI总结:

本文提出基于对比学习的目标条件强化学习超声导航方法,引入对比患者批处理和数据增强对比损失,在789名患者数据上训练,实现对标准及介入视图的单一模型导航,并在140名患者测试集上取得6.56毫米位置误差和9.36度角度误差,验证了其在左心耳封堵等介入视图导航中的有效性。

摘要:

经食管超声心动图(TEE)在心脏病学的诊断和介入操作中发挥着关键作用。然而,由于图像采集和解读的复杂性,有效使用TEE需要大量培训。为了提高新手超声医师的效率并减少扫描采集的变异性,我们提出了一种新的超声(US)导航辅助方法,该方法基于对比学习作为目标条件强化学习(GCRL)。我们使用一种新颖的对比患者批处理方法(CPB)和一种数据增强对比损失来增强之前的框架,我们证明这两者对于确保跨患者解剖变异的泛化至关重要。所提出的框架能够使用单一模型导航到标准诊断视图以及复杂的介入视图。我们的方法是在一个包含789名患者的大型数据集上开发的,并在包含140名患者的测试数据集上获得了平均位置误差6.56毫米和角度误差9.36度的结果,该性能与在单个视图上训练的模型相比具有竞争力或更优。此外,我们定量验证了我们的方法导航到介入视图的能力,例如左心耳(LAA)封堵术中使用的LAA视图。我们的方法有望在经食管超声检查期间提供有价值的引导,有助于促进心脏超声从业者技能获取的进步。

英文摘要:

Transesophageal echocardiography (TEE) plays a pivotal role in cardiology for diagnostic and interventional procedures. However, using it effectively requires extensive training due to the intricate nature of image acquisition and interpretation. To enhance the efficiency of novice sonographers and reduce variability in scan acquisitions, we propose a novel ultrasound (US) navigation assistance method based on contrastive learning as goal-conditioned reinforcement learning (GCRL). We augment the previous framework using a novel contrastive patient batching method (CPB) and a data-augmented contrastive loss, both of which we demonstrate are essential to ensure generalization to anatomical variations across patients. The proposed framework enables navigation to both standard diagnostic as well as intricate interventional views with a single model. Our method was developed with a large dataset of 789 patients and obtained an average error of 6.56 mm in position and 9.36 degrees in angle on a testing dataset of 140 patients, which is competitive or superior to models trained on individual views. Furthermore, we quantitatively validate our method's ability to navigate to interventional views such as the Left Atrial Appendage (LAA) view used in LAA closure. Our approach holds promise in providing valuable guidance during transesophageal ultrasound examinations, contributing to the advancement of skill acquisition for cardiac ultrasound practitioners.

机构、总结、中文摘要均由AI分析而来,可能存在错误,请以论文正文为准。

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