术中超声引导肝脏手术中肝内血管实时识别的研究
Towards Real-time Intrahepatic Vessel Identification in Intraoperative Ultrasound-Guided Liver Surgery
AI总结:
提出基于术前3D超声体积训练的个性化深度学习模型,实现腹腔镜术中超声下肝内门静脉树及分支的实时识别,在离体猪肝上验证精确度0.95、召回率0.93,优于外科医生表现。
摘要:
尽管与传统开腹手术相比,腹腔镜肝切除术并发症更少且能维持患者预后,但由于难以表征肝脏内部结构,其复杂性阻碍了广泛采用。腹腔镜术中超声提供了高效、经济且无辐射的引导。我们的目标是利用腹腔镜术中超声辅助医生识别肝脏内部结构。我们提出一种患者特异性方法,使用术前3D超声肝脏体积训练深度学习模型,用于实时识别门静脉树和分支结构。我们的个性化AI模型在离体猪肝上验证,与外科医生相比取得了更优的精确度(0.95)和召回率(0.93),为基于超声的肝切除术中精确血管识别奠定了基础。其适应性和潜在临床影响有望推进外科手术干预并改善患者护理。
英文摘要:
While laparoscopic liver resection is less prone to complications and maintains patient outcomes compared to traditional open surgery, its complexity hinders widespread adoption due to challenges in representing the liver's internal structure. Laparoscopic intraoperative ultrasound offers efficient, cost-effective and radiation-free guidance. Our objective is to aid physicians in identifying internal liver structures using laparoscopic intraoperative ultrasound. We propose a patient-specific approach using preoperative 3D ultrasound liver volume to train a deep learning model for real-time identification of portal tree and branch structures. Our personalized AI model, validated on ex vivo swine livers, achieved superior precision (0.95) and recall (0.93) compared to surgeons, laying groundwork for precise vessel identification in ultrasound-based liver resection. Its adaptability and potential clinical impact promise to advance surgical interventions and improve patient care.
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。