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1.
Artigo em Chinês | MEDLINE | ID: mdl-38973043

RESUMO

Objective:To build a VGG-based computer-aided diagnostic model for chronic sinusitis and evaluate its efficacy. Methods:①A total of 5 000 frames of diagnosed sinus CT images were collected. The normal group consisted of 1 000 frames(250 frames each of maxillary sinus, frontal sinus, septal sinus, and pterygoid sinus), while the abnormal group consisted of 4 000 frames(1 000 frames each of maxillary sinusitis, frontal sinusitis, septal sinusitis, and pterygoid sinusitis). ②The models were trained and simulated to obtain five classification models for the normal group, the pteroid sinusitis group, the frontal sinusitis group, the septal sinusitis group and the maxillary sinusitis group, respectively. The classification efficacy of the models was evaluated objectively in six dimensions: accuracy, precision, sensitivity, specificity, interpretation time and area under the ROC curve(AUC). ③Two hundred randomly selected images were read by the model with three groups of physicians(low, middle and high seniority) to constitute a comparative experiment. The efficacy of the model was objectively evaluated using the aforementioned evaluation indexes in conjunction with clinical analysis. Results:①Simulation experiment: The overall recognition accuracy of the model is 83.94%, with a precision of 89.52%, sensitivity of 83.94%, specificity of 95.99%, and the average interpretation time of each frame is 0.2 s. The AUC for sphenoid sinusitis was 0.865(95%CI 0.849-0.881), for frontal sinusitis was 0.924(0.991-0.936), for ethmoidoid sinusitis was 0.895(0.880-0.909), and for maxillary sinusitis was 0.974(0.967-0.982). ②Comparison experiment: In terms of recognition accuracy, the model was 84.52%, while the low-seniority physicians group was 78.50%, the middle-seniority physicians group was 80.50%, and the seniority physicians group was 83.50%; In terms of recognition accuracy, the model was 85.67%, the low seniority physicians group was 79.72%, the middle seniority physicians group was 82.67%, and the high seniority physicians group was 83.66%. In terms of recognition sensitivity, the model was 84.52%, the low seniority group was 78.50%, the middle seniority group was 80.50%, and the high seniority group was 83.50%. In terms of recognition specificity, the model was 96.58%, the low-seniority physicians group was 94.63%, the middle-seniority physicians group was 95.13%, and the seniority physicians group was 95.88%. In terms of time consumption, the average image per frame of the model is 0.20 s, the average image per frame of the low-seniority physicians group is 2.35 s, the average image per frame of the middle-seniority physicians group is 1.98 s, and the average image per frame of the senior physicians group is 2.19 s. Conclusion:This study demonstrates the potential of a deep learning-based artificial intelligence diagnostic model for chronic sinusitis to classify and diagnose chronic sinusitis; the deep learning-based artificial intelligence diagnosis model for chronic sinusitis has good classification performance and high diagnostic efficacy.


Assuntos
Sinusite , Tomografia Computadorizada por Raios X , Humanos , Doença Crônica , Tomografia Computadorizada por Raios X/métodos , Sinusite/classificação , Sinusite/diagnóstico por imagem , Diagnóstico por Computador/métodos , Sensibilidade e Especificidade , Sinusite Maxilar/diagnóstico por imagem , Sinusite Maxilar/classificação , Seio Maxilar/diagnóstico por imagem , Curva ROC
2.
Artigo em Inglês | MEDLINE | ID: mdl-21096795

RESUMO

Falling is a common health problem for elderly. It is reported that more than one third of adults 65 and older fall each year in the United States. To address the problem, we are currently developing an acoustic fall detection system, FADE, which automatically detects a fall and reports it to the caregiver. In a previous version, FADE used a 3-microphone linear array to eliminate the false alarms produced by sounds produced well above the floor level. To improve the fall detection in noisy and reverberant environments, we replaced the linear array by an 8-microphone circular array that can provide a better 3-D estimation of the sound location. Preliminary experiments show that the sound location estimation performed by the circular array is reliable and robust to interference. We obtained encouraging classification results on a pilot dataset with 55 falls and 120 non-fall sounds.


Assuntos
Acidentes por Quedas/prevenção & controle , Monitorização Fisiológica/instrumentação , Transdutores , Acústica , Idoso , Algoritmos , Desenho de Equipamento , Humanos , Imageamento Tridimensional/métodos , Modelos Estatísticos , Monitorização Fisiológica/métodos , Projetos Piloto , Curva ROC , Processamento de Sinais Assistido por Computador , Software , Som
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