scholarly journals Analysis of the Clinical Characteristics of Tuberculosis Patients based on Multi-Constrained Computed Tomography (CT) Image Segmentation Algorithm

2021 ◽  
Vol 37 (6-WIT) ◽  
Author(s):  
Feng Zhu ◽  
Bo Zhang

Objective: We used U-shaped convolutional neural network (U_Net) multi-constraint image segmentation method to compare the diagnosis and imaging characteristics of tuberculosis and tuberculosis with lung cancer patients with Computed Tomography (CT). Methods: We selected 160 patients with tuberculosis from the severity scoring (SVR) task is provided by Image CLEF Tuberculosis 2019. According to the type of diagnosed disease, they were divided into tuberculosis combined with lung cancer group and others group, all patients were given chest CT scan, and the clinical manifestations, CT characteristics, and initial suspected diagnosis and missed diagnosis of different tumor diameters were observed and compared between the two groups. Results: There were more patients with hemoptysis and hoarseness in pulmonary tuberculosis combined with lung cancer group than in the pulmonary others group (P<0.05), and the other symptoms were not significantly different (P>0.05). Tuberculosis combined with lung cancer group had fewer signs of calcification, streak shadow, speckle shadow, and cavitation than others group; however, tuberculosis combined with lung cancer group had more patients with mass shadow, lobular sign, spines sign, burr sign and vacuole sign than others group. Conclusion: The symptoms of hemoptysis and hoarseness in pulmonary tuberculosis patients need to consider whether the disease has progressed and the possibility of lung cancer lesions. CT imaging of pulmonary tuberculosis patients with lung cancer usually shows mass shadows, lobular signs, spines signs, burr signs, and vacuoles signs. It can be used as the basis for its diagnosis. Simultaneously, the U-Net-based segmentation method can effectively segment the lung parenchymal region, and the algorithm is better than traditional algorithms. doi: https://doi.org/10.12669/pjms.37.6-WIT.4795 How to cite this:Zhu F, Zhang B. Analysis of the Clinical Characteristics of Tuberculosis Patients based on Multi-Constrained Computed Tomography (CT) Image Segmentation Algorithm. Pak J Med Sci. 2021;37(6):1705-1709. doi: https://doi.org/10.12669/pjms.37.6-WIT.4795 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yuanyuan Wang ◽  
Xiaoqian Shang ◽  
Liang Wang ◽  
Jiahui Fan ◽  
Fengming Tian ◽  
...  

Abstract Aim This study mainly evaluates the clinical characteristics and chest chest computed tomography (CT) findings of AFB-positive and AFB-negative pulmonary tuberculosis (PTB) patients to explore the relationship between AFB-positive and clinico-radiological findings. Methods A retrospective analysis of 224 hospitalized tuberculosis patients from 2018 to 2020 was undertaken. According to the AFB smear results, they were divided into AFB-positive pulmonary tuberculosis (positive by Ziehl–Neelsen staining) and AFB-negative pulmonary tuberculosis and patients’ CT results and laboratory test results were analyzed. Results A total of 224 PTB patients were enrolled. AFB-positive (n = 94, 42%) and AFB-negative (n = 130, 58%). AFB-positive patients had more consolidation (77.7% vs. 53.8%, p < 0.01), cavity (55.3% vs. 34.6%, p < 0.01), calcification (38.3% vs. 20%, p < 0.01), bronchiectasis (7.5% vs. 1.5%, p < 0.05), bronchiarctia (6.4% vs. 0.8%, p < 0.05), and right upper lobe involvement (57.5% vs. 33.1%, p < 0.01), left upper lobe involvement (46.8% vs. 33.1%, p < 0.05) and lymphadenopathy (58.5% vs. 37.7%, p < 0.01). Conclusion The study found that when pulmonary tuberculosis patients have consolidation, cavity, upper lobe involvement and lymphadenopathy on chest CT images, they may have a higher risk of AFB-positive tuberculosis.


2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Xixi Guo ◽  
Yuze Li ◽  
Chunjie Yang ◽  
Yanjiang Hu ◽  
Yun Zhou ◽  
...  

This study aimed to detect and diagnose the lung nodules as early as possible to effectively treat them, thereby reducing the burden on the medical system and patients. A lung computed tomography (CT) image segmentation algorithm was constructed based on the deep learning convolutional neural network (CNN). The clinical data of 69 patients with lung nodules diagnosed by needle biopsy and pathological comprehensive diagnosis at hospital were collected for specific analysis. The CT image segmentation algorithm was used to distinguish the nature and volume of lung nodules and compared with other computer aided design (CAD) software (Philips ISP). 69 patients with lung nodules were treated by radiofrequency ablation (RFA). The results showed that the diagnostic sensitivity of the CT image segmentation algorithm based on the CNN was obviously higher than that of the Philips ISP for solid nodules <5 mm (63 cases vs. 33 cases) ( P < 0.05 ); it was the same result for the subsolid nodule <5 mm (33 case vs. 5 cases) ( P < 0.05 ) that was slightly higher for solid and subsolid nodules with a diameter of 5–10 mm (37 cases vs. 28 cases) ( P < 0.05 ). In addition, the CNN algorithm can reach all detection for calcified nodules and pleural nodules (7 cases; 5 cases), and the diagnostic sensitivities were much better than those of Philips ISP (2 cases; 3 cases) ( P < 0.05 ). Patients with pulmonary nodules treated by RFA were in good postoperative condition, with a half-year survival rate of 100% and a one-year survival rate of 72.4%. Therefore, it could be concluded that the CT image segmentation algorithm based on the CNN could effectively detect and diagnose the lung nodules early, and the RFA could effectively treat the lung nodules.


Author(s):  
H.-F. Lee ◽  
P.-C. Huang ◽  
C. Wietholt ◽  
C.-H. Hsu ◽  
K. M. Lin ◽  
...  

2019 ◽  
Vol 46 (11) ◽  
pp. 4970-4982 ◽  
Author(s):  
Azael M. Sousa ◽  
Samuel B. Martins ◽  
Alexandre X. Falcão ◽  
Fabiano Reis ◽  
Ericson Bagatin ◽  
...  

2012 ◽  
Vol 155-156 ◽  
pp. 861-866 ◽  
Author(s):  
Bei Ji Zou ◽  
Hao Yu Zhou ◽  
Zai Liang Chen ◽  
Hao Chen ◽  
Guo Jiang Xin

A new welding seam image segmentation method based on pulse-coupled neural network (PCNN) is presented in this paper. The method segments image by utilizing PCNN’s specific feature that the fire of one neuron can capture firing of its adjacent neurons due to their spatial proximity and intensity similarity. The method can automatically confirm the best iteration times by comparing the maximum of variance ratio and get the best segmentation results. Experimental results show that the proposed method has good performance in both results and execution efficiency.


2020 ◽  
Vol 10 (2) ◽  
pp. 515-521 ◽  
Author(s):  
Guorui Chen

Aiming at the problems of noise sensitivity and unclear contour in existing MRI image segmentation algorithms, a segmentation method combining regularized P-M de-noising model and improved watershed algorithm is proposed. First, the brain MRI image is pre-processed to obtain a brain nuclear image. Then, the brain nuclear image is de-noised by a regularized P-M model. After that, the image is preliminarily segmented by the traditional watershed algorithm to extract the features of each small region. Finally, the small regions are merged by Fuzzy Clustering with Spatial Pattern (FCSP) to obtain the segmentation image with smooth edges. The experimental results show that the algorithm can accurately segment the gray matter (GM), white matter (WM) and cerebrospinal fluid (CSF) regions. The average AOM and ME of the segmentation results on the BrainWeb dataset reached 0.93 and 0.04, respectively.


2010 ◽  
Vol 121-122 ◽  
pp. 320-324
Author(s):  
Jin Xi Wang ◽  
Lin Xiang Liu ◽  
Xiu Zheng Li

The watershed algorithm has been widely used in image segmentation for its characteristics of accurately positioning edge, simple operation and etc. But it also has drawbacks of easy to over-segmentation and loss important outline for the character of sensitive to noise. Aiming at the problem of over-segmentation of watershed algorithm, the paper brought out an improved image segmentation algorithm based on watershed, which can limit the number of existing regions that are allowed with combination pre-processing steps, so that the over-segmentation problem can be better solved. The result of experiment also verifies the correctness and feasibility of the proposed algorithm in the paper.


2019 ◽  
Vol 2019 ◽  
pp. 1-13 ◽  
Author(s):  
Feng-Ping An ◽  
Zhi-Wen Liu

With the development of computer vision and image segmentation technology, medical image segmentation and recognition technology has become an important part of computer-aided diagnosis. The traditional image segmentation method relies on artificial means to extract and select information such as edges, colors, and textures in the image. It not only consumes considerable energy resources and people’s time but also requires certain expertise to obtain useful feature information, which no longer meets the practical application requirements of medical image segmentation and recognition. As an efficient image segmentation method, convolutional neural networks (CNNs) have been widely promoted and applied in the field of medical image segmentation. However, CNNs that rely on simple feedforward methods have not met the actual needs of the rapid development of the medical field. Thus, this paper is inspired by the feedback mechanism of the human visual cortex, and an effective feedback mechanism calculation model and operation framework is proposed, and the feedback optimization problem is presented. A new feedback convolutional neural network algorithm based on neuron screening and neuron visual information recovery is constructed. So, a medical image segmentation algorithm based on a feedback mechanism convolutional neural network is proposed. The basic idea is as follows: The model for obtaining an initial region with the segmented medical image classifies the pixel block samples in the segmented image. Then, the initial results are optimized by threshold segmentation and morphological methods to obtain accurate medical image segmentation results. Experiments show that the proposed segmentation method has not only high segmentation accuracy but also extremely high adaptive segmentation ability for various medical images. The research in this paper provides a new perspective for medical image segmentation research. It is a new attempt to explore more advanced intelligent medical image segmentation methods. It also provides technical approaches and methods for further development and improvement of adaptive medical image segmentation technology.


Sign in / Sign up

Export Citation Format

Share Document