Artificial Intelligence Algorithm-Based Lumbar and Spinal MRI for Evaluation of Efficacy of Chinkuei Shin Chewan Decoction on Lumbar Spinal Stenosis

The study aimed to explore the application value of lumbar Magnetic Resonance Imaging (MRI) images processed by artificial intelligence algorithms in evaluating the efficacy of chinkuei shin chewan decoction (a traditional Chinese medicine to nourish the kidney) in the treatment of lumbar spinal stenosis (LSS). Specifically, 110 LSS patients admitted to the hospital were selected as the research subjects. They were randomly divided into the control group (n = 55) and experimental group (n = 55) according to different treatment methods. The control group was treated with traditional medicine, and the experimental group additionally took chinkuei shin chewan decoction on its basis. Based on the traditional U-net algorithm, a U-net registration algorithm based on artificial intelligence was designed by introducing the information entropy theory, and the algorithm was applied to the lumbar MRI image evaluation of LSS patients. Compared with the traditional U-net algorithm, the artificial intelligence-based U-net registration algorithm had a decreased noise level P < 0.05 , the Jaccard (J) value (0.84) and the Dice value (0.93) increased significantly versus the traditional algorithm (J = 0.63, Dice = 0.81), and the characteristics of the image were more accurate. Before treatment, the Oswestry Disability Index (ODI) scores of the experimental group and the control group were 44.32 ± 6.45 and 43.32 ± 5.45, respectively. After treatment, the ODI scores of the two groups were 10.21 ± 5.05 and 17.09 ± 5.23, respectively. Both showed significant improvement, while the improvement of the experimental group was more obvious than that of the control group P < 0.05 . The overall effective rates of the two groups of patients were 96.44% and 82.47%, respectively, and the experimental group was significantly higher than the control group P < 0.05 . Under the U-net registration algorithm based on artificial intelligence, the diagnostic accuracy of lumbar MRI in the experimental group was 94.45%, significantly higher than 67.5% before the introduction of the algorithm P < 0.05 . In conclusion, chinkuei shin chewan decoction are effective for the treatment of LSS, and lumbar MRI based on the artificial intelligence U-net registration algorithm can evaluate the efficacy of LSS well and is worthy of promotion.

Study on Memory Function of Stroke Patients under Exercise Relearning Based on DWI Image Analysis Based on Optimized Registration Algorithm

Objective. This paper uses an optimized registration algorithm to analyze the diffusion-weighted imaging (DWI) scan parameters of acute ischemic stroke (AIS) in the memory function of stroke patients under exercise relearning (MRP). Methods. This study used a random case-control study. 65 patients with stroke and hemiplegia were randomly divided into a control group: conventional rehabilitation intervention (32 cases), and a treatment group: MRP (33 cases). Each patient uses 4 parameters for DWI examination and obtains 4 sets of images, group 1 is the control sequence, group 2 uses parallel acquisition technology, group 3 uses parallel acquisition technology and reduces the number of excitations, group 4 uses parallel acquisition technology to reduce repetition time (TR) and echo time (TE) and enlarge the field of view, and the scan time of each group is 177, 81, 23, and 18 s in sequence. At the time of enrollment and after 12 weeks of treatment, patients in each group were evaluated with Fugl-Meyer motor function score (FMA) and modified Pap index (MBI) for hand and wrist motor function and ADL. Results. After treatment, the FMA and MBI values of the treatment group were significantly higher than those of the control group ( P < 0.05 ). Conclusion. By adopting a parallel acquisition technique and reducing the number of excitations (group 3) scanning scheme, not only the scanning time is significantly shortened, but also the image quality can meet the diagnostic requirements, which has great application value for AIS patients who need emergency treatment. MRP can obviously promote the hand and wrist motor function and daily living ability of stroke hemiplegic patients.