arXiv:2409.12600eess.IV2024-09被引 1

自动化处理膝关节软骨T₁ρ成像,精准量化20个区域的弛豫时间。

A Systematic Post-Processing Approach for Quantitative $T_{1ρ}$ Imaging of Knee Articular Cartilage

  • 先标准化图像,再用深度学习分割软骨并分20区
  • 患者与健康人各20区中17/18区结果无显著差异,误差<1毫秒
  • 适合临床研究软骨退变,无需手动标注

目的:建立膝关节软骨定量旋转框架自旋-晶格弛豫时间(T₁ρ)成像的自动化后处理流程。方法:该流程包括图像标准化、基于深度学习的软骨分割生成掩膜,再将软骨自动划分为20个子区域进行T₁ρ量化。在包含10名健康志愿者和30例膝骨关节炎患者的回顾性数据集上验证。通过三个实验评估:分割模型性能(使用骰子相似系数,DSCs);标准化影响;及T₁ρ量化准确性(采用配对t检验、均方根偏差,RMSDs;以及RMSD变异系数,CV_RMSD)。统计显著性设为p<0.05。结果:模型预测掩膜与人工标注的子区域T₁ρ值高度一致。患者组中17/20区、健康组中18/20区无显著差异。平均RMSD分别为0.79毫秒(患者)和0.56毫秒(健康人),平均CV_RMSD为1.97%(患者)和1.38%(健康人)。Bland-Altman图显示所有子区域偏差可忽略。结论:该流程可实现膝关节软骨定量T₁ρ图像的自动且可靠的后处理。

原文摘要 · Abstract (English)

Objective: To establish an automated pipeline for post-processing of quantitative spin-lattice relaxation time constant in the rotating frame ($T_{1ρ}$) imaging of knee articular cartilage. Design: The proposed post-processing pipeline commences with an image standardisation procedure, followed by deep learning-based segmentation to generate cartilage masks. The articular cartilage is then automatically parcellated into 20 subregions, where $T_{1ρ}$ quantification is performed. The proposed pipeline was retrospectively validated on a dataset comprising knee $T_{1ρ}$ images of 10 healthy volunteers and 30 patients with knee osteoarthritis. Three experiments were conducted, namely an assessment of segmentation model performance (using Dice similarity coefficients, DSCs); an evaluation of the impact of standardisation; and a test of $T_{1ρ}$ quantification accuracy (using paired t-tests; root-mean-square deviations, RMSDs; and coefficients of variance of RMSDs, $CV_{RMSD}$). Statistical significance was set as p<0.05. Results: There was a substantial agreement between the subregional $T_{1ρ}$ quantification from the model-predicted masks and those from the manual segmentation labels. In patients, 17 of 20 subregions, and in healthy volunteers, 18 out of 20 subregions, demonstrated no significant difference between predicted and reference $T_{1ρ}$ quantifications. Average RMSDs were 0.79 ms for patients and 0.56 ms for healthy volunteers, while average $CV_{RMSD}$ were 1.97% and 1.38% for patients and healthy volunteers. Bland-Altman plots showed negligible bias across all subregions for patients and healthy volunteers. Conclusion: The proposed pipeline can perform automatic and reliable post-processing of quantitative $T_{1ρ}$ images of knee articular cartilage.

医学影像T₁ρ成像深度学习软骨量化

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