arXiv:2502.18225eess.IVcs.AI2025-02被引 2

用深度学习自动评估肝硬化分期,提升早期诊断准确率。

Liver Cirrhosis Stage Estimation from MRI with Deep Learning

  • 融合多尺度特征与序列注意力机制,捕捉不同阶段的细微组织变化。
  • 在T1W序列上达72.8%准确率,优于传统影像组学方法。
  • 适合医学影像分析、肝病辅助诊断的研究者和临床医生使用。

我们提出一种端到端深度学习框架,用于从多序列MRI图像中自动估计肝硬化分期。肝硬化是多种慢性肝病的严重纤维化结局,早期诊断对预防失代偿和肝癌等并发症至关重要。然而,早期诊断困难,患者常在出现危及生命并发症时才被发现。本方法结合多尺度特征学习与序列特定注意力机制,有效捕捉肝硬化进展过程中的微小组织差异。基于公开的大规模数据集CirrMRI600+(包含339名患者的628例高分辨率MRI扫描),我们在三阶段分类任务中取得当前最优性能:最佳模型在T1W序列上达到72.8%准确率,在T2W序列上为63.8%,显著优于传统影像组学方法。通过大量消融实验,验证了该架构能有效学习阶段特异性影像生物标志物。研究建立了自动化肝硬化分期的新基准,并为开发临床可用的深度学习系统提供洞见。源代码将发布于https://github.com/JunZengz/CirrhosisStage。

原文摘要 · Abstract (English)

We present an end-to-end deep learning framework for automated liver cirrhosis stage estimation from multi-sequence MRI. Cirrhosis is the severe scarring (fibrosis) of the liver and a common endpoint of various chronic liver diseases. Early diagnosis is vital to prevent complications such as decompensation and cancer, which significantly decreases life expectancy. However, diagnosing cirrhosis in its early stages is challenging, and patients often present with life-threatening complications. Our approach integrates multi-scale feature learning with sequence-specific attention mechanisms to capture subtle tissue variations across cirrhosis progression stages. Using CirrMRI600+, a large-scale publicly available dataset of 628 high-resolution MRI scans from 339 patients, we demonstrate state-of-the-art performance in three-stage cirrhosis classification. Our best model achieves 72.8% accuracy on T1W and 63.8% on T2W sequences, significantly outperforming traditional radiomics-based approaches. Through extensive ablation studies, we show that our architecture effectively learns stage-specific imaging biomarkers. We establish new benchmarks for automated cirrhosis staging and provide insights for developing clinically applicable deep learning systems. The source code will be available at https://github.com/JunZengz/CirrhosisStage.

肝硬化MRI分析深度学习医学影像

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