arXiv:2503.04966eess.IVcs.AI2025-03

用3D流匹配模型预测肾冷冻消融中冰球生长,提升手术精准度。

Prediction of Frozen Region Growth in Kidney Cryoablation Intervention Using a 3D Flow-Matching Model

  • 基于术中CT影像,学习冰球随时间的连续形变场。
  • 预测冰球体积扩展与形态变化,IoU达0.61,Dice为0.75。
  • 适合需实时导航的微创手术场景,尤其肾肿瘤冷冻治疗。

本研究提出一种3D流匹配模型,用于预测肾冷冻消融过程中冰球(冻结区域)的生长。术中精准引导对彻底清除肿瘤同时保护周围健康组织至关重要。传统基于物理或扩散的模拟方法计算量大,且难以准确刻画复杂解剖结构。为此,该模型利用术中CT影像作为输入,训练一个连续形变场,将早期CT扫描映射至未来状态。该变换不仅能估计冰球体积扩张,还可生成对应分割掩码,有效捕捉时空形态变化。定量分析显示模型鲁棒性强,预测结果与真实标注高度一致:交并比(IoU)达0.61,Dice系数为0.75。通过融合实时CT影像与深度学习技术,该方法有望提升肾冷冻消融的术中导航能力,改善手术效果,推动微创外科发展。

原文摘要 · Abstract (English)

This study presents a 3D flow-matching model designed to predict the progression of the frozen region (iceball) during kidney cryoablation. Precise intraoperative guidance is critical in cryoablation to ensure complete tumor eradication while preserving adjacent healthy tissue. However, conventional methods, typically based on physics driven or diffusion based simulations, are computationally demanding and often struggle to represent complex anatomical structures accurately. To address these limitations, our approach leverages intraoperative CT imaging to inform the model. The proposed 3D flow matching model is trained to learn a continuous deformation field that maps early-stage CT scans to future predictions. This transformation not only estimates the volumetric expansion of the iceball but also generates corresponding segmentation masks, effectively capturing spatial and morphological changes over time. Quantitative analysis highlights the model robustness, demonstrating strong agreement between predictions and ground-truth segmentations. The model achieves an Intersection over Union (IoU) score of 0.61 and a Dice coefficient of 0.75. By integrating real time CT imaging with advanced deep learning techniques, this approach has the potential to enhance intraoperative guidance in kidney cryoablation, improving procedural outcomes and advancing the field of minimally invasive surgery.

冷冻消融3D建模医学影像深度学习

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