arXiv:2503.06114eess.IVcs.CV2025-03被引 2

AI系统自动分割并诊断颈椎病,准确率超90%

Pathology-Guided AI System for Accurate Segmentation and Diagnosis of Cervical Spondylosis

  • 基于病理引导的分割模型,精准识别颈椎关键结构
  • 多指标误差低于0.9,疝出定位与分级准确率高
  • 适合临床医生快速辅助诊断,提升效率与一致性

颈椎病是一种复杂且常见的疾病,需要精确高效的诊断手段。尽管磁共振成像(MRI)能清晰显示颈椎解剖结构,但人工解读耗时且易出错。为此,我们开发了一种基于专家经验的AI辅助诊断系统,实现颈椎病的自动分割与诊断。该系统利用多中心患者颈椎MRI数据,构建了病理引导的分割模型,可精准分割四个颈椎节段的关键解剖结构,平均Dice系数超过0.90,尤其在椎间盘突出区域表现更优。随后,系统通过专家框架自动化计算关键临床指标。诊断评估显示,系统在C2-C7 Cobb角和最大脊髓压迫系数(MSCC)上的均方误差最低。同时,在椎间盘突出定位、K线状态判断、T2高信号检测及Kang分级中,各项指标如准确率、精确率、召回率与F1分数均表现优异。对比分析与外部验证表明,本系统优于现有方法,为颈椎病的分割与诊断树立了新基准。

原文摘要 · Abstract (English)

Cervical spondylosis, a complex and prevalent condition, demands precise and efficient diagnostic techniques for accurate assessment. While MRI offers detailed visualization of cervical spine anatomy, manual interpretation remains labor-intensive and prone to error. To address this, we developed an innovative AI-assisted Expert-based Diagnosis System that automates both segmentation and diagnosis of cervical spondylosis using MRI. Leveraging multi-center datasets of cervical MRI images from patients with cervical spondylosis, our system features a pathology-guided segmentation model capable of accurately segmenting key cervical anatomical structures. The segmentation is followed by an expert-based diagnostic framework that automates the calculation of critical clinical indicators. Our segmentation model achieved an impressive average Dice coefficient exceeding 0.90 across four cervical spinal anatomies and demonstrated enhanced accuracy in herniation areas. Diagnostic evaluation further showcased the system's precision, with the lowest mean average errors (MAE) for the C2-C7 Cobb angle and the Maximum Spinal Cord Compression (MSCC) coefficient. In addition, our method delivered high accuracy, precision, recall, and F1 scores in herniation localization, K-line status assessment, T2 hyperintensity detection, and Kang grading. Comparative analysis and external validation demonstrate that our system outperforms existing methods, establishing a new benchmark for segmentation and diagnostic tasks for cervical spondylosis.

颈椎病AI诊断医学图像分割

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