arXiv:2505.17484eess.IVcs.AI2025-05被引 3

用MRI和解剖引导多任务学习,一次识别胎盘植入症及其亚型。

Anatomy-Guided Multitask Learning for MRI-Based Classification of Placenta Accreta Spectrum and its Subtypes

  • 双分支网络:主干提取影像特征,另一支融合子宫胎盘解剖结构信息
  • 基于4140张MRI切片的一阶段多分类,准确率领先现有方法
  • 适合产科影像诊断、放射科医生及医学AI研发者参考

胎盘植入谱系疾病(PAS)在妊娠期间具有高风险,常导致剖宫产时大出血及其他严重并发症,出血程度与胎盘侵入深度正相关。因此,准确的产前诊断PAS及其亚型——胎盘粘连(PA)、胎盘植入(PI)和胎盘穿透(PP)至关重要。然而,现有指南与方法多聚焦于PAS存在与否,对亚型识别研究有限;以往多分类工作多采用低效的两级二分类策略。本研究提出一种新型卷积神经网络(CNN)架构,用于基于4,140张磁共振成像(MRI)切片的一阶段多类别诊断。模型包含两个分支:主分类分支采用含多个残差块的残差结构,另一分支整合了胎盘-子宫交界区及邻近浆膜层的解剖特征,以增强分类注意力。同时引入多任务学习策略,有效融合双分支信息。在真实临床数据集上的实验表明,该模型达到当前最优性能。

原文摘要 · Abstract (English)

Placenta Accreta Spectrum Disorders (PAS) pose significant risks during pregnancy, frequently leading to postpartum hemorrhage during cesarean deliveries and other severe clinical complications, with bleeding severity correlating to the degree of placental invasion. Consequently, accurate prenatal diagnosis of PAS and its subtypes-placenta accreta (PA), placenta increta (PI), and placenta percreta (PP)-is crucial. However, existing guidelines and methodologies predominantly focus on the presence of PAS, with limited research addressing subtype recognition. Additionally, previous multi-class diagnostic efforts have primarily relied on inefficient two-stage cascaded binary classification tasks. In this study, we propose a novel convolutional neural network (CNN) architecture designed for efficient one-stage multiclass diagnosis of PAS and its subtypes, based on 4,140 magnetic resonance imaging (MRI) slices. Our model features two branches: the main classification branch utilizes a residual block architecture comprising multiple residual blocks, while the second branch integrates anatomical features of the uteroplacental area and the adjacent uterine serous layer to enhance the model's attention during classification. Furthermore, we implement a multitask learning strategy to leverage both branches effectively. Experiments conducted on a real clinical dataset demonstrate that our model achieves state-of-the-art performance.

医学影像胎盘植入多任务学习MRI分析

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