arXiv:2506.17954eess.IVcs.CV2025-06

用手机拍照+贴标尺测皮试反应,自动诊断结核潜伏感染。

Mobile Image Analysis Application for Mantoux Skin Test

  • 用贴纸做尺寸参照,结合AI分割与边缘检测测皮疹大小。
  • 在临床标准下准确率显著提升,减少人为误差。
  • 适合基层医疗、资源匮乏地区快速筛查结核。

本文提出一款新型移动端应用,用于通过麻风菌素皮肤试验(Mantoux Skin Test, TST)诊断潜伏性结核感染(LTBI)。传统TST方法常因随访率低、患者不适及主观人工判读(尤其是圆珠笔法)导致误诊和治疗延迟。现有移动应用多依赖3D重建,而本系统采用标尺贴纸作为尺寸参考进行硬结测量。应用集成ARCore与DeepLabv3等先进图像处理技术,实现对皮肤硬结的精准分割与量化;同时使用边缘检测算法提升测量精度。评估结果显示,该系统在临床标准下显著提升诊断准确性与可靠性。该创新对资源有限地区的结核病管理至关重要,通过自动化与标准化流程提高诊断可及性与效率。未来工作将聚焦于优化机器学习模型、改进测量算法、扩展患者数据管理功能,并增强ARCore在不同光照条件与操作环境下的性能。

原文摘要 · Abstract (English)

This paper presents a newly developed mobile application designed to diagnose Latent Tuberculosis Infection (LTBI) using the Mantoux Skin Test (TST). Traditional TST methods often suffer from low follow-up return rates, patient discomfort, and subjective manual interpretation, particularly with the ball-point pen method, leading to misdiagnosis and delayed treatment. Moreover, previous developed mobile applications that used 3D reconstruction, this app utilizes scaling stickers as reference objects for induration measurement. This mobile application integrates advanced image processing technologies, including ARCore, and machine learning algorithms such as DeepLabv3 for robust image segmentation and precise measurement of skin indurations indicative of LTBI. The system employs an edge detection algorithm to enhance accuracy. The application was evaluated against standard clinical practices, demonstrating significant improvements in accuracy and reliability. This innovation is crucial for effective tuberculosis management, especially in resource-limited regions. By automating and standardizing TST evaluations, the application enhances the accessibility and efficiency of TB di-agnostics. Future work will focus on refining machine learning models, optimizing measurement algorithms, expanding functionalities to include comprehensive patient data management, and enhancing ARCore's performance across various lighting conditions and operational settings.

移动医疗结核病图像分析AI诊断

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