论文标题

在新生儿呼吸状态的超声评估中深度学习

Deep learning in the ultrasound evaluation of neonatal respiratory status

论文作者

Gravina, Michela, Gragnaniello, Diego, Verdoliva, Luisa, Poggi, Giovanni, Corsini, Iuri, Dani, Carlo, Meneghin, Fabio, Lista, Gianluca, Aversa, Salvatore, Raimondi, Francesco, Migliaro, Fiorella, Sansone, Carlo

论文摘要

肺超声成像正在从科学界引起人们的兴趣。一方面,由于它的无害性和高描述性,这种诊断成像在敏感应用中已被主要采用,例如对新生儿重症监护病房的早产新生儿的诊断和随访。另一方面,最新的图像分析和模式识别方法最近证明了它们充分利用这些数据中包含的丰富信息的能力,使它们对研究社区有吸引力。在这项工作中,我们对最新的深度学习网络和培训策略进行了彻底的分析,该策略对庞大而富有挑战性的多中心数据集,其中包括87名患有不同疾病和胎龄的患者。这些方法用于评估超声图像的肺呼吸状态,并根据参考标记进行评估。进行的分析通过显示可能误导训练程序并提出对特定数据和任务的一些适应的关键点来阐明此问题。所达到的结果明显优于先前作品获得的结果,该作品基于质地特征,并与人类专家预测的视觉分数缩小差距。

Lung ultrasound imaging is reaching growing interest from the scientific community. On one side, thanks to its harmlessness and high descriptive power, this kind of diagnostic imaging has been largely adopted in sensitive applications, like the diagnosis and follow-up of preterm newborns in neonatal intensive care units. On the other side, state-of-the-art image analysis and pattern recognition approaches have recently proven their ability to fully exploit the rich information contained in these data, making them attractive for the research community. In this work, we present a thorough analysis of recent deep learning networks and training strategies carried out on a vast and challenging multicenter dataset comprising 87 patients with different diseases and gestational ages. These approaches are employed to assess the lung respiratory status from ultrasound images and are evaluated against a reference marker. The conducted analysis sheds some light on this problem by showing the critical points that can mislead the training procedure and proposes some adaptations to the specific data and task. The achieved results sensibly outperform those obtained by a previous work, which is based on textural features, and narrow the gap with the visual score predicted by the human experts.

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