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Li Z, Yang L, Shu L, Yu Z, Huang J, Li J, Chen L, Hu S, Shu T, Yu G. Research on CT Lung Segmentation Method of Preschool Children based on Traditional Image Processing and ResUnet. COMPUTATIONAL AND MATHEMATICAL METHODS IN MEDICINE 2022; 2022:7321330. [PMID: 36262868 PMCID: PMC9576440 DOI: 10.1155/2022/7321330] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/11/2022] [Revised: 09/13/2022] [Accepted: 09/21/2022] [Indexed: 11/22/2022]
Abstract
Lung segmentation using computed tomography (CT) images is important for diagnosing various lung diseases. Currently, no lung segmentation method has been developed for assessing the CT images of preschool children, which may differ from those of adults due to (1) presence of artifacts caused by the shaking of children, (2) loss of a localized lung area due to a failure to hold their breath, and (3) a smaller CT chest area, compared with adults. To solve these unique problems, this study developed an automatic lung segmentation method by combining traditional imaging methods with ResUnet using the CT images of 60 children, aged 0-6 years. First, the CT images were cropped and zoomed through ecological operations to concentrate the segmentation task on the chest area. Then, a ResUnet model was used to improve the loss for lung segmentation, and case-based connected domain operations were performed to filter the segmentation results and improve segmentation accuracy. The proposed method demonstrated promising segmentation results on a test set of 12 cases, with average accuracy, Dice, precision, and recall of 0.9479, 0.9678, 0.9711, and 0.9715, respectively, which achieved the best performance relative to the other six models. This study shows that the proposed method can achieve good segmentation results in CT of preschool children, laying a good foundation for the diagnosis of children's lung diseases.
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Affiliation(s)
- Zheming Li
- Department of Data and Information, The Children's Hospital Zhejiang University School of Medicine, Hangzhou 310052, China
- Sino-Finland Joint AI Laboratory for Child Health of Zhejiang Province, Hangzhou 310052, China
- National Clinical Research Center for Child Health, Hangzhou 310052, China
- Polytechnic Institute, Zhejiang University, 866 Yuhangtang Rd, Hangzhou 310058, China
| | - Li Yang
- National Clinical Research Center for Child Health, Hangzhou 310052, China
- Department of Radiology, Children's Hospital, Zhejiang University School of Medicine, Hangzhou 310052, China
| | - Liqi Shu
- Department of Neurology, The Warren Alpert Medical School of Brown University, USA
| | - Zhuo Yu
- Huiying Medical Technology (Beijing), Beijing 100192, China
| | - Jian Huang
- Department of Data and Information, The Children's Hospital Zhejiang University School of Medicine, Hangzhou 310052, China
- Sino-Finland Joint AI Laboratory for Child Health of Zhejiang Province, Hangzhou 310052, China
- National Clinical Research Center for Child Health, Hangzhou 310052, China
| | - Jing Li
- Department of Data and Information, The Children's Hospital Zhejiang University School of Medicine, Hangzhou 310052, China
- Sino-Finland Joint AI Laboratory for Child Health of Zhejiang Province, Hangzhou 310052, China
- National Clinical Research Center for Child Health, Hangzhou 310052, China
| | - Lingdong Chen
- Department of Data and Information, The Children's Hospital Zhejiang University School of Medicine, Hangzhou 310052, China
- Sino-Finland Joint AI Laboratory for Child Health of Zhejiang Province, Hangzhou 310052, China
- National Clinical Research Center for Child Health, Hangzhou 310052, China
| | - Shasha Hu
- The Children's Hospital Zhejiang University School of Medicine, Hangzhou 310052, China
| | - Ting Shu
- National Institute of Hospital Administration, NHC, Beijing 100044, China
| | - Gang Yu
- Department of Data and Information, The Children's Hospital Zhejiang University School of Medicine, Hangzhou 310052, China
- Sino-Finland Joint AI Laboratory for Child Health of Zhejiang Province, Hangzhou 310052, China
- National Clinical Research Center for Child Health, Hangzhou 310052, China
- Polytechnic Institute, Zhejiang University, 866 Yuhangtang Rd, Hangzhou 310058, China
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