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自注意力指導的多序列融合肝細胞癌分化判別模型

Self-attention guided multi-sequence fusion model for differentiation of hepatocellular carcinoma

  • 摘要: 結合影像學和人工智能技術對病灶進行無創性定量分析是目前智慧醫療的一個重要研究方向。針對肝細胞癌(Hepatocellular carcinoma, HCC)分化程度的無創性定量估測方法研究,結合放射科醫師的臨床讀片經驗,提出了一種基于自注意力指導的多序列融合肝細胞癌組織學分化程度無創判別計算模型。以動態對比增強核磁共振成像(Dynamic contrast-enhanced magnetic resonance imaging, DCE-MRI)的多個序列為輸入,學習各時序序列及各序列的多層掃描切片在分化程度判別任務的權重,加權序列中具有的良好判別性能的時間和空間特征,以提升分化程度判別性能。模型的訓練和測試在三甲醫院的臨床數據集上進行,實驗結果表明,本文所提出的肝細胞癌分化程度判別模型取得相比幾種基準和主流模型最高的分類計算性能,在WHO組織學分級任務中,判別準確度、靈敏度、精確度分別達到80%,82%和82%。

     

    Abstract: Hepatocellular carcinoma (HCC) is a type of primary malignant tumor and an urgent problem to be solved, particularly in China, one of the countries with the highest prevalence of HCC. In the choice of treatment methods for patients with hepatocellular carcinoma, accurate histological grading of the lesion area undoubtedly plays a vital role that helps the management and therapy of HCC patients. However, the current pathological detection as the gold standard has defects, such as invasiveness and a large sampling error. Therefore, it is an important direction of intelligent medical treatment to provide noninvasive and accurate lesion grading using imaging technology combined with artificial intelligence technology. On the basis of the radiologists' experience in reading clinical images, this paper proposed a self-attentional guidance-based histological differentiation discrimination model combined with multi-modality fusion and an attention weight calculation scheme for dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) sequences of hepatocellular carcinoma. The model combined the spatiotemporal information contained in the enhancement sequence and learned the importance of each sequence and the slice in the sequence for the classification task. It effectively used the feature information contained in the enhancement sequence in the temporal and spatial dimensions to improve the classification performance. During the experiment, the model was trained and tested on the clinical data set of the top three hospitals in China. The experimental results show that the self-attention-guided model proposed in this paper achieves higher classification performance than several benchmark and mainstream models. Comprehensive experiments were performed on the clinical dataset with labels annotated by professional radiologists. The results show that our proposed self-attention model can achieve acceptable quantitative measuring of HCC histologic grading based on the MRI sequences. In the WHO histological classification task, the classification accuracy of the proposed model reaches 80%, the sensitivity is 82%, and the precision is 82%.

     

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