Pattern recognition

模式识别
  • 文章类型: Journal Article
    心电图(ECG)是心血管疾病(CVD)的最无创性诊断工具。心电信号的自动分析有助于准确和快速检测危及生命的心律失常,如房室传导阻滞,心房颤动,室性心动过速,等。ECG识别模型需要利用算法来检测ECG中的各种波形并随着时间识别复杂的关系。然而,患者波形形态的高度变异性和噪声是具有挑战性的问题。医生经常利用自动ECG异常识别模型来对长期ECG信号进行分类。最近,深度学习(DL)模型可用于在医疗保健决策系统中实现增强的ECG识别准确性。在这方面,这项研究引入了一种用于CVD检测和分类的自动化DL使能的ECG信号识别(ADL-ECGSR)技术。ADL-ECGSR技术采用三个最重要的子过程:预处理,特征提取,参数调整,和分类。此外,ADL-ECGSR技术涉及基于双向长短期记忆(BiLSTM)的特征提取器的设计,利用Adamax优化器对BiLSTM模型的训练方法进行优化。最后,应用带有堆叠稀疏自编码器(SSAE)模块的蜻蜓算法(DFA)对脑电信号进行识别和分类。在基准PTB-XL数据集上进行了广泛的模拟,以验证增强的ECG识别效率。对ADL-ECGSR方法的比较分析表明,现有方法的显着性能为91.24%。
    Electrocardiography (ECG) is the most non-invasive diagnostic tool for cardiovascular diseases (CVDs). Automatic analysis of ECG signals assists in accurately and rapidly detecting life-threatening arrhythmias like atrioventricular blockage, atrial fibrillation, ventricular tachycardia, etc. The ECG recognition models need to utilize algorithms to detect various kinds of waveforms in the ECG and identify complicated relationships over time. However, the high variability of wave morphology among patients and noise are challenging issues. Physicians frequently utilize automated ECG abnormality recognition models to classify long-term ECG signals. Recently, deep learning (DL) models can be used to achieve enhanced ECG recognition accuracy in the healthcare decision making system. In this aspect, this study introduces an automated DL enabled ECG signal recognition (ADL-ECGSR) technique for CVD detection and classification. The ADL-ECGSR technique employs three most important subprocesses: pre-processed, feature extraction, parameter tuning, and classification. Besides, the ADL-ECGSR technique involves the design of a bidirectional long short-term memory (BiLSTM) based feature extractor, and the Adamax optimizer is utilized to optimize the trained method of the BiLSTM model. Finally, the dragonfly algorithm (DFA) with a stacked sparse autoencoder (SSAE) module is applied to recognize and classify EEG signals. An extensive range of simulations occur on benchmark PTB-XL datasets to validate the enhanced ECG recognition efficiency. The comparative analysis of the ADL-ECGSR methodology showed a remarkable performance of 91.24 % on the existing methods.
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  • 文章类型: Journal Article
    氟喹诺酮类抗生素,一类动物和人类有用的抗生素,广泛用于许多领域,包括生物医学科学,畜牧业,和水生有鳍鱼类养殖。它的高需求和广泛的应用直接或间接导致了抗生素的大量消耗和排放,不仅影响环境,而且通过生物积累危害人类健康。因此,快速、精确地检测水中的微量抗生素,食物,生物样本至关重要。本研究合成了具有双发射中心的Tb3+/Eu3+配合物,以两个发射中心的荧光强度比F1/F2为信号构建荧光传感器阵列。氟喹诺酮类抗生素对镧系元素复合物的不同致敏作用有助于区分五种氟喹诺酮类抗生素与另外两种。此外,传感器阵列可以有效检测实际样品中的氟喹诺酮类抗生素,表明其在复杂样本分析中的可靠性和实用性。该策略对氟喹诺酮类抗生素的优良定性和定量分析能力为抗生素残留检测提供了新的视角,展示了镧系元素络合物在传感器阵列中应用的新机会。
    Fluoroquinolone antibiotics, a class of animal and human useful antibiotics, are widely utilized in numerous fields including biomedical science, animal husbandry, and aquatic finfish farming. Its high demand and wide application have directly or indirectly led to substantial consumption and discharge of antibiotics, affecting not only the environment but also endangering human health through bioaccumulation. Hence, rapid and precise detection of trace antibiotics in water, food, and biological samples is critically important. This research synthesized Tb3+/Eu3+ complexes with dual emission centers, and a fluorescence sensor array was constructed with the fluorescence intensity ratio F1/F2 of the two emission centers as a signal. Different sensitization effect of fluoroquinolone antibiotics towards lanthanide complexes aided in differentiating five fluoroquinolone antibiotics from two others. Additionally, the sensor array can effectively detect fluoroquinolone antibiotics in real samples, suggesting its reliability and practicality of complex sample analysis. The excellent qualitative and quantitative analysis ability of this strategy for fluoroquinolone antibiotics offers a novel perspective for antibiotic residue detection, showcasing a new opportunity for lanthanide complex application in sensor arrays.
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  • 文章类型: Journal Article
    管道延伸数千公里,用于运输和分配石油和天然气。鉴于腐蚀经常面临的挑战,疲劳,以及钢管中的其他问题,石油和天然气集输系统对玻璃纤维增强塑料(GFRP)管的需求正在增加。然而,通过这些管道输送的介质含有多种酸性气体,如CO2和H2S,以及包括Cl-在内的离子,Ca2+,Mg2+,SO42-,CO32-,和HCO3-。这些物质会引起一系列的问题,如衰老,脱粘,分层,和骨折。在这项研究中,对深度为2mm和5mm的V形缺陷GFRP管进行了一系列的老化损伤实验。使用声发射(AE)技术研究了GFRP在外力和酸性溶液共同作用下的老化和失效。发现酸性老化溶液促进基体损伤,纤维/基质解吸,以及短时间内GFRP管的分层损伤。然而,总体衰老效应相对较弱。根据实验数据,提出了SSA-LSSVM算法,并将其应用于GFRP损伤模式识别中。平均识别率高达90%,表明该方法非常适合分析与GFRP损伤相关的AE信号。
    Pipelines extend thousands of kilometers to transport and distribute oil and gas. Given the challenges often faced with corrosion, fatigue, and other issues in steel pipes, the demand for glass fiber-reinforced plastic (GFRP) pipes is increasing in oil and gas gathering and transmission systems. However, the medium that is transported through these pipelines contains multiple acid gases such as CO2 and H2S, as well as ions including Cl-, Ca2+, Mg2+, SO42-, CO32-, and HCO3-. These substances can cause a series of problems, such as aging, debonding, delamination, and fracture. In this study, a series of aging damage experiments were conducted on V-shaped defect GFRP pipes with depths of 2 mm and 5 mm. The aging and failure of GFRP were studied under the combined effects of external force and acidic solution using acoustic emission (AE) techniques. It was found that the acidic aging solution promoted matrix damage, fiber/matrix desorption, and delamination damage in GFRP pipes over a short period. However, the overall aging effect was relatively weak. Based on the experimental data, the SSA-LSSVM algorithm was proposed and applied to the damage pattern recognition of GFRP. An average recognition rate of up to 90% was achieved, indicating that this method is highly suitable for analyzing AE signals related to GFRP damage.
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  • 文章类型: Journal Article
    紫苏叶油(PLO)是全球优质植物油,具有丰富的营养成分和可观的经济价值,使其容易受到不道德企业家的潜在掺假。肉桂油(CO)的添加是非法PLO的主要掺假途径之一。在这项研究中,开发了新的实时环境质谱方法来检测PLO中的CO掺杂。首先,采用大气固体分析探针串联质谱结合主成分分析和主成分分析-线性判别分析来区分真实和掺杂的PLO。然后,建立了样品中肉桂醛瞬时匹配的光谱库。最后,使用ASAP-MS/MS的SRM模式对结果进行了验证。在3分钟内,这三种方法成功地确定了浓度低至5%v/v的PLO中的CO掺假,准确率为100%。所提出的策略已成功应用于PLO中CO的欺诈检测。
    Perilla leaf oil (PLO) is a global premium vegetable oil with abundant nutrients and substantial economic value, rendering it susceptible to potential adulteration by unscrupulous entrepreneurs. The addition of cinnamon oil (CO) is one of the main adulteration avenues for illegal PLOs. In this study, new and real-time ambient mass spectrometric methods were developed to detect CO adulteration in PLO. First, atmospheric solids analysis probe tandem mass spectrometry combined with principal component analysis and principal component analysis-linear discriminant analysis was employed to differentiate between authentic and adulterated PLO. Then, a spectral library was established for the instantaneous matching of cinnamaldehyde in the samples. Finally, the results were verified using the SRM mode of ASAP-MS/MS. Within 3 min, the three methods successfully identified CO adulteration in PLO at concentrations as low as 5% v/v with 100% accuracy. The proposed strategy was successfully applied to the fraud detection of CO in PLO.
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  • 文章类型: Journal Article
    背景:神经系统疾病对健康构成重大挑战,并且它们的早期发现对于有效的治疗计划和预后至关重要。传统的基于病因的神经疾病分类,症状,发育阶段,严重程度,和神经系统的影响有局限性。利用人工智能(AI)和机器学习(ML)进行模式识别为解决这些挑战提供了有效的解决方案。因此,这项研究的重点是提出一种创新的方法-聚合模式分类方法(APCM)-用于精确识别神经障碍阶段。
    方法:引入APCM是为了解决神经障碍检测中的普遍问题,比如过拟合,鲁棒性,和互操作性。该方法利用聚合模式和分类学习功能来缓解这些挑战并提高整体识别精度。即使在不平衡的数据中。该分析涉及使用健康个体的观察结果作为参考的神经图像。来自不同输入的动作反应模式被映射以识别相似的特征,建立无序比率。这些阶段基于可用的响应和相关的神经数据进行关联,偏好分类学习。这种分类需要图像和标记数据,以防止模式识别中的其他缺陷。识别和分类通过多次迭代发生,融合了相似和多样的神经特征。使用标记和未标记的输入数据对学习过程进行微调,以进行微小分类。
    结果:拟议的APCM展示了显著的成就,具有高模式识别(15.03%)和受控分类误差(CEs)(减少10.61%)。该方法有效地解决了过拟合,鲁棒性,和互操作性问题,展示了其作为检测不同阶段神经疾病的强大工具的潜力。处理不平衡数据的能力有助于算法的整体成功。
    结论:APCM是一种有前途且有效的方法,用于确定精确的神经障碍阶段。通过利用AI和ML,该方法成功解决了模式识别中的关键挑战。高模式识别和降低CEs强调了该方法的临床应用潜力。然而,必须承认对高质量神经图像数据的依赖,这可能会限制该方法的普遍性。所提出的方法允许未来的研究进一步完善并增强其可解释性,提供有关神经疾病进展和潜在生物学机制的有价值的见解。
    BACKGROUND: Neurological disorders pose a significant health challenge, and their early detection is critical for effective treatment planning and prognosis. Traditional classification of neural disorders based on causes, symptoms, developmental stage, severity, and nervous system effects has limitations. Leveraging artificial intelligence (AI) and machine learning (ML) for pattern recognition provides a potent solution to address these challenges. Therefore, this study focuses on proposing an innovative approach-the Aggregated Pattern Classification Method (APCM)-for precise identification of neural disorder stages.
    METHODS: The APCM was introduced to address prevalent issues in neural disorder detection, such as overfitting, robustness, and interoperability. This method utilizes aggregative patterns and classification learning functions to mitigate these challenges and enhance overall recognition accuracy, even in imbalanced data. The analysis involves neural images using observations from healthy individuals as a reference. Action response patterns from diverse inputs are mapped to identify similar features, establishing the disorder ratio. The stages are correlated based on available responses and associated neural data, with a preference for classification learning. This classification necessitates image and labeled data to prevent additional flaws in pattern recognition. Recognition and classification occur through multiple iterations, incorporating similar and diverse neural features. The learning process is finely tuned for minute classifications using labeled and unlabeled input data.
    RESULTS: The proposed APCM demonstrates notable achievements, with high pattern recognition (15.03%) and controlled classification errors (CEs) (10.61% less). The method effectively addresses overfitting, robustness, and interoperability issues, showcasing its potential as a powerful tool for detecting neural disorders at different stages. The ability to handle imbalanced data contributes to the overall success of the algorithm.
    CONCLUSIONS: The APCM emerges as a promising and effective approach for identifying precise neural disorder stages. By leveraging AI and ML, the method successfully resolves key challenges in pattern recognition. The high pattern recognition and reduced CEs underscore the method\'s potential for clinical applications. However, it is essential to acknowledge the reliance on high-quality neural image data, which may limit the generalizability of the approach. The proposed method allows future research to refine further and enhance its interpretability, providing valuable insights into neural disorder progression and underlying biological mechanisms.
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  • 文章类型: Journal Article
    目的:开发和评估使用术中运动诱发电位(MEP)进行肌肉识别的机器学习(ML)方法,并将他们的表现与人类专家进行比较。
    背景:将ML分析技术应用于术中神经监测(IOM)领域是一个未抓住的机会。MEP是理想的候选人,因为在对大脑或脊柱进行外科手术期间正确解释的重要性。在这项工作中,我们使用术中MEP开发并测试了一组不同的ML模型,用于肌肉识别,并将其性能与人类专家进行比较。此外,我们综述了现有文献中关于当前ML应用于神经外科IOM数据的文献.
    方法:我们在MEP数据库上训练并测试了五种不同的ML分类器,该数据库是从接受脑或脊髓手术的患者的六种不同肌肉开发的。通过经颅(TES)和直接皮质刺激(DCS)协议获得MEP。模型在单个患者和以前看不见的患者中进行了评估,考虑来自TES和DCS的独立和混合信号。十位神经生理学家对一组50个随机选择的欧洲议会议员进行了分类,并将它们的性能与性能最好的模型进行了比较。
    结果:本研究共纳入25.423个MEP。随机森林被证明是表现最好的模型,在单个患者数据集任务中具有99%的准确性,并且在以前从未见过的患者中具有78%-94%的准确性范围。通过将MEP表示为与传统神经生理参数相比通常在信号处理中使用的一组特征来最大化模型性能。随机森林模型在六种不同肌肉之间以及不同MEP获取方式之间的分类能力(79%)显着超过了人类专家的分类能力(平均48%)。
    结论:精心选择的ML模型被证明具有可靠的能力,可以提取有意义的信息,从而使用有限数量的特征对术中MEP进行分类。证明跨患者和信号采集模式的鲁棒性,表现优于人类专家,并有可能充当IOM团队的决策支持系统。这些令人鼓舞的结果为进一步探索临床重要信号的潜在性质奠定了基础。目的是继续生产有用的应用程序,使手术更安全,更有效。
    OBJECTIVE: To develop and evaluate machine learning (ML) approaches for muscle identification using intraoperative motor evoked potentials (MEPs), and to compare their performance to human experts.
    BACKGROUND: There is an unseized opportunity to apply ML analytic techniques to the world of intraoperative neuromonitoring (IOM). MEPs are the ideal candidates given the importance of their correct interpretation during a surgical operation to the brain or the spine. In this work, we develop and test a set of different ML models for muscle identification using intraoperative MEPs and compare their performance to human experts. In addition, we provide a review of the available literature on current ML applications to IOM data in neurosurgery.
    METHODS: We trained and tested five different ML classifiers on a MEP database developed from six different muscles in patients who underwent brain or spinal cord surgery. MEPs were obtained by both transcranial (TES) and direct cortical stimulation (DCS) protocols. The models were evaluated within a single patient and on previously unseen patients, considering signals from TES and DCS both independently and mixed. Ten expert neurophysiologists classified a set of 50 randomly selected MEPs, and their performance was compared to the best performing model.
    RESULTS: A total of 25.423 MEPs were included in the study. Random Forest proved to be the best performing model with 99 % accuracy in the single patient dataset task and a 78 %-94 % accuracy range on previously unseen patients. The model performance was maximized by representing MEPs as a set of features typically employed in signal processing compared to traditional neurophysiological parameters. The classification ability of the Random Forest model between six different muscles and across different MEP acquisition modalities (79 %) significantly exceeded that of human experts (mean 48 %).
    CONCLUSIONS: Carefully selected ML models proved to have reliable capacity of extracting meaningful information to classify intraoperative MEPs using a limited number of features, proving robustness across patients and signal acquisition modalities, outperforming human experts, and with the potential to act as decision support systems to the IOM team. Such encouraging results lay the path to further explore the underlying nature of clinically important signals, with the aim to continue to produce useful applications to make surgeries safer and more efficient.
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  • 文章类型: Journal Article
    基于证据理论(ET)的信念和可信性函数已广泛用于管理不确定性。文献中已经报道了ET对模糊集(FS)的各种推广,但目前还没有将ET推广到q-rung视界模糊集(q-ROFS)。因此,本文提出了一部小说,简单,以及基于ET框架内的信念和合理性函数的q-ROFS的距离和相似性度量的直观方法。这项研究通过引入一个全面的框架来使用ET处理q-ROFS中的不确定性,从而解决了一个重大的研究空白。此外,它承认当前研究状况固有的局限性,值得注意的是,没有将ET概括为q-ROFS,以及将信念和合理性度量扩展到某些聚合运算符和其他概括(包括Hesitant模糊集)的挑战,双极模糊集,模糊软集等。我们的贡献在于提出了一种新的方法,用于ET下q-ROFS的距离和相似性度量,利用正交信念和可信性间隔(OBPI)。我们在广义ET框架内建立了新的相似性度量,并通过有用的数值示例证明了我们方法的合理性。此外,我们构建了Orthopairian信念和合理性GRA(OBP-GRA)来管理日常生活中的复杂问题,特别是在多准则决策场景中。数值仿真和成果证实了我们提出的办法在ET框架下的可用性和现实适用性。
    Belief and plausibility functions based on evidence theory (ET) have been widely used in managing uncertainty. Various generalizations of ET to fuzzy sets (FSs) have been reported in the literature, but no generalization of ET to q-rung orthopair fuzzy sets (q-ROFSs) has been made yet. Therefore, this paper proposes a novel, simple, and intuitive approach to distance and similarity measures for q-ROFSs based on belief and plausibility functions within the framework of ET. This research addresses a significant research gap by introducing a comprehensive framework for handling uncertainty in q-ROFSs using ET. Furthermore, it acknowledges the limitations inherent in the current state of research, notably the absence of generalizations of ET to q-ROFSs and the challenges in extending belief and plausibility measures to certain aggregation operators and other generalizations including Hesitant fuzzy sets, Bipolar fuzzy sets, Fuzzy soft sets etc. Our contribution lies in the proposal of a novel approach to distance and similarity measures for q-ROFSs under ET, utilizing Orthopairian belief and plausibility intervals (OBPIs). We establish new similarity measures within the generalized ET framework and demonstrate the reasonability of our method through useful numerical examples. Additionally, we construct Orthopairian belief and plausibility GRA (OBP-GRA) for managing daily life complex issues, particularly in multicriteria decision-making scenarios. Numerical simulations and results confirm the usability and practical applicability of our proposed method in the framework of ET.
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  • 文章类型: Journal Article
    普什图语是东南亚使用最广泛的语言之一。PashtuNumerics识别由于其草书性质而面临挑战。尽管如此,采用基于机器学习的光学字符识别(OCR)模型可以是解决这个问题的有效方法。该研究的主要目的是提出一种优化的机器学习模型,该模型可以有效地识别0-9的Pashtu数字。该方法包括将数据组织到每个表示标签的不同目录中。之后,数据经过预处理,即图像大小调整为32×32图像,然后将它们的像素值除以255进行归一化,并为模型输入重新整形数据。数据集以80:20的比例分割。在这之后,在试错技术的帮助下,为LSTM和CNN模型选择优化的超参数。通过准确性和损失图对模型进行了评估,分类报告,和混乱矩阵。结果表明,所提出的LSTM模型略微优于所提出的CNN模型,具有精度的宏观平均值:0.9877,召回率:0.9876,F1得分:0.9876。这两个模型在准确识别普什图数字方面都表现出卓越的性能,达到近98%的准确率。值得注意的是,在这方面,LSTM模型比CNN模型表现出边际优势。
    Pashtu is one of the most widely spoken languages in south-east Asia. Pashtu Numerics recognition poses challenges due to its cursive nature. Despite this, employing a machine learning-based optical character recognition (OCR) model can be an effective way to tackle this issue. The main aim of the study is to propose an optimized machine learning model which can efficiently identify Pashtu numerics from 0-9. The methodology includes data organizing into different directories each representing labels. After that, the data is preprocessed i.e., images are resized to 32 × 32 images, then they are normalized by dividing their pixel value by 255, and the data is reshaped for model input. The dataset was split in the ratio of 80:20. After this, optimized hyperparameters were selected for LSTM and CNN models with the help of trial-and-error technique. Models were evaluated by accuracy and loss graphs, classification report, and confusion matrix. The results indicate that the proposed LSTM model slightly outperforms the proposed CNN model with a macro-average of precision: 0.9877, recall: 0.9876, F1 score: 0.9876. Both models demonstrate remarkable performance in accurately recognizing Pashtu numerics, achieving an accuracy level of nearly 98%. Notably, the LSTM model exhibits a marginal advantage over the CNN model in this regard.
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  • 文章类型: Journal Article
    作为人工嗅觉的信息采集终端,化学电阻式气体传感器经常被它们的交叉灵敏度所困扰,降低其对环境气体的交叉响应一直是气体传感领域的难点和重点。基于传感器阵列的模式识别是克服气体传感器交叉敏感性的最明显方法。选择合适的模式识别方法对增强数据分析至关重要,减少错误,提高系统可靠性,获得较好的分类或气体浓度预测结果。在这次审查中,分析了化学电阻式气体传感器交叉敏感的传感机理。我们进一步检查类型,工作原理,特点,以及在气体传感阵列中使用的模式识别算法的适用气体检测范围。此外,我们报告,总结,并评估用于气体识别的模式识别方法的杰出和新颖的进步。同时,这项工作展示了利用这些方法进行气体识别的最新进展,特别是在三个关键领域:确保食品安全,监测环境,并协助医疗诊断.总之,本研究通过考虑现有的景观和挑战,预测未来的研究前景。希望这项工作将为减轻气体敏感设备中的交叉敏感性做出积极贡献,并为气体识别应用中的算法选择提供有价值的见解。
    As information acquisition terminals for artificial olfaction, chemiresistive gas sensors are often troubled by their cross-sensitivity, and reducing their cross-response to ambient gases has always been a difficult and important point in the gas sensing area. Pattern recognition based on sensor array is the most conspicuous way to overcome the cross-sensitivity of gas sensors. It is crucial to choose an appropriate pattern recognition method for enhancing data analysis, reducing errors and improving system reliability, obtaining better classification or gas concentration prediction results. In this review, we analyze the sensing mechanism of cross-sensitivity for chemiresistive gas sensors. We further examine the types, working principles, characteristics, and applicable gas detection range of pattern recognition algorithms utilized in gas-sensing arrays. Additionally, we report, summarize, and evaluate the outstanding and novel advancements in pattern recognition methods for gas identification. At the same time, this work showcases the recent advancements in utilizing these methods for gas identification, particularly within three crucial domains: ensuring food safety, monitoring the environment, and aiding in medical diagnosis. In conclusion, this study anticipates future research prospects by considering the existing landscape and challenges. It is hoped that this work will make a positive contribution towards mitigating cross-sensitivity in gas-sensitive devices and offer valuable insights for algorithm selection in gas recognition applications.
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    目的:使用卷积神经网络(CNN)开发深度学习(DL)模型,以在第二产程中自动识别经会阴超声检查时的胎儿头部位置。
    方法:前瞻性,多中心研究,包括单例,term,在第二产程中的头胎妊娠。我们使用经腹超声评估胎儿头部位置,随后,使用经会阴超声在轴向平面上获得胎儿头部的图像,并根据经腹超声检查结果进行标记。将超声图像随机分配到三个数据集中,这些数据集包含相似比例的胎儿头位置的每种亚型图像(前枕骨,后部,右横向和左横向):训练数据集包括70%,验证数据集15%,和测试数据集15%的采集图像。预训练的ResNet18模型被用作特征提取和分类的基础框架。CNN1被训练来区分枕前(OA)和非OA位置,CNN2将胎头错位分类为枕骨后(OP)或枕骨横向(OT)位置,CNN3将其余图像分类为右或左OT。DL模型是使用三个同时工作的卷积神经网络(CNN)构建的,用于胎儿头部位置的分类。在准确性方面评估了算法的性能,灵敏度,特异性,F1分数和科恩的卡帕。
    结果:在2018年2月至2023年5月之间,纳入了来自16个合作中心的合格参与者的2154张经会阴图像。经会阴超声在轴向平面中对胎儿头部位置进行分类的模型的整体性能非常出色,占94.5%(95%CI92.0--97.0),灵敏度为95.6%(95%CI96.8-100.0),特异性为91.2%(95%CI87.3-95.1),F1评分为0.92,科恩的卡帕为0.90。CNN1-OA位置与胎儿头部错位-准确率为98.3%(95%CI96.9-99.7),其次是CNN2-OP与OT位置-准确率为93.9%(95%CI89.6-98.2),最后,CNN3-右侧与左侧OT位置-准确率为91.3%(95%CI83.5-99.1)。
    结论:我们开发了一种DL模型,能够在第二产程中使用经会阴超声评估胎儿头部位置,具有出色的总体准确性。未来的研究应该在将其引入常规临床实践之前,使用更大的数据集和实时患者来验证我们的DL模型。
    OBJECTIVE: To develop a deep learning (DL)-model using convolutional neural networks (CNN) to automatically identify the fetal head position at transperineal ultrasound in the second stage of labor.
    METHODS: Prospective, multicenter study including singleton, term, cephalic pregnancies in the second stage of labor. We assessed the fetal head position using transabdominal ultrasound and subsequently, obtained an image of the fetal head on the axial plane using transperineal ultrasound and labeled it according to the transabdominal ultrasound findings. The ultrasound images were randomly allocated into the three datasets containing a similar proportion of images of each subtype of fetal head position (occiput anterior, posterior, right and left transverse): the training dataset included 70 %, the validation dataset 15 %, and the testing dataset 15 % of the acquired images. The pre-trained ResNet18 model was employed as a foundational framework for feature extraction and classification. CNN1 was trained to differentiate between occiput anterior (OA) and non-OA positions, CNN2 classified fetal head malpositions into occiput posterior (OP) or occiput transverse (OT) position, and CNN3 classified the remaining images as right or left OT. The DL-model was constructed using three convolutional neural networks (CNN) working simultaneously for the classification of fetal head positions. The performance of the algorithm was evaluated in terms of accuracy, sensitivity, specificity, F1-score and Cohen\'s kappa.
    RESULTS: Between February 2018 and May 2023, 2154 transperineal images were included from eligible participants across 16 collaborating centers. The overall performance of the model for the classification of the fetal head position in the axial plane at transperineal ultrasound was excellent, with an of 94.5 % (95 % CI 92.0--97.0), a sensitivity of 95.6 % (95 % CI 96.8-100.0), a specificity of 91.2 % (95 % CI 87.3-95.1), a F1-score of 0.92 and a Cohen\'s kappa of 0.90. The best performance was achieved by the CNN1 - OA position vs fetal head malpositions - with an accuracy of 98.3 % (95 % CI 96.9-99.7), followed by CNN2 - OP vs OT positions - with an accuracy of 93.9 % (95 % CI 89.6-98.2), and finally, CNN3 - right vs left OT position - with an accuracy of 91.3 % (95 % CI 83.5-99.1).
    CONCLUSIONS: We have developed a DL-model capable of assessing fetal head position using transperineal ultrasound during the second stage of labor with an excellent overall accuracy. Future studies should validate our DL model using larger datasets and real-time patients before introducing it into routine clinical practice.
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