Standard deviation

标准偏差
  • 文章类型: Journal Article
    有希望的高光谱遥感在监测土壤重金属(SHM)污染方面具有巨大的潜力。然而,环境因素引起的局部空间扰动效应在SHM分布中引入了相当大的变异性。这导致SHM浓度和光谱反射率之间的非平稳关系,对全球SHM的准确反演提出了挑战。解决这个差距,提出了一种新的基于分层残差校正的高光谱反演方法(HRCHIM),考虑到它们的空间异质性。最初,利用地面高光谱数据构建了一个全局模型来预测SHM浓度,捕捉总体污染趋势。随后,四个层次,按剩余标准偏差(SD)间隔分段,通过Geodetector识别关键环境因素。这些因素为局部残差校正模型提供了信息,完善全球模型预测。HRCHIM旨在协同全球趋势和局部随机性,以提高SHM空间异质性的预测精度和解释。通过对镉(Cd)污染矿区的案例研究进行验证,确定了六个关键环境因素,在不同等级的层次上表现出显著的差异。通过合并分层校正模型,HRCHIM表现出优于其他常规方法的反演性能,达到最佳预测精度(Rv2=0.94,RMSEv=0.21,RPDv=4.11)。这种创新的方法可以促进更精确和有针对性的策略来预防和控制SHM污染。
    Promising hyperspectral remote sensing exhibits substantial potential in monitoring soil heavy metal (SHM) contamination. Nevertheless, the local spatial perturbation effects induced by environmental factors introduce considerable variability in SHM distribution. This engenders non-stationary relationship between SHM concentrations and spectral reflectance, posing challenges for accurate inversion of SHM globally. Addressing this gap, a novel Hierarchical Residual Correction-based Hyperspectral Inversion Method (HRCHIM) is proposed for SHM, considering their spatial heterogeneity. Initially, a global model is constructed using ground hyperspectral data to predict SHM concentration, capturing overarching contamination trends. Subsequently, four hierarchical levels, segmented by residual standard deviation (SD) intervals, identify critical environmental factors via Geodetector. These factors inform local residual correction models, refining global model predictions. HRCHIM aims to synergize global trends and local stochasticity to enhance prediction accuracy and interpretation of SHM spatial heterogeneity. Validated through a case study of a Cadmium(Cd)-contaminated mine area, six critical environmental factors were identified, exhibiting significant differences across hierarchical levels. By incorporating hierarchical correction models, HRCHIM demonstrated superior inversion performance compared to other conventional methods, achieving optimal prediction accuracies (Rv2 = 0.94, RMSEv = 0.21, and RPDv = 4.11). This innovative method can facilitate more precise and targeted strategies for preventing and controlling SHM contamination.
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  • 文章类型: Journal Article
    本文旨在监测从燃气轮机的低压涡轮(LPT)结束的排气温度(EGT),为期6个月。为了实现这一点,有策略地放置了16个热电偶,以在排气系统的不同点收集数据。这种全面的方法可以详细分析废气温度,这是燃气轮机热段健康的关键因素。这项研究的结果提供了有价值的见解,可用于优化燃气轮机的定期检查并改善其决策。已使用两种统计方法-标准偏差和偏度-对可能导致热组件损坏的热波动进行了调查。通过分析标准差,可以确定温度值与每个单元的平均值和相对正常条件的变化程度。偏度有助于识别温度数据是否偏向高值或低值,表明存在潜在的异常。这些统计方法的应用旨在了解温度波动对热组件的影响,并制定维护策略以减轻其影响。为了验证统计结果的准确性,根据维护手册对燃气轮机进行彻底的管道镜检查。这些检查以三个不同的间隔进行,以确保对燃气轮机状况性能和状况进行全面评估。该检查的结果作为确定燃气轮机的最佳维护和修理计划的关键因素。
    This paper aimed to monitor the exhaust gas temperature (EGT) from the end of the low-pressure turbine (LPT) of a gas turbine for period of 6 months. To achieve this, 16 thermocouples were strategically placed to gather data at different points in the exhaust system. This comprehensive approach allowed for a detailed analysis of the exhaust gas temperature, which is a critical factor in the health of hot section of gas turbines. The results of this study provide valuable insights that can be used to optimize the periodic inspections of gas turbines and improve their decisions. The investigation of thermal fluctuations that can cause damage to hot components has been carried out using two statistical methods - Standard deviation and Skewness. By analyzing the standard deviation, the degree to which the temperature values vary from the mean and relative normal condition of each unit can be determined. Skewness helps to identify whether the temperature data is skewed towards the high or low values, indicating the presence of potential anomalies. The application of these statistical methods is aimed at understanding the impact of temperature fluctuations on hot components and developing maintenance strategies to mitigate their effects. In order to verify the accuracy of the statistical results, a thorough borescope inspection of the gas turbine is carried out in accordance with the maintenance manual. These inspections were conducted at three distinct intervals to ensure a comprehensive evaluation of the gas turbine condition performance and condition. The results of this inspection serve as a critical component in determining the optimal maintenance and repair plan for the gas turbine.
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  • 文章类型: Journal Article
    探讨在使用人绒毛膜促性腺激素(hCG)当天,至少两个直径≥18mm卵泡的分化水平对控制性超促排卵结果的影响。
    对2018年1月至2021年12月的1,199例新鲜胚胎移植辅助生殖患者的单中心数据进行了回顾性分析。以hCG当天两个卵巢中至少2个直径≥18mm的卵泡大小的标准差的绝对值作为诱导排卵后优势卵泡的分化程度,基于对数据离散程度的标准偏差响应。卵泡分化程度按数值大小分为3组,和一般临床状况,实验室指标,并比较3组患者的临床结局。
    在三组中,≤1s组的体重指数(BMI)低于其他两组(P<0.05),而卵泡刺激素(FSH)和抗苗勒管激素(AMH)较高(P<0.05),种植率和临床妊娠率均显著高于其他两组(P<0.01)。在多因素逻辑回归校正混杂因素后,以≤1s组为参考,植入率,hCG阳性率,≥2S组胚胎移植的临床妊娠率和活产率均明显降低(P<0.01)。曲线拟合分析结果显示,活产率随着绝对标准差的增大而逐渐降低(P=0.0079)。
    注射hCG当天卵泡直径≥18mm的差异对胚胎质量没有影响,但对妊娠结局有影响.卵泡大小的变化越小,卵泡发育越均匀,活产的可能性越高。
    UNASSIGNED: To explore the impact of the level of differentiation in a minimum of two follicles with a diameter of ≥18 mm on the outcome of controlled ovarian hyperstimulation on the day of human chorionic gonadotropin (hCG) administration.
    UNASSIGNED: Single-center data from January 2018 to December 2021 was retrospectively analyzed for 1,199 patients with fresh embryo transfer for assisted reproduction. The absolute value of the standard deviation of the follicle size of at least 2 follicles ≥18 mm in diameter in both ovaries on the day of hCG was taken as the degree of differentiation of the dominant follicle after ovulation induction, based on the standard deviation response to the degree of dispersion of the data. The degree of follicular differentiation was divided into 3 groups according to the size of the value, and the general clinical conditions, laboratory indexes, and clinical outcomes of the patients in the 3 groups were compared.
    UNASSIGNED: Among the three groups, the body mass index (BMI) of the ≤1s group was lower than that of the other two groups (P< 0.05), while the follicle-stimulating hormone (FSH) and Anti-Mullerian hormone (AMH) were higher (P< 0.05), and the implantation rate and clinical pregnancy rate were significantly higher than those of the other two groups (P< 0.01). After multifactorial logistic regression to correct for confounding factors, with the ≤1s group as the reference, the implantation rate, hCG-positive rate, clinical pregnancy rate and live birth rate of embryo transfer in the ≥2S group were significantly lower (P< 0.01). The results of curve fitting analysis showed that the live birth rate decreased gradually with the increase of the absolute standard deviation (P=0.0079).
    UNASSIGNED: Differences in follicle diameters ≥18 mm on the day of hCG injection did not have an impact on embryo quality, but had an impact on pregnancy outcomes. The less the variation in follicle size, the more homogeneous the follicle development and the higher the likelihood of live births.
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  • 文章类型: Journal Article
    目的:探讨中国中老年人群睡眠总持续时间变异性与脑卒中的关系。
    方法:数据来自2011年、2013年、2015年和2018年中国健康与退休纵向研究(CHARLS)的调查。共有3485人参加,在2015年之前没有发生卒中,并于2018年完成随访,我们纳入研究,分析总睡眠时长变异性与新卒中之间的关系.总睡眠持续时间是通过将自我报告的夜间睡眠持续时间和白天午睡求和来计算的。通过计算前三个波的总睡眠持续时间的标准偏差(SD)来确定变异性。使用二元逻辑回归模型来分析这种关联。
    结果:在3485名参与者中,183(5.25%)持续发生中风事件。观察到剂量-反应关系,提示卒中风险增加0.2/单位(小时)总睡眠时长变异性[OR(95%CI):1.20(1.01-1.42)].按性别分组分层后,这种增加的风险仅在男性中显著[OR(95%CI):1.44(1.12-1.83)].
    结论:总睡眠时间变异性增加与中老年人卒中风险增加相关,独立于年龄等因素,夜间睡眠持续时间,午睡习惯,居住地区,高血压,糖尿病,血脂异常,BMI,吸烟,饮酒习惯,和婚姻状况。然而,在男性中观察到更显著的相关性。
    OBJECTIVE: To investigate the association between total sleep duration variability and stroke in the middle-aged and elderly population in China.
    METHODS: Data were collected from the 2011, 2013, 2015, and 2018 surveys of the China Health and Retirement Longitudinal Study (CHARLS). A total of 3485 participants, who had not experienced a stroke until 2015 and completed the follow-up in 2018, were enrolled to analyze the relationship between total sleep duration variability and new stroke. Total sleep duration was calculated by summing self-reported nocturnal sleep duration and daytime napping. The variability was determined by calculating the standard deviation (SD) of total sleep duration across the first three waves. A binary logistic regression model was utilized to analyze this association.
    RESULTS: Of the 3485 participants, 183 (5.25%) sustained a stroke event. A dose-response relationship was observed, indicating an increased stroke risk of 0.2 per unit (hours) increase in total sleep duration variability [OR (95% CI): 1.20 (1.01-1.42)]. Upon stratification by sex groups, this increased risk was significant only in men [OR (95% CI): 1.44 (1.12-1.83)].
    CONCLUSIONS: Increased total sleep duration variability was associated with an increased risk of stroke in the middle-aged and elderly, independent of factors such as age, nocturnal sleep duration, napping habits, region of residence, hypertension, diabetes mellitus, dyslipidemia, BMI, smoking, drinking habits, and marital status. However, a more notable correlation was observed in males.
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  • 文章类型: Journal Article
    尽管人们经常声称在不久的将来会彻底延长人类寿命,许多务实的科学家在这方面警告不要过分和毫无根据的乐观。在这项研究中,我们将死亡率补偿效应(CEM)视为延长寿命的潜在挑战.CEM是一种经验死亡率规律,通常被描述为高龄时的相对死亡率趋同。44人的死亡率数据分析,可在人类死亡率数据库中找到,证明CEM可以表示为相对死亡率随年龄的变化(通过变异系数和死亡率对数的标准偏差评估)的持续下降,达到对应于物种特定寿命的最小值。通过这种方法,特定物种的寿命确定为96-97岁,与从Gompertz参数(95-98年)之间的相关性得出的估计值密切相关。重要的是,CEM的这种表示可以非参数地实现,消除了估计Gompertz参数的需要。CEM是延长寿命的挑战,因为它表明人类的真实衰老率(基于重要元素的损失,例如,功能细胞)在大多数人群中每年保持稳定约1%,并且不受环境或家族寿命因素的影响。鉴于这种功能细胞丢失的速度,人们可能会预期,到115-120岁的年龄,功能细胞的总量可能会完全耗尽,从而对人类寿命造成生理限制。超百岁老人(110岁以上)的死亡率模式与这一预测相符。
    Despite frequent claims regarding radical extensions of human lifespan in the near future, many pragmatic scientists caution against excessive and baseless optimism on this front. In this study, we examine the compensation effect of mortality (CEM) as a potential challenge to substantial lifespan extension. The CEM is an empirical mortality regularity, often depicted as relative mortality convergence at advanced ages. Analysis of mortality data from 44 human populations, available in the Human Mortality Database, demonstrated that CEM can be represented as a continuous decline in relative mortality variation (assessed through the coefficient of variation and the standard deviation of the logarithm of mortality) with age, reaching a minimum corresponding to the species-specific lifespan. Through this method, the species-specific lifespan is determined to be 96-97 years, closely aligning with estimates derived from correlations between Gompertz parameters (95-98 years). Importantly, this representation of CEM can be achieved non-parametrically, eliminating the need for estimating Gompertz parameters. CEM is a challenge to lifespan extension, because it suggests that the true aging rate in humans (based on loss of vital elements, e.g., functional cells) remains stable at approximately 1% per year in the majority of human populations and is not affected by environmental or familial longevity factors. Given this rate of functional cell loss, one might anticipate that the total pool of functional cells could be entirely depleted by the age of 115-120 years creating physiological limit to human lifespan. Mortality pattern of supercentenarians (110 + years) aligns with this prediction.
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  • 文章类型: Journal Article
    目的:探讨T2加权(T2W)磁共振图像信号强度(SI)异质性的量化指标能否预测高强度聚焦超声(HIFU)消融子宫肌瘤的难度和疗效。
    方法:使用T2W图像(T2WI)SI的标准偏差(SD)来量化SI异质性。回顾性分析575例接受HIFU治疗的患者的SD与非灌注容积比(NPVR)的相关性,并讨论了SD在预测NPVR中的功效。根据SD进行了三种分类,比较不同等级的消融难度和消融效果。来自另一个中心的总共65例被用作外部验证集,以验证SD的分类性能。
    结果:SI的SD与NPVR呈负相关(r=-0.460,p<0.001)。SD对消融效果的预测效率高于缩放信号强度(0.767vs.0.701,p=0.006)。单变量和多变量逻辑回归分析显示SD是消融效果的独立预测因子。基于SD,这三个分类分为SDI:SD<101.0,SDII:101.0≤SD<138.7和SDIII:SD≥138.7。治疗时间,超声处理时间,处理强度,SDI的总能量低于SDII和SDIII(p<0.05)。
    结论:子宫肌瘤T2WISI异质性与NPVR呈负相关。SI的SD可用于预测HIFU的消融难度和消融效果。
    OBJECTIVE: To investigate whether the quantitative index of signal intensity (SI) heterogeneity on T2-weighted (T2W) magnetic resonance images can predict the difficulty and efficacy of high-intensity focused ultrasound (HIFU) ablation for uterine fibroids.
    METHODS: The standard deviation (SD) of T2W image (T2WI) SI was used to quantify SI heterogeneity. The correlation between SD and the non-perfused volume ratio (NPVR) in 575 patients undergoing HIFU treatment was retrospectively analyzed, and the efficacy of SD in predicting NPVR was discussed. Three classifications were made based on the SD, and the ablation difficulty and ablation effect of different grades were compared. A total of 65 cases from another center were used as an external validation set to verify the classification performance of SD.
    RESULTS: The SD of SI was negatively correlated with NPVR (r = -0.460, p < 0.001). The predictive efficiency of SD for the ablation effect was higher than that of the scaled signal intensity (0.767 vs. 0.701, p = 0.006). Univariate and multivariate logistic regression analyses showed that SD was an independent predictor of ablation effect. Based on SD, the three classifications were divided into SD I: SD < 101.0, SD II: 101.0 ≤ SD < 138.7, and SD III: SD≥ 138.7. The treatment time, sonication time, treatment intensity, and total energy of SD I were lower than those of SD II and III (p < 0.05).
    CONCLUSIONS: The heterogeneity of T2WI SI of uterine fibroids is negatively correlated with NPVR. The SD of SI can be used to predict the ablation difficulty and ablation effect of HIFU.
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  • 文章类型: Journal Article
    在分子放射治疗中需要计算个体时间积分活性系数(TIACs)的不确定性。然而,文献中从未报道过TIAC的单时间点(STP)方法的不确定度计算。本研究提出了一种基于贝叶斯拟合(BF)的方法来计算STP剂量测定中单个TIAC的标准偏差(SD)。
    177Lu-DOTATATE在肾脏中的生物动力学数据从PMID33443063获得。具有扩展目标函数的BF方法,使用函数参数的先验知识优化拟合,被使用。通过将单指数函数拟合到所有时间点数据来计算参考TIAC(rTIAC)。基于视觉检查和拟合参数的变异系数(CV)<0.5来检查拟合优度。使用具有相对(BFr)和基于绝对(BFa)的方差方法的BF从STP剂量测定法获得计算的TIACs(cTIACs)。通过计算cTIAC和rTIAC之间的相对偏差(RD)获得STP方法的性能。
    视觉检查显示,所有拟合参数的CV小于50%的患者均具有良好的拟合效果。cTIAC的平均±SD为BFr为7.0±25.2,BFa为2.6±8.9。BFr和BFa方法的单个cTIAC的SD的%CV范围为36-78%和22-33%,分别,而rTIACSD的%CV为0.8-49%。
    我们引入BF方法来计算STP剂量测定中单个TIAC的SD。所提出的方法可以用作STP剂量测定中不确定性分析的替代方法。
    在线版本包含补充材料,可在10.1007/s13139-024-00851-8获得。
    UNASSIGNED: Calculation of the uncertainty of the individual time-integrated activity coefficient (TIACs) is desirable in molecular radiotherapy. However, the calculation of TIAC\'s uncertainty in single-time-point (STP) method has never been reported in the literature. This study presents a method based on the Bayesian fitting (BF) to calculate the standard deviation (SD) of individual TIACs in the STP dosimetry.
    UNASSIGNED: Biokinetic data of 177Lu-DOTATATE in kidneys were obtained from PMID33443063. BF methods with extended objective function, which optimize the fitting using prior knowledge of the function\'s parameters, were used. Reference TIACs (rTIACs) were calculated by fitting a mono-exponential function to the all-time-point data. The goodness of fit was checked based on the visual inspection and the coefficient of variations (CV) of the fitted parameters < 0.5. BF with relative (BFr) and absolute-based (BFa) variance methods were used to obtain the calculated TIACs (cTIACs) from the STP dosimetry. Performance of the STP method was obtained by calculating the relative deviation (RD) between cTIACs and rTIACs.
    UNASSIGNED: Visual inspection showed a good fit for all patients with CV of fitted parameters less than 50%. The mean ± SD of cTIAC\'s %RD were 7.0 ± 25.2 for BFr and 2.6 ± 8.9 for BFa. The range of %CV of the individual cTIAC\'s SD for BFr and BFa methods was 36-78% and 22-33%, respectively, while the %CV of the rTIAC SD was 0.8-49%.
    UNASSIGNED: We introduce the BF method to calculate the SD of individual TIACs in STP dosimetry. The presented method might be used as an alternative method for uncertainty analysis in STP dosimetry.
    UNASSIGNED: The online version contains supplementary material available at 10.1007/s13139-024-00851-8.
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  • 文章类型: Journal Article
    通过胸部CT扫描准确诊断恶性肺结节,早期发现肺癌,为患者提供了最大的成功治疗和生存机会。尽管通过深度学习算法在计算机视觉方面取得了进步,由于训练数据集不足,恶性结节的检测面临重大挑战.
    本研究引入了一种基于协作式深度学习(CDL)的模型,以在可用数据有限的胸部CT扫描中区分癌性和非癌性结节。该模型使用六个特征将结节分解为其组成部分,让它学习肺结节的详细特征。它利用CDL子模型,其中包含六种类型的特征补丁,以微调先前使用ResNet-50训练的网络。通过误差反向传播学习的自适应加权方法增强了识别肺结节的过程,合并这些CDL子模型以提高准确性。
    CDL模型在分类肺结节方面表现出高水平的性能,达到93.24%的准确率。这代表了对当前最先进的方法的重大改进,表明了所提出方法的有效性。
    研究结果表明,CDL模型,凭借其独特的结构和自适应加权方法,为用有限的数据准确检测恶性肺结节的挑战提供了有希望的解决方案。这种方法不仅提高了诊断的准确性,而且有助于肺癌的早期发现和治疗。有可能挽救生命。
    UNASSIGNED: Early detection of lung cancer through accurate diagnosis of malignant lung nodules using chest CT scans offers patients the highest chance of successful treatment and survival. Despite advancements in computer vision through deep learning algorithms, the detection of malignant nodules faces significant challenges due to insufficient training datasets.
    UNASSIGNED: This study introduces a model based on collaborative deep learning (CDL) to differentiate between cancerous and non-cancerous nodules in chest CT scans with limited available data. The model dissects a nodule into its constituent parts using six characteristics, allowing it to learn detailed features of lung nodules. It utilizes a CDL submodel that incorporates six types of feature patches to fine-tune a network previously trained with ResNet-50. An adaptive weighting method learned through error backpropagation enhances the process of identifying lung nodules, incorporating these CDL submodels for improved accuracy.
    UNASSIGNED: The CDL model demonstrated a high level of performance in classifying lung nodules, achieving an accuracy of 93.24%. This represents a significant improvement over current state-of-the-art methods, indicating the effectiveness of the proposed approach.
    UNASSIGNED: The findings suggest that the CDL model, with its unique structure and adaptive weighting method, offers a promising solution to the challenge of accurately detecting malignant lung nodules with limited data. This approach not only improves diagnostic accuracy but also contributes to the early detection and treatment of lung cancer, potentially saving lives.
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  • 文章类型: Journal Article
    实验水研究缺乏明确的方法来估计实验误差。特别是当涉及到自然水域时,表征工具承载方法特定的工件,而变化的环境条件阻止规则的重复。本教程回顾评估当前的实践,并确定常见的错误,以提出一个切实可行的程序,以确定膜过滤的示例中的实验错误。统计分析通常应用于数量不足的重复测量,而不是所有的错误来源和贡献都被考虑。这导致实验误差的低估。需要系统地研究相关实验参数的变化,相关误差被量化为最大值和最小值之间的最大-最小变化,当标准偏差不适用时。计算参数的误差(如通量、污染物去除和质量损失)是通过应用误差传播来估计的,其中考虑了实验参数的加权贡献。建议在相同条件下对所选实验进行适当的判断和五次重复,以验证传播的实验误差。在验证的情况下,5个重复数据点将位于误差条的估计误差范围内。所提出的误差评估程序适用于实验水研究。它旨在让研究人员确定实验误差的影响因素,并进行适当的误差量化和验证。最重要的目标是提高人们对质疑错误方法和实验数据可重复性的必要性的认识,以产生和发表高质量的研究。
    Experimental water research lacks clear methodology to estimate experimental error. Especially when natural waters are involved, the characterization tools bear method-specific artifacts while the varying environmental conditions prevent regular repeats. This tutorial review identifies common mistakes, and proposes a practical procedure to determine experimental errors at the example of membrane filtration. Statistical analysis is often applied to an insufficient number of repeated measurements, while not all error sources and contributions are considered. This results in an underestimation of the experimental error. Variations in relevant experimental parameters need to be investigated systematically, and the related errors are quantified as a half of the variation between the max and min values when standard deviation is not applicable. Error of calculated parameters (e.g. flux, pollutant removal and mass loss) is estimated by applying error propagation, where weighing contributions of the experimental parameters are considered. Appropriate judgment and five-time repetition of a selected experiment under identical conditions are proposed to validate the propagated experimental error. For validation, the five repeated data points should lie within the estimated error range of the error bar. The proposed error evaluation procedure is adaptable in experimental water research and intended for researchers to identify the contributing factors of an experimental error and carry out appropriate error quantification and validation. The most important aim is to raise awareness of the necessity to question error methodology and reproducibility of experimental data, to produce and publish high quality research.
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  • 文章类型: Journal Article
    背景:在心肌灌注正常的心脏疾病中,经常观察到通过闪烁扫描获得的心肌灌注图像(MPI)中的分布不均。然而,这种异质性的定量评估尚未建立。我们假设MPI的异质性可以通过直方图分析进行定量评估,计算标准偏差(SD),95%带宽(BW95%),和熵。
    方法:我们检查了20名健康受试者和29名心脏病患者的静息99mTc-MIBI图像,这些患者的心肌灌注没有或非常轻度减少,被评估为低总静息评分(0至4,所研究的健康受试者的范围)。两名核医学专家盲目地将其分为两组:非异质性或异质性组,仅基于他们对从单光子发射计算机断层扫描(SPECT)图像生成的飞溅图和极图的异质性的视觉评估。通过将每个像素的示踪剂计数除以LV心肌中具有最高值的像素的示踪剂计数来确定摄取%。SD,BW95%,从每个百分比摄取的极坐标图数据阵列中分析直方图模式的熵。我们调查了异质性是否可以使用SD进行评估,BW95和通过视觉评估分类的两组的熵。此外,我们评估了曲线下面积(AUC),以确定受试者工作特征曲线分析中的异质性.
    结果:仅基于视觉评估,11例(22%)和38例(78%)分为非异质性和异质性组,分别。非异质性组仅由健康受试者组成,所有心脏病患者均分为异质性组。异质性组中的病例具有显著较高的异质性指标值(SD,BW95%,和熵)的摄取百分比高于非异质性组(全部p<0.05)。在区分具有视觉异质性分布的病例或患有心脏病的患者时,异质性指数的AUC足够高(所有AUC>0.90)。
    结论:MPI中的异质性可以使用SD进行评估,BW95%,和熵通过直方图分析。这些新的指标可能有助于识别有细微心肌变化的患者,即使在显示保留灌注的图像中(345/350)。
    BACKGROUND: Heterogeneous distribution in myocardial perfusion images (MPI) obtained by scintigraphy is often observed in cardiac diseases with normal myocardial perfusion. However, quantitative assessments of such heterogeneity have not been established. We hypothesized that the heterogeneity in MPI can be quantitatively evaluated through histogram analysis, calculating the standard deviation (SD), the 95% bandwidth (BW95%), and entropy.
    METHODS: We examined resting 99mTc-MIBI images in 20 healthy subjects and 29 patients with cardiac disease who had none or very-mild reduced myocardial perfusion evaluated as a low summed rest score (0 to 4, the range of the studied healthy subjects). Two nuclear medicine specialists blindly divided them into two groups: non-heterogeneity or heterogeneity group, based solely on their visual assessments of heterogeneity on splash and polar maps generated from single-photon emission computed tomography (SPECT) images. The %uptake was determined by dividing the tracer count of each pixel by the tracer count of the pixel with the highest value in the LV myocardium. SD, BW95%, and entropy from histogram patterns were analyzed from the polar map data array of each %uptake. We investigated whether heterogeneity could be assessed using SD, BW95, and entropy in two groups classified by visual assessments. Additionally, we evaluated the area under the curve (AUC) to identify heterogeneity in the receiver operating characteristic curve analysis.
    RESULTS: Based solely on visual assessments, 11 (22%) and 38 (78%) cases were classified into the non-heterogeneity and heterogeneity groups, respectively. The non-heterogeneity group consisted of only healthy subjects, and all patients with cardiac disease were classified into the heterogeneity group. The cases in the heterogeneity group had significantly higher values of heterogeneity indices (SD, BW95%, and entropy) in %uptake than those in the non-heterogeneity group (p < 0.05 for all). The AUCs of the heterogeneity indices were sufficiently high (AUCs > 0.90 for all) in distinguishing cases with visually heterogeneous distribution or patients with cardiac disease.
    CONCLUSIONS: Heterogeneity in MPI can be evaluated using SD, BW95%, and entropy through histogram analysis. These novel indices may help identify patients with subtle myocardial changes, even in images that show preserved perfusion (345/350).
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