| 刘金龙,苏丹阳,白臻,耿文豪,李菲,苗秋菊,杨晓鹏.基于人工智能脊柱X线正侧位片所测参数与青少年特发性脊柱侧凸严重程度的相关性[J].中国医学影像技术,2025,41(5):778~782 |
| 基于人工智能脊柱X线正侧位片所测参数与青少年特发性脊柱侧凸严重程度的相关性 |
| Correlations of artificial intelligence measured parameters on anteroposterior and lateral spinal X-ray films with severity ofadolescent idiopathic scoliosis |
| 投稿时间：2024-10-29 修订日期：2025-02-12 |
| DOI：10.13929/j.issn.1003-3289.2025.05.018 |
| 中文关键词: 脊柱侧凸 青少年 X线 人工智能 |
| 英文关键词:scoliosis adolescent X-rays artificial intelligence |
| 基金项目:河南省医学教育研究项目(WJLX2023054)。 |
| 作者 | 单位 | E-mail | | 刘金龙 | 郑州大学第一附属医院放射科, 河南 郑州 450052
郑州大学第一附属医院医学装备部, 河南 郑州 450052 | | | 苏丹阳 | 郑州大学第一附属医院放射科, 河南 郑州 450052
郑州大学第一附属医院医学装备部, 河南 郑州 450052 | | | 白臻 | 郑州大学第一附属医院医学装备部, 河南 郑州 450052 | | | 耿文豪 | 郑州大学第一附属医院放射科, 河南 郑州 450052 | | | 李菲 | 郑州大学第一附属医院放射科, 河南 郑州 450052 | | | 苗秋菊 | 郑州大学第一附属医院医学装备部, 河南 郑州 450052 | | | 杨晓鹏 | 郑州大学第一附属医院放射科, 河南 郑州 450052
郑州大学第一附属医院医学装备部, 河南 郑州 450052 | 13837141925@163.com |
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| 中文摘要: |
| 目的 观察人工智能(AI)基于脊柱正侧位片X线所测参数与青少年特发性脊柱侧凸(AIS)严重程度的相关性。方法 回顾性分析1 786例AIS,以uAI DR脊柱侧弯分析系统测量脊柱正侧位片参数,包括Cobb角(CA)、冠状面平衡距离(CBD)、T1倾斜角(T1S)、骨盆倾斜角(PT)、骶骨倾斜角(SS)、顶椎偏距(AVT)、胸廓躯干偏移(TTS)、胸椎后凸角(TK)及矢状位垂直距离(SVA);根据CA评估AIS严重程度,观察后者与其余参数的相关性;比较上述参数在不同严重程度及冠状位/矢状位平衡状态下的差异;采用多变量logistic回归分析筛选AIS严重程度的独立影响因素。结果 除SVA外,不同严重程度AIS之间上述各参数差异均有统计学意义(P均＜0.001)。随AIS程度加重,CA、CBD、AVT及TTS依次增大(P均＜0.001),重度AIS的T1S高于轻、中度AIS(P均＜0.001),中、重度AIS的 PT及SS均大于、而TK小于轻度AIS(P均＜0.001)。冠状位平衡与失衡AIS之间CA、T1S、PT、SS、AVT、TTS及TK差异均有统计学意义(P均＜0.05),而矢状位平衡与失衡AIS间TK差异有统计学意义(P=0.026)。CBD、T1S、PT、SS、AVT及TTS均与AIS严重程度呈正相关(rs=0.136~0.606,P均＜0.001),而TK与之呈负相关(rs=－0.404,P＜0.001)。T1S、AVT及TTS均为影响AIS严重程度的独立影响因素(P均＜0.001)。结论 AI基于脊柱X线正侧位片所测参数中,CBD、T1S、PT、SS、AVT及TTS均与AIS严重程度呈正相关,而TK与之呈负相关。 |
| 英文摘要: |
| Objective To observe the correlations of artificial intelligence (AI) measured parameters on anteroposterior and lateral spinal X-ray films with the severity of adolescent idiopathic scoliosis (AIS). Methods Totally 1 786 AIS patients were retrospectively enrolled. Parameters including Cobb angle (CA), coronal balance distance (CBD), T1 slope (T1S), pelvic tilt (PT), sacral slope (SS), apical vertebral translation (AVT), thoracic trunk shift (TTS), thoracic kyphosis (TK) and sagittal vertical axis (SVA) on anteroposterior and lateral spinal X-ray films were measured using uAI DR scoliosis analysis system. The severity of AIS was evaluated according to CA, and the correlations between other parameters and the severity of AIS were explored. The above parameters were compared under different severity levels and coronal/sagittal equilibrium states. Multivariate logistic regression analysis was performed to screen the independent impact factors on the severity of AIS. Results Significant differences of the above parameters were found among different severity levels except for SVA (all P＜0.001). With the aggravation of AIS, CA, CBD, AVT and TTS increased successively (all P＜0.001). T1S of severe AIS was higher than that of mild and moderate AIS (both P＜0.001), PT and SS of moderate and severe AIS were all bigger, while their TK were smaller than those of mild AIS (all P＜0.001). Significant differences of CA, T1S, PT, SS, AVT, TTS and TK were found between coronal balanced and imbalanced AIS (all P＜0.05), while of TK were found between sagittal balanced and unbalanced AIS (P=0.026). CBD, T1S, PT, SS, AVT and TTS were all positively correlated (rs=0.136—0.606, all P＜0.001), while TK was negatively correlated (rs=－0.404, P＜0.001) with the severity of AIS . T1S, AVT and TTS were all independent impact factors of the severity of AIS (all P＜0.001). Conclusion Among AI measured parameters on anteroposterior and lateral spinal X-ray films, CBD, T1S, PT, SS, AVT and TTS were positively correlated, while TK was negatively correlated with the severity of AIS. |
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