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基于深度高斯过程回归的术中失血量和血红蛋白损失量估计

钟坤华1,2,陈芋文3,秦小林4,张力戈5,李雨捷6,胡小艳6,易斌6   

  1. 1. 中国科学院成都计算机应用研究所
    2. 中国科学院重庆绿色智能技术研究院
    3. 中科院重庆绿色智能技术研究院
    4. 中国科学院成都计算机应用研究所(中科院成都信息技术股份有限公司)
    5. 中国科学院大学成都计算机应用研究所
    6. 陆军军医大学第一附属医院
  • 收稿日期:2023-05-22 修回日期:2023-07-19 发布日期:2023-08-07 出版日期:2023-08-07
  • 通讯作者: 陈芋文

Deep Gaussian Processes Regression for Intra-operative Blood Loss and Hemoglobin Loss Estimation

  • Received:2023-05-22 Revised:2023-07-19 Online:2023-08-07 Published:2023-08-07

摘要: 摘 要: 动态、准确地估计失血量对围手术期管理非常重要,但测量术中失血量是一项困难的任务,尤其是当血液被医用纱布吸收时。针对上述情况,以浸血医用纱布图像为研究对象,提出一种基于密集连接卷积网络(DenseNet)的深度多任务高斯过程回归(DMGPR)方法,以估计术中失血量和血红蛋白损失量。DMGPR 方法包括两部分:用于自动特征提取的密集连接卷积网络(DenseNet)和用于失血量及血红蛋白损失量估计的多任务高斯回归过程(MGPR)。在手术室正常光照条件下,采集了569张浸血纱布图像,并对其进行在线扩充,构建实验数据集。以决定系数(R2)、均方误差(MSE)和平均绝对误差(MAE)为性能指标,对DMGPR方法进行评估和对比。在失血量估计方面,DMGPR方法的R2、MSE和MAE分别为0.971、0.080和0.151。而在血红蛋白损失量估计方面,DMGPR方法的相应结果分别为0.950、0.217和0.292。实验结果表明,DMGPR可以动态、准确地估计术中失血量和血红蛋白损失量,并且比其他对比方法具有更好的性能,更适合于主要使用医用纱布和小到中度失血的手术。

Abstract: Abstract: Dynamic and precise estimation of blood loss is important for perioperative management, while the measurement of intraoperative blood loss is a difficult task, especially when the blood is absorbed by medical gauze. In view of the above situation, a deep multitask Gaussian process regression (DMGPR) method based on DenseNet is proposed to estimate the intraoperative blood loss and hemoglobin loss by taking the blood-soaked medical gauze images as the research object. DMGPR consists of two parts: DenseNet, a dense connected convolutional network for automatic feature extraction, and a multi task Gaussian regression process (MGPR) for estimating blood loss and hemoglobin loss. Under normal lighting conditions in the operating room, 569 images of blood-soaked gauze were collected to construct an experimental dataset. Taking coefficient of determination (R2), mean squared error (MSE) and mean absolute error (MAE) as performance indicators, the DMGPR method was evaluated and compared. In terms of blood loss estimation, the R2, MSE, and MAE of the DMGPR method are 0.971, 0.080, and 0.151, respectively. And in terms of estimating hemoglobin loss, the corresponding results of the DMGPR method are 0.950, 0.217, and 0.292, respectively. The experimental results indicate that DMGPR can dynamically and accurately estimate intraoperative blood loss and hemoglobin loss, and has better performance than other compared methods, making it more suitable for surgeries that mainly use medical gauze and small to moderate blood loss.

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