Objectives: The measurement of diabetic foot ulcers is important for the success in diabetic foot ulcer management. At present, it lacks the accurate and convenient measurement tools in clinical. In recent years, artificial intelligence technology has demonstrated the potential application value in the field of image segmentation and recognition. This study aims to construct an intelligent measurement model of diabetic foot ulcers based on the deep learning method, and to conduct preliminary verification.
Methods: The data of 1 042 diabetic foot ulcers clinical samples were collected. The ulcers and color areas were manually labeled, of which 782 were used as the training data set and 260 as the test data set. The Mask RCNN ulcer tissue color semantic segmentation and RetinaNet scale digital scale target detection were used to build a model. The training data set was input into the model and iterated. The test data set was used to verify the intelligent measurement model.
Results: This study established an intelligent measurement model of diabetic foot ulcers based on deep learning. The mean average [email protected] intersection over union ([email protected]) of the color region segmentation in the training set and the test set were 87.9% and 63.9%, respectively; the [email protected] of the ruler scale digital detection in the training set and the test set were 96.5% and 83.4%, respectively. Compared with the manual measurement result of the test sample, the average error of the intelligent measurement result was about 3 mm.
Conclusions: The intelligent measurement model has good accuracy and robustness in measuring the diabetic foot ulcers. Future research can further optimize the model with larger-scale data samples.
目的: 糖尿病足溃疡的测量是临床诊断的重要一环,高精度测量与评估是高效管理的保障。目前临床上缺乏精确、便捷的测量工具。近年来人工智能技术在图形分割与识别领域中彰显了一定的潜力。本研究旨在基于深度学习方法对糖尿病足溃疡影像进行分析,构建糖尿病足溃疡智能测量模型并对其进行初步验证。方法: 选取1 042例糖尿病足溃疡的图像,对溃疡边缘及不同的颜色区域进行人工标注,其中782张作为训练数据集,260张作为测试数据集。采用Mask RCNN溃疡组织颜色语义分割及RetinaNet标尺数字刻度目标检测来建立模型,将训练数据集输入模型并进行迭代。利用测试数据集验证智能测量模型。结果: 基于深度学习建立了糖尿病足溃疡的智能测量模型,训练集和测试集组织颜色区域分割的[email protected](mean average [email protected] intersection over union)分别为87.9%和63.9%,标尺刻度数字检测的[email protected]分别为96.5%和83.4%。以测试集的人工测量结果为参照,智能测量结果的平均误差约3 mm。结论: 糖尿病足溃疡智能测量模型测量糖尿病足溃疡具有较高的精确度及良好的鲁棒性,未来的研究可采用更大规模的数据样本对模型做进一步优化。.
Keywords: chronic wound; deep learning; diabetic foot ulcers; intelligent measurement.