首页|期刊导航|时珍国医国药|基于Vision Transformer的肠镜图像识别模型在结肠疾病中的诊断作用研究

基于Vision Transformer的肠镜图像识别模型在结肠疾病中的诊断作用研究OA

The diagnostic role of a vision transformer-based model in colonoscopic image recognition for colonic diseases

中文摘要英文摘要

目的 探究人工智能诊断系统视觉Transformer(ViT)通过分析临床内镜成像数据对结肠疾病的诊断作用.方法 回顾性收集1082例组织学证实患有结肠疾病(包括结肠息肉、结肠炎、结肠癌)患者的3000张标准白光结肠镜图像.对这三类疾病处理后的数据集按照7∶2∶1的比例划分,在每类疾病图像中随机选取70%作为训练集(Train),20%作为测试集(Test),10%作为验证集(Predict),最后通过使用ViT模型对图像进行识别分类.结果 在测试集中,该模型对于结肠息肉、结肠炎、结肠癌的肠镜图像分类准确率为:结肠息肉99.61%、结肠炎99.67%、结肠癌100.00%.结论 ViT在检测结肠疾病方面具有较高的诊断准确率,该模型可协助基层医院提高结肠疾病诊断的准确率,也可帮助初级内镜医师提高识别结肠疾病的能力,具有较为可靠的临床应用价值.

Objective To investigate the diagnostic role of a Vision Transformer(ViT)-based artificial intelligence(AI)system in colonic diseases by analyzing clinical endoscopic imaging data.Methods A total of 3000 standard white-light colonoscopy images from 1082 patients with histologically confirmed colonic diseases(including colon polyps,colitis,and colon cancer)were retrospectively col-lected from the Endoscopy Center database of Hebei Provincial Hospital of Traditional Chinese Medicine.The processed datasets of these three disease types were divided in a ratio of 7:2:1.For each disease type,70%of the images were randomly selected as the train-ing set,20%as the test set,and 10%as the validation set.Finally,the ViT model was used to identify and classify the images.Results In the test set,the classification accuracy for colonoscopy images was 99.61%for colon polyps,99.67%for colitis,and 100.00%for colon cancer.Conclusion ViT demonstrated high diagnostic accuracy in detecting colonic diseases.This model can assist primary hospi-tals in enhancing the diagnostic accuracy of colonic diseases and help primary endoscopists enhance their ability to identify colonic dis-eases,thus demonstrating relatively reliable clinical application value.

张婷;徐伟超;许亚培;王子康;夏悦桐;刘秋华;杜姚;才艳茹;杨倩

河北中医药大学,河北 石家庄 050091河北省中医院,河北 石家庄 050011河北省中医院,河北 石家庄 050011河北中医药大学,河北 石家庄 050091河北中医药大学,河北 石家庄 050091邢台市中医医院,河北 邢台 054000河北省中医院,河北 石家庄 050011||河北省浊毒证重点实验室,河北 石家庄 050011河北省中医院,河北 石家庄 050011||河北省浊毒证重点实验室,河北 石家庄 050011河北省中医院,河北 石家庄 050011||河北省浊毒证重点实验室,河北 石家庄 050011

医药卫生

结肠疾病Vision Transformer分类识别临床应用

Colonic diseasesVision transformerClassification and recognitionClinical application

《时珍国医国药》 2026 (5)

987-992,6

国家自然科学基金(82205314)国家科技重大专项(2024ZD0521004)国家中医药管理局科技项目(GZY-KJS-2023-025)河北省中央引导地方科技专项项目(246Z7708G)河北省自然科学基金项目(H2023423001)河北省中医药定量化研究创新专项(252W7712D)

10.70976/j.1008-0805.SZGYGY-2026-0528

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