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人工智能在内淋巴积水影像学诊断中的应用进展OA

Advances in the Application of Artificial Intelligence in the Imaging Diagnosis of Endolymphatic Hydrops

中文摘要英文摘要

内淋巴积水(endolymphatic hydrops,EH)是多种前庭疾病的重要病理基础,尤其在梅尼埃病诊断中具有关键意义.随着磁共振成像技术的不断进步,特别是钆剂延迟增强MRI的应用,EH的影像诊断能力显著提升.临床上,内耳积水影像学的判读常常依赖经验丰富的专家,但主观性强且耗时长,给外周前庭病变的精准诊断带来了巨大的挑战.近年来,随着基于人工智能尤其深度学习图像分析方法的应用,为EH快速、客观判读提供了新的解决方案.本文综述了EH诊断影像组学和人工智能的基本原理、内耳影像积水判读中的应用现状、存在的挑战及未来发展方向,旨在为内耳疾病的精准诊断和个性化治疗提供理论支持和技术参考.

Endolymphatic hydrops(EH)serves as a crucial pathological basis for various vestibular disorders and holds particular significance in the diagnosis of Meniere's disease.With the continuous advancement of mag-netic resonance imaging(MRI)technology,especially the application of delayed gadolinium-enhanced delayed 3D-FLAIR sequences,the capability for imaging diagnosis of EH has been significantly enhanced.Clinically,the interpretation of inner ear hydrops imaging often relies on experienced experts;however,this process is high-ly subjective and time-consuming,posing a substantial challenge to the precise diagnosis of peripheral vestibular disorders.In recent years,the application of artificial intelligence(AI),particularly deep learning-based image analysis methods,has provided a novel solution for the rapid and objective assessment of EH.This article re-views the fundamental principles of radiomics and AI in EH diagnosis,the current status of their application in interpreting inner ear hydrops imaging,existing challenges,and future development directions.It aims to pro-vide theoretical support and technical reference for the precise diagnosis and personalized treatment of inner ear diseases.

薛思儒;朱子明;刘水;祁晓媛;汪建荣;崔世磊;杨本涛;杨旭

北京大学第一医院神经内科 北京 102627北京大学第一医院神经内科 北京 102627航天中心医院(北京大学航天临床医学院)影像科 北京 100049沧州市中心医院神经内科 河北沧州 061001锦州医科大学附属第一医院神经内科 辽宁锦州 121001北京同仁医院神经内科,北京 100005北京同仁医院影像科 北京 100005北京大学第一医院神经内科 北京 102627

医药卫生

影像组学人工智能内耳积水MRI钆造影自动化判读

radiomicsartificial intelligenceendolymphatic hydropsgadolinium-enhanced MRIautomated image interpretation

《神经损伤与功能重建》 2026 (8)

466-471,6

10.16780/j.cnki.sjssgncj.20260110

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