{"title":"基于三维卷积神经网络的房颤CT扫描脑卒中预测算法","authors":"Wei-Yu Hsu , Cries Avian , Jenq-Shiou Leu , Chia-Ti Tsai","doi":"10.1016/j.bspc.2025.108338","DOIUrl":null,"url":null,"abstract":"<div><div>Stroke, commonly associated with cerebral infarction, is a severe condition caused by disrupted blood flow to the brain. Atrial Fibrillation (AF), a prevalent cardiac arrhythmia, significantly increases the risk of stroke, with AF patients having a tenfold higher likelihood of stroke compared to the general population. Early detection of AF and the presence of blood clots is crucial for stroke prevention. In this study, we propose an AI-assisted diagnostic system based on a 3D convolutional neural network (CNN) trained on cardiac CT images to predict the risk of stroke in AF patients. Compared to traditional 2D CNN models, the proposed 3D CNN approach effectively captures 3D spatial features of cardiac structures, resulting in improved accuracy and performance. The 3D CNN model achieved an impressive accuracy of 92.92% and an AUC of 0.97 on the test set. The findings highlight the potential of AI-assisted diagnosis and the significance of utilizing cardiac CT images in enhancing cardiovascular disease diagnosis. This approach offers promising opportunities to improve accuracy, efficiency, and clinical decision-making in stroke prevention. Future research should focus on expanding the dataset, optimizing the model architecture, and integrating additional clinical data further to enhance the predictive performance of the AI model.</div></div>","PeriodicalId":55362,"journal":{"name":"Biomedical Signal Processing and Control","volume":"111 ","pages":"Article 108338"},"PeriodicalIF":4.9000,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Stroke prediction algorithm based on 3D convolutional neural network for CT scans in patients with atrial fibrillation\",\"authors\":\"Wei-Yu Hsu , Cries Avian , Jenq-Shiou Leu , Chia-Ti Tsai\",\"doi\":\"10.1016/j.bspc.2025.108338\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>Stroke, commonly associated with cerebral infarction, is a severe condition caused by disrupted blood flow to the brain. Atrial Fibrillation (AF), a prevalent cardiac arrhythmia, significantly increases the risk of stroke, with AF patients having a tenfold higher likelihood of stroke compared to the general population. Early detection of AF and the presence of blood clots is crucial for stroke prevention. In this study, we propose an AI-assisted diagnostic system based on a 3D convolutional neural network (CNN) trained on cardiac CT images to predict the risk of stroke in AF patients. Compared to traditional 2D CNN models, the proposed 3D CNN approach effectively captures 3D spatial features of cardiac structures, resulting in improved accuracy and performance. The 3D CNN model achieved an impressive accuracy of 92.92% and an AUC of 0.97 on the test set. The findings highlight the potential of AI-assisted diagnosis and the significance of utilizing cardiac CT images in enhancing cardiovascular disease diagnosis. This approach offers promising opportunities to improve accuracy, efficiency, and clinical decision-making in stroke prevention. Future research should focus on expanding the dataset, optimizing the model architecture, and integrating additional clinical data further to enhance the predictive performance of the AI model.</div></div>\",\"PeriodicalId\":55362,\"journal\":{\"name\":\"Biomedical Signal Processing and Control\",\"volume\":\"111 \",\"pages\":\"Article 108338\"},\"PeriodicalIF\":4.9000,\"publicationDate\":\"2025-07-12\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Biomedical Signal Processing and Control\",\"FirstCategoryId\":\"5\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1746809425008493\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"ENGINEERING, BIOMEDICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Biomedical Signal Processing and Control","FirstCategoryId":"5","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1746809425008493","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ENGINEERING, BIOMEDICAL","Score":null,"Total":0}
Stroke prediction algorithm based on 3D convolutional neural network for CT scans in patients with atrial fibrillation
Stroke, commonly associated with cerebral infarction, is a severe condition caused by disrupted blood flow to the brain. Atrial Fibrillation (AF), a prevalent cardiac arrhythmia, significantly increases the risk of stroke, with AF patients having a tenfold higher likelihood of stroke compared to the general population. Early detection of AF and the presence of blood clots is crucial for stroke prevention. In this study, we propose an AI-assisted diagnostic system based on a 3D convolutional neural network (CNN) trained on cardiac CT images to predict the risk of stroke in AF patients. Compared to traditional 2D CNN models, the proposed 3D CNN approach effectively captures 3D spatial features of cardiac structures, resulting in improved accuracy and performance. The 3D CNN model achieved an impressive accuracy of 92.92% and an AUC of 0.97 on the test set. The findings highlight the potential of AI-assisted diagnosis and the significance of utilizing cardiac CT images in enhancing cardiovascular disease diagnosis. This approach offers promising opportunities to improve accuracy, efficiency, and clinical decision-making in stroke prevention. Future research should focus on expanding the dataset, optimizing the model architecture, and integrating additional clinical data further to enhance the predictive performance of the AI model.
期刊介绍:
Biomedical Signal Processing and Control aims to provide a cross-disciplinary international forum for the interchange of information on research in the measurement and analysis of signals and images in clinical medicine and the biological sciences. Emphasis is placed on contributions dealing with the practical, applications-led research on the use of methods and devices in clinical diagnosis, patient monitoring and management.
Biomedical Signal Processing and Control reflects the main areas in which these methods are being used and developed at the interface of both engineering and clinical science. The scope of the journal is defined to include relevant review papers, technical notes, short communications and letters. Tutorial papers and special issues will also be published.