Abdominal Computed Tomography Enhanced Image Features under an Automatic Segmentation Algorithm in Identification of Gastric Cancer and Gastric Lymphoma.

Abstract

To analyze the application value of CT-enhanced scanning based on artificial intelligence algorithm in the diagnosis of gastric cancer and gastric lymphoma, the CT images of 80 patients with Borrmann type IV gastric cancer or primary gastric lymphoma diagnosed by endoscopic pathology were retrospectively collected. Meanwhile, a lymph node recognition algorithm based on OTSU threshold segmentation was proposed for CT image processing. The results showed that the missed diagnosis rate of suspected lymph nodes and the missed lymph node detection rate of this algorithm were substantially lower than those of other algorithms (P < 0.05). The probability of gastric wall motility disappearance, perigastric fat infiltration, and type A enhancement pattern in the Borrmann type IV gastric cancer group was higher than that in the gastric lymphoma group, with remarkable differences (P < 0.05). There was no remarkable difference between the Borrmann type IV gastric cancer group and the gastric lymphoma group in the probability of swollen lymph nodes under the renal hilum (P > 0.05). In addition, 5the sensitivity (83.17%), specificity (95.52%), and accuracy (93.08%) of the combined detection of the three CT signs (stomach wall motility, perigastric fat infiltration, and enhancement mode) were substantially improved compared with those of a single sign (P < 0.05). To sum up, the lymph node recognition algorithm based on OTSU threshold segmentation had better performance in detecting gastric lymph nodes than traditional algorithms. The CT image characteristics of gastric wall motility, perigastric fat infiltration, and enhancement pattern based on artificial intelligence algorithms were effective indicators for distinguishing gastric cancer and gastric lymphoma.