<?xml version="1.1" encoding="utf-8"?>
<article xsi:noNamespaceSchemaLocation="http://jats.nlm.nih.gov/publishing/1.1/xsd/JATS-journalpublishing1-mathml3.xsd" dtd-version="1.1" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"><front><journal-meta><journal-id journal-id-type="publisher-id">MRP</journal-id><journal-title-group><journal-title>Medical Research and Practice</journal-title></journal-title-group><issn>2993-9690</issn><eissn>2993-9704</eissn><publisher><publisher-name>Art and Design</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.61369/MRP.2025100011</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title>基于深度学习的骶髂关节炎CT图像识别方法</title><url>https://artdesignp.com/journal/MRP/3/10/10.61369/MRP.2025100011</url><author>张雷</author><pub-date pub-type="publication-year"><year>2025</year></pub-date><volume>3</volume><issue>10</issue><history><date date-type="pub"><published-time>2025-10-20</published-time></date></history><abstract>CT作为诊断骶髂关节炎病发的重要方式，依赖人工判读，导致误诊和漏诊。为此，本研究提出一种融合2.5D切片输入、多尺度特征提取与融合的深度学习模型MS-2.5D-Net。首先，选取包含骶髂关节中下段关节间隙的连续5层CT切片，构建2.5D输入，在保留三维上下文关联性的同时，降低计算复杂度；其次，修改模型首层卷积适配2.5D输入，在编码阶段嵌入空洞空间金字塔池化（ASPP）模块，同步提取关节间隙的局部微结构特征与全局形态学特征；最后，引入残差特征金字塔（RFPN）跨层融合高层语义与低层细节特征，缓解深层网络梯度消失问题。在29例样本数据集上的实验表明，该模型的敏感度为91.3%，特异性为95.2%，能有效应对骶髂关节炎判别难题，为临床辅助诊断提供了可靠的技术方案。</abstract><keywords>骶髂关节炎,骨盆CT,2.5D切片,多尺度特征融合,深度学习</keywords></article-meta></front><body/><back><ref-list><ref id="B1" content-type="article"><label>1</label><element-citation publication-type="journal"><p>&amp;nbsp;[1] Salaffi F .Imaging of Sacroiliac Pain: The Current State-of-the-Art[J].Journal of Personalized Medicine, 2024, 14.DOI:10.3390/jpm14080873.&amp;nbsp;[2]王庆文,曾庆馀,肖征宇,等.磁共振成像对早期骶髂关节炎的诊断价值研究[J].中华风湿病学杂志,2006,10(7):4.DOI:10.3760/j:issn:1007-7480.2006.07.001.&amp;nbsp;[3] Shenkman Y, Qutteineh B, Joskowicz L, et al. Automatic detection and diagnosis of sacroiliitis in CT scans as incidental findings[J]. Medical image analysis, 2019, 57: 165-175.&amp;nbsp;[4] Van Den Berghe, Thomas, et al. Neural network algorithm for detection of erosions and ankylosis on CT of the sacroiliac joints: multicentre development and validation of diagnostic accuracy[J]. European radiology 2023,33: 8310-8323.&amp;nbsp;[5]杜涛,闫建红. DI-MobileNet:基于轻量化网络的骶髂关节炎识别方法[J].智能计算机与应用,2025,15(02):138-143.DOI:10.20169/j.issn.2095-2163.24102205.&amp;nbsp;[6] Xing Y , Wang J , Zeng G .Malleable 2.5D Convolution: Learning Receptive Fields along the Depth-axis for RGB-D Scene Parsing[J]. &amp;nbsp;2020.DOI:10.1007/978-3-03058529-7_33.&amp;nbsp;[7] Tran D , Ray J , Shou Z ,et al.ConvNet Architecture Search for Spatiotemporal Feature Learning[J]. &amp;nbsp;2017.DOI:10.48550/arXiv.1708.05038.&amp;nbsp;[8] Xing Y , Wang J , Zeng G .Malleable 2.5D Convolution: Learning Receptive Fields along the Depth-axis for RGB-D Scene Parsing[J]. &amp;nbsp;2020.DOI:10.1007/978-3-03058529-7_33.&amp;nbsp;[9] Yang M , Yu K , Zhang C ,et al.DenseASPP for Semantic Segmentation in Street Scenes[J]. &amp;nbsp;2018.DOI:10.1109/CVPR.2018.00388.&amp;nbsp;[10]万黎明,张小乾,刘知贵,等.基于空洞空间金字塔池化和多头自注意力的特征提取网络[J].计算机应用,2022,42(S2):79-85.</p><pub-id pub-id-type="doi"/></element-citation></ref></ref-list></back></article>
