Diagnosis and Treatment Effect of Convolutional Neural Network-Based Magnetic Resonance Image Features on Severe Stroke and Mental State
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Bibliographic record
Abstract
The purpose of this paper is to explore the impact of magnetic resonance imaging (MRI) image features based on convolutional neural network (CNN) algorithm and conditional random field on the diagnosis and mental state of patients with severe stroke. 208 patients with severe stroke who all received MRI examination were recruited as the research objects. According to cerebral small vascular disease (CSVD) score, the patients were divided into CSVD 0∼4 groups. The patients who completed the three-month follow-up were classified into cognitive impairment group (124 cases) and the noncognitive impairment group (84 cases) according to the cut-off point of the Montreal cognitive assessment (MOCA) scale score of 26. A novel image segmentation algorithm was proposed based on U-shaped fully CNN (U-Net) and conditional random field, which was compared with the fully CNN (FCN) algorithm and U-Net algorithm, and was applied to the MRI segmentation training of patients with severe stroke. It was found that the average symmetric surface distance (ASSD) (3.13 ± 1.35), Hoffman distance (HD) (28.71 ± 9.05), Dice coefficient (0.78 ± 1.35), accuracy (0.74 ± 0.11), and sensitivity (0.85 ± 0.13) of the proposed algorithm were superior to those of FCN algorithm and U-Net algorithm. There were significant differences in the MOCA scores among the five groups of patients from CSVD 0 to CSVD 4 in the three time periods (0, 1, and 3 months) ( <a:math xmlns:a="http://www.w3.org/1998/Math/MathML" id="M1"> <a:mi>P</a:mi> <a:mo><</a:mo> <a:mn>0.05</a:mn> </a:math> ). Differences in cerebral microhemorrhage (CMB), perivascular space (PVS), and number of cavities, Fazekas, and total CSVD scores between the two groups were significant ( <c:math xmlns:c="http://www.w3.org/1998/Math/MathML" id="M2"> <c:mi>P</c:mi> <c:mo><</c:mo> <c:mn>0.05</c:mn> </c:math> ). Multivariate regression found that the number of PVS, white matter hyperintensity (WMH) Fazekas, and total CSVD score were independent factors of cognitive impairment. In short, MRI images based on deep learning image segmentation algorithm had good application value for clinical diagnosis and treatment of stroke and can effectively improve the detection effect of brain domain characteristics and psychological state of patients after stroke.
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Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it