肺结节患者中医证型与人工智能风险程度分析的相关性研究

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[Abstract]Objective：ToobserveandanalyzethecorelationbetweentraditionalChinese medicine（TCM）syndromeand the artificialintelligence（AI）risklevelsinpatientswithpulmonarynodules.Methods：Atotalof141patientswithpulmonary noduleswerecollectedAImodelswereusedtoanalyzechestCTimages，andthepatientswereclassfiedintofive TCM syndrometypesaternoflung-spleenqieficiencyungindeficiencypatern，attenofbloodstasisuetoqieficiency， phlegmheataccumulating inthelungpattern，qistagnationdamagingthelungpatern.Afterwards，thecorrelationbetween TCMsyndromeandtherisklevelpredictedbyAIwasevaluated.Results：Atotalof1198nodulesweredetectedinthe 141patients，with4casesbeingsolitarynodulesand137casesbeingmultiplenodules.Acording tothequartileofthe number of nodules，141patientsweredividedinto4groupsGroupAwith1-3nodules，GroupBwith4-6nodules，GroupC with 7-11 nodules，and Group D with more than 11 nodules.Except for Group A，the proportion of high-risk was higher than thatof medium-riskandlow-riskinothergroups.Among the141patients，themostcommon TCMsyndrome typewaspatern of blood stasis due to qi deficiency，accounting for41.84%，followedbypattern of lung-spleenqi deficiency（ 24.11% ），lungyin deficiency pattern（ 16.31% ），qi stagnation damaging the lung pattern （ 12.06% ）and phlegm heat accumulating in the lung pattern （5.68 % ）.There were differences in the risk level of different TCM syndromes（ χ =50.38， P <0.001）．Inpattern of bloodstasisduetoqideficiency，paternof lung-spleenqideficiencyandphlegmheataccmulating inthelungpaern， the|proportion of high-risk was significantly higher than that of medium-risk and low-risk （all P <0.05），whileinpattern oflung-spleeqideficiency，lungyindeficiencypatternandqistagnationdamagingthelungpattern，theproportionof medium-risk was significantly lower than that of high-risk and low-risk （all P<0.05 ）.Conclusions：There isa certain correlation between TCM syndrome and the AI analysisof pulmonary nodule risk level，and different treatmentscan becarried out according to different syndromes in clinical practice.

肺结节指直径 <30mm 的局灶性、类圆形、密度增高的肺部阴影，一般不伴临床症状，可分为实性结节、亚实性结节和磨玻璃结节[1-2]。（剩余5476字）