研究生: |
樂穎杰 |
---|---|
論文名稱: |
超音波影像於腕隧道症候群診斷 Ultrasound Images in Carpal Tunnel Syndrome Diagnosis |
指導教授: | 葉秩光 |
口試委員: | |
學位類別: |
碩士 Master |
系所名稱: |
原子科學院 - 生醫工程與環境科學系 Department of Biomedical Engineering and Environmental Sciences |
論文出版年: | 2007 |
畢業學年度: | 95 |
語文別: | 中文 |
論文頁數: | 70 |
中文關鍵詞: | 超音波影像 、腕隧道症候群 、影像追蹤 、複合影像 |
相關次數: | 點閱:3 下載:0 |
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腕隧道症候群是因為腕隧道內的正中神經受到壓迫造成手部麻痺,為一種臨床上常見的上肢神經病變。傳統診斷的方式是利用電刺激的診斷法,而這種方式的缺點在於診斷時間過長且會對病人造成負擔,超音波影像系統相較之下便有著影像擷取容易、非侵入式且可以減低診斷時間。從臨床的影像中我們經由手指帶動肌腱,使得影像中的正中神經相較於其他組織有著較為一致性的位移向量,因此我們的演算法便對兩張時間間隔約0.1秒的影像作影像追蹤來得到影像間各像素的位移量,並且使用兩組影像追蹤後的結果,取交集來減低背景雜訊造成的誤差,從位移向量分析加以得到正中神經的位置,並且使用圓盤擴張法和橢圓修正的方式來得到最後的圈選結果。從橢圓的參數中我們可以計算正中神經經過圈選後的扁平率(長短軸比例)與面積,且研究中考量到受測者與環境的因素,所以我們將受測者前手臂正中神經當作標準化的因子,並使用雙重參數來診斷腕隧道症候群,而最後的分析中可以使得準確率達到83%且特異性達到75%(第三層面積與第二層和第四層的扁平率比例)。研究中還利用這種一致性位移的特性來對影像作複合技術的處理,這種複合影像的技術使得我們的影像品質得到改善,並且把原始影像與複合影像給受測者們圈選,和臨床醫師所判定的標準輪廓比較,從重疊區域的分析方式中得知受測者判斷正中神經位置的正確率從0.2提昇至0.8,而從邊緣輪廓的分析下得知邊緣並未因為模糊化而使得圈選結果失真,也證明了此種複合技術得到的影像對於受測者判斷正中神經上有所幫助。
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