WO2018184202A1 - Inference engine training method and device, upgrade method, device and storage medium - Google Patents

Inference engine training method and device, upgrade method, device and storage medium Download PDF

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WO2018184202A1
WO2018184202A1 PCT/CN2017/079710 CN2017079710W WO2018184202A1 WO 2018184202 A1 WO2018184202 A1 WO 2018184202A1 CN 2017079710 W CN2017079710 W CN 2017079710W WO 2018184202 A1 WO2018184202 A1 WO 2018184202A1
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blood flow
inference engine
actual
conclusions
flow data
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PCT/CN2017/079710
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French (fr)
Chinese (zh)
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徐亮禹
马忠伟
胡鹏
刘志强
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北京悦琦创通科技有限公司
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Priority to CN201780085296.3A priority Critical patent/CN110235206B/en
Priority to PCT/CN2017/079710 priority patent/WO2018184202A1/en
Publication of WO2018184202A1 publication Critical patent/WO2018184202A1/en

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    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16ZINFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS, NOT OTHERWISE PROVIDED FOR
    • G16Z99/00Subject matter not provided for in other main groups of this subclass

Definitions

  • the present invention relates to the field of artificial intelligence, and more particularly to an inference engine training method and apparatus, an upgrade method and apparatus for an auxiliary diagnostic system, and a computer readable storage medium.
  • Transcranial Doppler (TCD) blood flow analysis is a method for evaluating the physiological characteristics of different blood flow states through non-invasive examination.
  • the Ultrasound Transcranial Doppler Flow Analyzer (referred to as Transcranial) is a customized ultrasound device designed for transcranial ultrasound examination.
  • Transcranial is a product that appeared in the early 1980s to diagnose cerebrovascular disease and help to examine conditions such as narrowing of blood vessels, obstruction, poor blood flow, or cerebral hemorrhage.
  • Doppler spectrum analysis technology can provide blood flow waveform, blood flow velocity (peak velocity, average velocity), blood flow disorder and frequency width under eddy current state, blood flow volume and other information for clinical diagnosis. Early detection is very important.
  • Ultrasound transcranial Doppler flowmetry uses an in vitro ultrasound probe to transmit ultrasound to the cerebral vessels through the gap or "window" of the skull.
  • a Doppler effect (Doppler shift) is generated between the ultrasonic wave and the blood flow, and the reflected ultrasonic wave returns to the probe, and the data is processed by the processor in the analyzer to obtain corresponding information.
  • the ultrasound transcranial Doppler flow analyzer can detect information such as blood flow velocity in blood vessels.
  • angiogenesis occurs, such as stenosis, obstruction, etc., its hemodynamics will change significantly.
  • the operator evaluates the spectrum to give a diagnosis.
  • this increases the operator's workload, and the operator needs to manually identify the features one by one.
  • operator feature recognition is greatly affected by mental state, and leakage recognition may occur when fatigue or mood is low.
  • the clinical diagnosis problem is very complicated, and the technical requirements of the operator are high, which requires more clinical training. Therefore, the artificial intelligence-based computer-aided diagnosis technology can be applied to the transcranial Doppler examination to assist the operator in diagnosis and improve the diagnosis efficiency.
  • Auxiliary diagnostic systems generally include a knowledge base, an inference engine, and the like. There is currently a lack of training methods for inference engines for assisted diagnostic systems for transcranial Doppler examination.
  • the present invention has been made in consideration of the above problems.
  • the invention provides an inference engine training method and device, an upgrade method and device for the auxiliary diagnosis system, and a computer readable storage medium.
  • an inference engine training method includes: Step S2010: using a plurality of sets of blood flow data stored in the knowledge base as a sample training inference engine, wherein each set of blood flow data stored in the knowledge base includes a blood flow characteristic parameter and a corresponding known conclusion; step S2020 Selecting at least one set of blood flow data from the knowledge base; step S2030: for each set of blood flow data in the at least one set of blood flow data, using an inference engine to infer blood flow characteristic parameters in the set of blood flow data, Obtaining corresponding test conclusions; step S2040: performing hemodynamic verification based on blood flow characteristic parameters and corresponding test conclusions in each set of blood flow data in at least one set of blood flow data; and step S2050: based on blood flow force school The test result judges whether the inference engine is qualified.
  • step S2050 includes: if it is determined that the inference engine fails, then go to step S2060; the inference engine training method further includes: step S2060: outputting indication information indicating that the inference engine has not passed the hemodynamic check.
  • the inference engine training method further includes: step S2070: receiving a model for modifying the model used to implement the inference engine, parameters of the inference engine, blood flow data stored in the knowledge base, and a hemodynamic checkout station. a first modification instruction of one or more of the employed hemodynamic models; and step S2080: performing a corresponding modification action according to the first modification instruction and returning to step S2010.
  • step S2050 includes: if it is determined that the inference engine is qualified, then go to step S2090; the inference engine training method further includes: step S2090: updating the known rules stored in the knowledge base with rules provided by the inference engine.
  • step S2050 includes: if it is determined that the inference engine is qualified, go to step S2100; the inference engine training method further includes: step S2100: determining whether the rule provided by the inference engine conflicts with a known rule stored in the knowledge base, if Go to step S2110; and step S2110: output indication information indicating that the rule conflicts.
  • the inference engine training method further includes: step S2120: receiving one or more of modifying the model for implementing the inference engine, the parameters of the inference engine, and the blood flow data stored in the knowledge base. a second modification instruction; and step S2130: performing a corresponding modification action according to the second modification instruction and returning to step S2010.
  • step S2100 includes: if the rule provided by the inference engine does not conflict with the known rule stored in the knowledge base, then go to step S2140; the inference engine training method further includes: step S2140: update the knowledge with the rule provided by the inference engine Known rules stored in the library.
  • the inference engine training method further includes: step S2012: cross-validating the inference engine with the plurality of sets of blood flow data to evaluate the correct rate of the inference engine.
  • step S2012 includes: if the correct rate is less than the preset threshold, then go to step S2014; the inference engine training method further includes: step S2014: outputting indication information indicating that the inference engine has not passed the cross-validation.
  • the inference engine training method further comprises: step S2016: receiving one or more of modifying the model for implementing the inference engine, the parameters of the inference engine, and the blood flow data stored in the knowledge base. a third modification instruction; and step S2018: performing a corresponding modification action according to the third modification instruction and returning to step S2010.
  • the inference engine is implemented using a Bayesian classifier, a support vector machine, or a deep neural network.
  • step S2040 includes: establishing a predefined hemodynamic model; and determining whether blood flow characteristic parameters and corresponding test conclusions in each set of blood flow data in at least one set of blood flow data conform to predefined blood The physical laws specified by the flow dynamics model to obtain hemodynamic verification results.
  • a method for upgrading an auxiliary diagnostic system comprising: inferring one or more sets of actual blood flow characteristic parameters using at least an inference engine trained by the above-described inference engine training method using an auxiliary diagnostic system; Obtaining one or more actual conclusions that correspond one-to-one with one or more sets of actual blood flow characteristic parameters; outputting one or more actual conclusions; receiving an indication of at least some of the actual conclusions of the one or more actual conclusions And storing, based on the indication information, at least a portion of the actual conclusions and at least one set of actual blood flow characteristic parameters in one-to-one correspondence with at least a portion of the actual conclusions into a knowledge base of the auxiliary diagnostic system for implementing an upgrade of the auxiliary diagnostic system.
  • the database of the auxiliary diagnostic system is used to store actual blood flow characteristic parameters previously processed by the auxiliary diagnostic system and previous conclusions obtained from inference of previously processed actual blood flow characteristic parameters, one or more sets of actual blood flow characteristic parameters Is the actual processed blood flow characteristic parameter of the database from the secondary diagnostic system.
  • At least part of the actual conclusion is the actual conclusion corresponding to the manually selected atypical case.
  • inference of one or more sets of actual blood flow characteristic parameters using at least an inference engine trained by the inference engine training method as described above using at least an auxiliary diagnostic system includes: rules provided by the integrated inference engine and knowledge of the auxiliary diagnostic system Known rules stored in the library to obtain a consolidated rule; and reasoning one or more sets of actual blood flow characteristic parameters based on the integrated rules.
  • the database of the auxiliary diagnostic system is used to store feedback information about whether the previous conclusion is adopted, and the upgrading method further includes: determining a specific type according to the feedback information stored in the database If the number of times the previous conclusion is not adopted exceeds the threshold of the number of times, the prompt information about the possible conclusion of the particular type of previous conclusion is output; the model for modifying the model used to implement the inference engine, the parameters of the inference engine, and the known rules stored in the knowledge base are received. Modifying one or more of the instructions; and performing a corresponding modification action according to the modified instruction.
  • the upgrading method further includes: for each of the plurality of blood vessels, using at least an inference engine to infer a set of actual blood flow characteristic parameters associated with the blood vessel to obtain a blood vessel related conclusion corresponding to the blood vessel;
  • the blood vessel related conclusion corresponding to the blood vessel is output in real time; and feedback information on whether or not the blood vessel related conclusion corresponding to the blood vessel is accepted is received and stored in real time.
  • the upgrading method further includes: inferring, by using at least an inference engine, a plurality of sets of actual blood flow characteristic parameters associated with the plurality of blood vessels in a one-to-one correspondence to obtain a plurality of blood vessel correlation conclusions corresponding to the plurality of blood vessels one by one; Multiple vessel related conclusions determine the overall conclusion; output the overall conclusion; and receive and store feedback information as to whether the overall conclusion was adopted.
  • one or more sets of actual blood flow characteristic parameters are blood flow characteristic parameters that the auxiliary diagnostic system currently needs to process
  • the upgrading method further includes: generating a new interpreter in the auxiliary diagnostic system based on the knowledge base and/or the inference engine .
  • an inference engine training apparatus comprising: a training module, configured to use a plurality of sets of blood flow data stored in a knowledge base as a sample training inference engine, wherein each set of blood flow stored in the knowledge base The data includes blood flow characteristic parameters and corresponding known conclusions; a selection module for selecting at least one set of blood flow data from the knowledge base; and an inference module for each set of blood flow data in the at least one set of blood flow data, Using the inference engine to process the blood flow characteristic parameters in the blood flow data to obtain corresponding test conclusions; the hemodynamic verification module is configured to be based on each set of blood flow data in the at least one set of blood flow data The blood flow characteristic parameter and the corresponding test conclusion are subjected to hemodynamic verification; and the qualification judgment module is configured to judge whether the inference engine is qualified based on the hemodynamic verification result.
  • an apparatus for upgrading an auxiliary diagnostic system comprising: a first inference module, configured to use at least one of the inference engine trained by the inference engine training method of the auxiliary diagnostic system; The actual blood flow characteristic parameters are inferred to obtain one or more actual conclusions corresponding to one or more sets of actual blood flow characteristic parameters; a first output module for outputting one or more actual conclusions; a receiving module, configured to receive indication information about at least part of the actual conclusions of the one or more actual conclusions; and a first storage module, configured to, based on the indication information, at least part of the actual conclusion and at least one of the actual conclusions A set of actual blood flow characteristic parameters are stored in the knowledge base of the auxiliary diagnostic system for implementing an upgrade of the auxiliary diagnostic system.
  • an inference engine training apparatus comprising: a memory for storing a program; a processor for running a program; wherein, when the program is run in the processor, the method is the following: Step S2010 : using the plurality of sets of blood flow data stored in the knowledge base as a sample training inference engine, wherein each set of blood flow data stored in the knowledge base includes blood flow characteristic parameters and corresponding known conclusions; Step S2020: selecting from a knowledge base At least one set of blood flow data; step S2030: for each set of blood flow data in the at least one set of blood flow data, using an inference engine to infer blood flow characteristic parameters in the blood flow data to obtain a corresponding test conclusion; Step S2040: performing hemodynamic verification based on blood flow characteristic parameters and corresponding test conclusions in each set of blood flow data in at least one set of blood flow data; and step S2050: determining whether the inference engine is based on the hemodynamic check result qualified.
  • an apparatus for upgrading an auxiliary diagnostic system includes: a memory for storing a program; a processor for running a program; wherein, when the program is run in the processor, the following steps are performed: At least the inference engine obtained by the above-mentioned inference engine training method using the auxiliary diagnosis system infers one or more sets of actual blood flow characteristic parameters to obtain one-to-one correspondence with one or more sets of actual blood flow characteristic parameters.
  • One or more actual conclusions are stored in a knowledge base of the auxiliary diagnostic system for implementing an upgrade of the auxiliary diagnostic system.
  • a computer readable storage medium is provided.
  • a program is stored on a storage medium, and the program is executed at runtime to perform the following steps: Step S2010: using a plurality of sets of blood flow data stored in the knowledge base as a sample training An inference engine, wherein each set of blood flow data stored in the knowledge base includes a blood flow characteristic parameter and a corresponding known conclusion; step S2020: selecting at least one set of blood flow data from the knowledge base; and step S2030: for at least one group of blood Each set of blood flow data in the flow data is inferred by the inference engine to determine blood flow characteristic parameters in the blood flow data to obtain a corresponding test conclusion; step S2040: based on each set of blood in at least one set of blood flow data The blood flow characteristic parameter in the flow data and the corresponding test conclusion are subjected to hemodynamic check; and step S2050: determining whether the inference engine is qualified based on the hemodynamic check result.
  • a computer readable storage medium on which a program is stored, the program being used at runtime to perform the following steps: at least using the auxiliary diagnosis system and the reasoning obtained by the above-described inference engine training method training Performing inference on one or more sets of actual blood flow characteristic parameters to obtain one or more actual conclusions that correspond one-to-one with one or more sets of actual blood flow characteristic parameters; outputting one or more actual conclusions; receiving At least some of the actual conclusions of one or more actual conclusions Instructing information; and storing, based on the indication information, at least a portion of the actual conclusions and at least one set of actual blood flow characteristic parameters in one-to-one correspondence with at least a portion of the actual conclusions into a knowledge base of the auxiliary diagnostic system for implementing an upgrade of the auxiliary diagnostic system.
  • the inference engine training method and device, the upgrade method and device for the auxiliary diagnosis system, and the storage medium use the hemodynamic check to verify whether the inference engine after the training is qualified, thereby accurately knowing the current inference engine Training level. If it is determined that the inference engine is unqualified, it may choose to continue training until the inference engine is qualified. This facilitates training to obtain a more efficient inference engine, thereby obtaining a more accurate and efficient auxiliary diagnostic system for transcranial Doppler examination.
  • FIG. 1 shows a schematic block diagram of an auxiliary diagnostic system and related elements for transcranial Doppler examination, in accordance with one embodiment of the present invention
  • FIG. 2 is a schematic flow chart showing an inference engine training method according to an embodiment of the present invention.
  • Figure 3 shows a schematic view of the cerebral arterial ring
  • FIG. 4 is a schematic flow chart showing an upgrade method of an auxiliary diagnosis system according to an embodiment of the present invention.
  • Figure 5 shows a schematic block diagram of an inference engine training device in accordance with one embodiment of the present invention
  • FIG. 6 shows a schematic block diagram of an upgrade apparatus of an auxiliary diagnostic system in accordance with one embodiment of the present invention
  • Figure 7 shows a schematic block diagram of an inference engine training device in accordance with one embodiment of the present invention.
  • Figure 8 shows a schematic block diagram of an upgrade apparatus of an auxiliary diagnostic system in accordance with one embodiment of the present invention.
  • auxiliary diagnostic system for transcranial Doppler examination may include a knowledge base, a database, an inference engine, an interpreter, and a user interface.
  • the auxiliary diagnostic system includes a knowledge base, a database, an inference engine, an interpreter, and a user interface.
  • Experts and literature are elements related to assisted diagnostic systems.
  • the literature mainly refers to the research conclusions that can be consulted. After being transformed by experts, it can be directly put into the knowledge base.
  • Experts mainly refer to human experts, who can be those who have many years of work experience in the transcranial Doppler field, have a large amount of professional knowledge, and have the ability to make correct diagnosis conclusions for clinical manifestations.
  • the foundation of the knowledge base is laid by experts, and new knowledge imports can also be reviewed by experts.
  • the database is used to store the raw data, intermediate results and final conclusions required in the reasoning process of the inference engine, and is often used as a temporary storage area.
  • the interpreter can convert the input transcranial Doppler test results into auxiliary diagnostic conclusions based on knowledge in the knowledge base, such as known rules stored in the knowledge base.
  • the user interface can provide an interface for the operator (which can be a normal user or an expert) to interact with the diagnostic system.
  • a transcranial Doppler examination typically involves examining about 10 blood vessels, and during the examination and at the end of the total examination, the operator (eg, an expert) and the secondary diagnostic system can interact via the user interface.
  • the role of the knowledge base and inference engine is described below.
  • an embodiment of the present invention provides an inference engine training method and apparatus.
  • the hemodynamic check is used to verify whether the inference engine after the training is qualified. If it fails, you can choose to retrain until the inference engine is qualified.
  • FIG. 2 shows a schematic flow diagram of an inference engine training method 2000 in accordance with one embodiment of the present invention.
  • the inference engine training method 2000 includes the following steps.
  • each set of blood flow data stored in the knowledge base includes blood flow characteristic parameters and corresponding known conclusions.
  • a knowledge base can store data calibrated by an expert and rules refined by an inference engine. Data that is usually calibrated by experts is a very scarce resource. Some of the knowledge in the knowledge base is output by the inference engine and can be used as an important supplement to expert knowledge.
  • the knowledge base is the key to the superior quality of the auxiliary diagnostic system, that is, the quality and quantity of knowledge in the knowledge base determines the quality level of the auxiliary diagnostic system.
  • Knowledge in the knowledge base can include a priori facts, a priori conclusions, rules, and so on.
  • the data calibrated by the expert above may include several sets of blood flow data, each set of blood flow data including blood flow characteristic parameters (ie, a priori facts).
  • each set of blood flow data can also include known conclusions (i.e., a priori conclusions) corresponding to blood flow characteristic parameters in the set of blood flow data.
  • a set of blood flow data can be considered as one case.
  • Blood flow parameters may include systolic maximum blood flow velocity, end-diastolic blood flow velocity, mean blood flow velocity, pulsation index, resistance index, blood flow reversal, blood stealing, eddy current, turbulence, and dash.
  • the blood flow characteristic parameters can be extracted from the transcranial Doppler spectrum, and the transcranial Doppler spectrum can be obtained by an existing or future ultrasound transcranial Doppler flow analyzer.
  • the main blood vessels in the brain include: middle cerebral artery, anterior cerebral artery, posterior cerebral artery, vertebral artery and basilar artery. Since the blood vessels of the neck and the blood vessels of the brain are directly connected, the relevant common carotid artery, internal carotid artery and external carotid artery are also blood vessels that can be examined by an ultrasound transcranial Doppler blood flow analyzer. For each blood vessel, a transcranial Doppler spectrum can be obtained and the blood flow characteristic parameters can be identified from the transcranial Doppler spectrum.
  • each set of blood flow data includes a total of ten blood flow characteristic parameters
  • the speed can be represented by actual values
  • the state quantity can be represented by 0 and 1, for example, there is a eddy current of 1, and no existence is 0.
  • multiple vectors can be obtained, such as VMCA, VACA, VBA, and the like.
  • T can represent all blood flow characteristic parameters in a set of blood flow data.
  • all blood flow characteristic parameters in the initial state can be set to 0, and each sub-vector can be filled after each blood vessel is examined.
  • the inference engine is the core of the auxiliary diagnostic system and can perfect the detailed rules that human experts cannot generalize.
  • the knowledge summarized by human experts is usually rough and limited by human resources, and it is not very comprehensive. Usually hundreds of rules are already very large knowledge resources. However, this is far from sufficient for assisted diagnosis.
  • Auxiliary diagnosis requires more complete and rich diagnostic criteria to cope with various complex diseases in practical applications.
  • the thresholds involved in the rules given by human experts are often not precise enough, which also requires an inference engine to perfect.
  • the rules provided by the inference engine are inconsistent with human experts, the conclusions of human experts are the main ones.
  • the work of human experts The use is decisive, but the result of the inference engine is the subject of the knowledge base.
  • the inference engine can be trained by the knowledge base.
  • the machine learning algorithm is an effective implementation of the inference engine.
  • the inference engine can be implemented using a Bayesian classifier, a support vector machine, or a deep neural network.
  • At step S2020 at least one set of blood flow data is selected from the knowledge base.
  • At least one set of blood flow data can be selected from the knowledge base as a test set to test whether the trained inference engine meets the requirements.
  • at least one set of blood flow data can be randomly selected.
  • step S2030 for each set of blood flow data in the at least one set of blood flow data, the inference engine is used to infer the blood flow characteristic parameters in the blood flow data to obtain a corresponding test conclusion.
  • the inference engine can reason the blood flow characteristic parameters based on the trained rules.
  • the blood flow characteristic parameters in a set of blood flow data are input into the trained inference engine, and the corresponding test conclusions (ie, the cause corresponding to the blood flow data) can be obtained.
  • the following rule is obtained: an average blood flow velocity greater than 65 cm/s represents an abnormality in the blood vessel (eg, a stenosis lesion).
  • the test conclusion may be that there is a vascular stenosis lesion.
  • step S2040 hemodynamic verification is performed based on blood flow characteristic parameters and corresponding test conclusions in each set of blood flow data in at least one set of blood flow data.
  • a predefined hemodynamic model can be established to verify the input and output of the inference engine. That is, step S2040 may include: establishing a predefined hemodynamic model; and determining whether blood flow characteristic parameters and corresponding test conclusions in each set of blood flow data in at least one set of blood flow data conform to a predefined one The physical laws specified by the hemodynamic model to obtain hemodynamic test results.
  • the hemodynamic model has its existence value as a verification method of the inference engine, which can effectively avoid the situation that violates the physical law due to pure machine learning.
  • the knowledge in the knowledge base generated by machine learning and the rules provided by the inference engine may be verified by the hemodynamic model, and only if it conforms to the basic physical laws, it can be considered as an effective knowledge or rule.
  • the principle of hemodynamic verification will be described below in conjunction with FIG.
  • the most important blood vessels inside the brain form a ring structure that links the hemispheres to the anterior and posterior circulation, called the cerebral artery ring (Willis ring), as shown in Figure 3.
  • the arteries in the brain are bilaterally symmetric.
  • the main arteries include the anterior, middle, posterior P1, posterior P2, basilar, vertebral, common carotid, internal carotid and external carotid arteries. Since the brain is protected by the skull, and the skull is not conducive to the transmission of ultrasound signals, it is necessary to find the ratio on the skull. Thinner places ensure that the signal is properly acquired.
  • Typical checkpoints are the sash window (checkpoint 1 in Figure 3) and the pillow window (checkpoint 2 in Figure 3).
  • the examination is relatively easy (checkpoint 3 in Fig. 3).
  • the anterior, middle, and posterior arteries can usually be examined.
  • Corresponding blood flow direction is the anterior artery away from the probe, the middle artery is toward the probe, the P1 segment of the posterior artery is facing the probe, and the P2 segment is facing away from the probe.
  • the basilar artery and vertebral artery can usually be examined.
  • Corresponding blood flow direction is the basilar artery away from the probe, and the vertebral artery is away from the probe.
  • the direction of blood flow is an important feature in transcranial Doppler examination. If the direction of blood flow is different from the normal direction (ie, the direction of blood flow does not conform to the physical law), it can be used as an important basis for disease diagnosis.
  • the intracranial blood vessels are described as an example, in the actual use, the neck blood vessels (the common carotid artery, the internal carotid artery, the external carotid artery, etc.) can also follow this rule.
  • the blood supply to the ipsilateral middle and anterior arteries may be insufficient.
  • the slowing of the blood flow velocity of the middle and anterior arteries is a hemodynamic rule.
  • the increase in blood flow velocity in the middle and anterior arteries violates the hemodynamic model and is a false criterion.
  • the resistance index of the common carotid artery will increase, and the resistance index of the middle artery will decrease. Therefore, if the resistance index of the common carotid artery is decreased, it is related to hemodynamics. Inconsistent, it is also a criterion for further evaluation.
  • step S2050 it is judged based on the hemodynamic check result whether the inference engine is qualified.
  • the conditions under which the inference engine passes the hemodynamic check can be set as needed.
  • the blood flow characteristic parameter and the corresponding test conclusion satisfy the physical law in the blood flow data of the group, the blood flow force school
  • the result of the test is that the inference engine passes the hemodynamic check
  • the hemodynamic check result is that the inference engine fails the hemodynamic check.
  • blood bleeds in blood flow data for a particular number (eg, 10 groups) or a particular ratio (eg, 80%) may be specified.
  • the hemodynamic check result is the hemodynamic check by the inference engine
  • the hemodynamic check result is that the inference engine fails the hemodynamic check.
  • the inference engine passes the hemodynamic check, it can be determined that the inference engine is qualified, in which case the rules provided by the inference engine and/or certain diagnostic conclusions inferred by the inference engine and the corresponding blood can be exemplarily Flow feature parameters are stored in the knowledge base as a complement to expert knowledge. If the inference engine fails the hemodynamic check, it can be determined that the inference engine is unqualified, in which case the inference engine can be exemplarily retrained.
  • the hemodynamic check is used to verify whether the inference engine after the training is qualified, thereby accurately knowing the training level of the current inference engine. If it is determined that the inference engine is unqualified, it may choose to continue training until the inference engine is qualified. This facilitates training to obtain a more efficient inference engine, thereby obtaining a more accurate and efficient auxiliary diagnostic system for transcranial Doppler examination.
  • step S2050 may include: if it is determined that the inference engine fails, then go to step S2060; the inference engine training method 2000 may further include step S2060: outputting an indication for indicating that the inference engine fails the hemodynamic check information.
  • the indication information may be output, for example, the text information "hemodynamic check failed" is displayed on the display screen.
  • the inference engine training method 2000 may further include the following steps.
  • step S2070 receiving one or more of modifying a model for implementing the inference engine, parameters of the inference engine, blood flow data stored in the knowledge base, and a hemodynamic model employed in the hemodynamic check The first modification instruction.
  • step S2080 the corresponding modification action is executed according to the first modification instruction and returns to step S2010.
  • the operator knows that the inference engine does not meet the requirements when seeing the text information similar to the above "hemodynamic check fails".
  • the operator for example, an expert
  • Raw blood flow data adding new blood flow data to the knowledge base, modifying models used to implement the inference engine (eg, changing from a Bayesian classifier to a deep neural network), modifying parameters of the inference engine, or modifying blood flow Learning models, etc.
  • An operator may input a modification instruction (referred to as a first modification instruction in this embodiment) that is desired to be executed into the auxiliary diagnosis system, and after receiving the instruction, the auxiliary diagnosis system will perform a corresponding modification action.
  • step S2010 After the modification action is performed, the method returns to step S2010, the training inference engine is restarted, and the above steps S2010 to S2050 are cycled, and if the inference engine is still unsatisfactory, steps S2060 to S2080 may be performed again. That is to say, steps S2010 to S2080 can be repeated until the inference engine is qualified.
  • steps S2010 to S2080 can be repeated until the inference engine is qualified.
  • step S2050 may include: if it is determined that the inference engine is qualified, then go to Step S2090; the inference engine training method 2000 may further include step S2090: updating the known rules stored in the knowledge base with rules provided by the inference engine.
  • the inference engine can provide rules, and there are known rules that are initially stored in the knowledge base. After the inference engine is trained, the rules provided by the trained inference engine can be updated into the knowledge base. If the inference engine passes the hemodynamic check, then the inference engine can be considered to have been trained.
  • known rules stored in the knowledge base may include rules pre-defined by the expert.
  • the known rules may also include rules that the inference engine previously provided. It can be understood that the inference engine can be continuously trained and updated. When the number of knowledge (ie, blood flow data) in the knowledge base is small, the inference engine obtained by the training can provide some rules. As the knowledge in the knowledge base grows, the inference engine can be retrained, the inference engine obtained after retraining can provide some new rules, and so on. The rules provided by each trained inference engine can update the known rules currently stored in the knowledge base.
  • step S2050 may include: if it is determined that the inference engine is qualified, go to step S2100; the inference engine training method 2000 may further include: step S2100: determining a rule provided by the inference engine and a known rule stored in the knowledge base Whether it is a conflict, if yes, go to step S2110; and step S2110: output indication information indicating that the rule conflicts.
  • the conflict handling mechanism After the inference engine passes the hemodynamic check, it can be judged by the conflict handling mechanism whether the rules provided by the inference engine conflict with known rules stored in the knowledge base (mainly rules stored by experts). For example, suppose that the known rules stored in the knowledge base specify that the mean blood flow velocity is greater than 70 cm/s and less than 30 cm/s indicates an abnormality, while the ruler provides rules that specify that the mean blood flow velocity is greater than 65 cm/s indicating an abnormality, then the reasoning The rules provided by the machine are not conflicting with the known rules stored in the knowledge base. If the rules provided by the inference engine stipulate that the average blood flow velocity is greater than 75 cm/s to indicate an abnormality, the rules provided by the inference engine and the stored in the knowledge base Knowing the rules is conflicting. That is, by way of example, the rules provided by the inference engine may be considered to be more stringent than the known rules stored in the knowledge base, and the rules provided by the inference engine may be considered to conflict with known rules stored in the knowledge base.
  • the indication information may be output, for example, text information such as "rule conflict" is displayed on the display screen.
  • This facilitates notification of the conflict between the inference rules of the operator (eg, expert) of the auxiliary diagnostic system and the known rules, so that the operator (such as an expert) can take timely measures to deal with the inference engine that meets the requirements as soon as possible.
  • the inference engine training method 2000 may further include: step S2120: receiving one of modifying a model for implementing the inference engine, parameters of the inference engine, and blood flow data stored in the knowledge base. a second modification instruction of the item or a plurality of items; and step S2130: according to The second modification instruction executes the corresponding modification action and returns to step S2010.
  • the auxiliary diagnostic system may be re-optimized, such as modifying machine learning parameters or hemodynamic models, and retraining the inference engine.
  • Conflict handling can be supplemented by experts when the operator's capabilities are insufficient.
  • step S2100 may include: if the rule provided by the inference engine does not conflict with the known rule stored in the knowledge base, then go to step S2140; the inference engine training method 2000 may further include: step S2140: using the inference engine The provided rules update the known rules stored in the knowledge base.
  • the inference engine can be considered to be trained, and the rules provided by the trained inference engine can be updated into the knowledge base.
  • the inference engine training method 2000 may further include step S2012: cross-validating the inference engine with the plurality of sets of blood flow data to evaluate the correct rate of the inference engine.
  • K-Fold Cross Validation can be used to assess the correct rate.
  • the general idea of K-time cross-validation is to roughly divide the data into K sub-samples, take one sub-sample each time as verification data, and take the remaining K-1 sub-samples as training data.
  • the model used to implement the inference engine is constructed to act on the verification data to calculate the current correct rate (or error rate). Repeat K times and average the K correct rate (or error rate) to get an overall correct rate (or error rate).
  • the correct rate (or error rate) of the current inference engine can be estimated by the overall correct rate (or error rate).
  • step S2012 may include: if the correct rate is less than the preset threshold, proceeding to step S2014; the inference engine training method 2000 may further include: step S2014: outputting indication information indicating that the inference engine fails the cross-validation .
  • the preset threshold may be any suitable value, which is not limited by the invention. If the correct rate is greater than or equal to a predetermined threshold, the inference engine can be considered to be successful. The tolerance for errors in general clinical use is very low, so the preset threshold can be set very high, for example 95%. If the correct rate cannot meet the requirements, the target correct rate can be achieved by modifying the parameters of the inference engine, checking whether the knowledge base has errors, increasing the types of blood flow characteristic parameters in the blood flow data, and the like. When the correct rate is close to 100%, the conclusion equivalent to the inference engine is consistent with the conclusions given by the experts. The rules provided by the inference engine actually contain the knowledge given by the experts.
  • the indication information can be output, for example, text information such as "cross-validation failed" is displayed on the display screen. This facilitates notification to the operator of the auxiliary diagnostic system (eg If the inference engine meets the requirements, it is convenient for the operator (such as an expert) to take timely measures to deal with the inference engine that meets the requirements as soon as possible.
  • the inference engine training method 2000 may further include the following steps.
  • a third modification instruction is received regarding modifying one or more of a model for implementing the inference engine, parameters of the inference engine, and blood flow data stored in the knowledge base.
  • step S2018 the corresponding modification action is executed according to the third modification instruction and returns to step S2010.
  • the operator (for example, an expert) knows that the inference engine does not satisfy the requirement when seeing the text information similar to the above-mentioned "cross-validation failed", in which case, The operator (eg, an expert) may choose to modify the original blood flow data in the knowledge base, add new blood flow data to the knowledge base, modify the model used to implement the inference engine, modify the parameters of the inference engine, and the like.
  • An operator (for example, an expert) may input a modification instruction (referred to as a third modification instruction in this embodiment) that is desired to be executed into the auxiliary diagnosis system, and after receiving the instruction, the auxiliary diagnosis system will perform a corresponding modification action.
  • step S2010 After performing the modification action, the method returns to step S2010 to restart the training of the inference engine.
  • step S2012 can be performed again, that is, the trained inference engine is cross-validated again. If the inference engine still fails the cross-validation, steps S2010, S2012, and S2014 may be repeatedly performed until the inference engine passes the cross-validation. Cross-validation can improve the accuracy of the inference engine.
  • the training method of the inference engine in the auxiliary diagnosis system has been described above. After the inference engine is trained, it can be applied to the auxiliary diagnosis system. It can be understood that the training process of the inference engine and the application process of the auxiliary diagnosis system can be complementary, and the two can be implemented crosswise. For example, in the practical application of the auxiliary diagnostic system, the inference engine can be retrained as needed (regularly or irregularly) using the inference engine training method described above to achieve continuous improvement of the inference engine. In the future work of the auxiliary diagnostic system, the newly trained inference engine can be used for reasoning.
  • auxiliary diagnosis system in the practical application of the auxiliary diagnosis system, other parts in the auxiliary diagnosis system, such as a knowledge base, an interpreter, and the like, can be continuously updated to implement an upgrade of the auxiliary diagnosis system.
  • the upgrade of the auxiliary diagnostic system helps to provide a more accurate diagnosis of the diagnosis.
  • the upgrade method 400 includes the following steps.
  • step S410 at least one or more sets of actual blood flow characteristic parameters are inferred by the inference engine obtained by the above-described inference engine training method 200 using the auxiliary diagnosis system to obtain one or more sets.
  • the inference engine can be retrained once when needed (regularly or irregularly) using the inference engine training method 200 described above. After the end of a certain inference engine training, the inference engine obtained by the training can be used to start the inference of the actual blood flow characteristic parameters.
  • the actual blood flow characteristic parameter may be a blood flow characteristic parameter in various real cases that need to be processed during the application of the auxiliary diagnostic system.
  • the actual blood flow characteristic parameters may have other sources, such as simulation parameters in a simulation experiment, etc., which are not limited by the present invention.
  • each set of actual blood flow characteristic parameters may also include the maximum systolic blood flow velocity, end-diastolic blood flow velocity, mean blood flow velocity, pulsation index, resistance index, blood flow reversal, and blood stealing described above.
  • the one or more sets of actual blood flow characteristic parameters may be actual blood flow characteristic parameters that have not been processed by the auxiliary diagnostic system, or may be actual blood flow characteristic parameters previously processed by the auxiliary diagnostic system, which will be Described below.
  • the inference engine can provide rules that can be inferred for each set of actual blood flow characteristic parameters based on at least the rules provided by the inference engine to obtain a corresponding conclusion (this is referred to as the actual conclusion).
  • step S420 one or more actual conclusions are output.
  • One or more actual conclusions can be output through the user interface described above for viewing by an operator (eg, an expert).
  • step S430 indication information regarding at least a portion of the actual conclusions in the one or more actual conclusions is received.
  • the operator looks at the actual conclusions, it can analyze which actual conclusions belong to the common, more common cases, and which actual conclusions belong to the less common atypical cases. Subsequently, the operator (such as an expert) can choose to The actual conclusions corresponding to which type of case are stored.
  • an operator eg, an expert
  • the inference engine can be retrained based on the updated knowledge base.
  • the new knowledge is stored in the knowledge base (that is, the knowledge base is updated), it can also be generated based on the updated knowledge base and the current inference engine (which may be an inference engine obtained after retraining based on the updated knowledge base).
  • the current inference engine which may be an inference engine obtained after retraining based on the updated knowledge base.
  • step S440 based on the indication information, at least part of the actual conclusion and at least part of the actual conclusion
  • the one-to-one correspondence of at least one set of actual blood flow characteristic parameters is stored in a knowledge base of the auxiliary diagnostic system for implementing an upgrade of the auxiliary diagnostic system.
  • one or more sets of actual blood flow characteristic parameters may be actual blood flow characteristic parameters that the auxiliary diagnostic system currently needs to process, ie, new actual blood flow characteristic parameters that the auxiliary diagnostic system has not previously processed. That is to say, after receiving the new actual blood flow characteristic parameter in the application process, the auxiliary diagnosis system infers the new actual blood flow characteristic parameter and obtains the corresponding actual conclusion. At this time, if the operator (for example, an expert) thinks that an actual conclusion belongs to a more valuable case (for example, an atypical case), the actual conclusion and a set of actual blood flow characteristic parameters corresponding to the actual conclusion can be stored in the knowledge. In the library.
  • the database of the auxiliary diagnostic system is used to store actual blood flow characteristic parameters previously processed by the auxiliary diagnostic system and previous conclusions obtained by reasoning for previously processed actual blood flow characteristic parameters, one or more sets of actual blood flow
  • the characteristic parameters are the previously processed actual blood flow characteristic parameters from the database of the auxiliary diagnostic system.
  • the database accumulates the raw data, intermediate results and final conclusions required for reasoning in the application process of the auxiliary diagnosis system.
  • the raw data in the database may include the blood flow characteristic parameters described above (referred to as "actual blood flow characteristic parameters" in the description of the upgrade method 400). That is to say, the actual blood flow characteristic parameters that the auxiliary diagnostic system has previously processed and the corresponding previous conclusions can be stored in the database.
  • actual blood flow characteristic parameters the blood flow characteristic parameters that the auxiliary diagnostic system has previously processed and the corresponding previous conclusions can be stored in the database.
  • the more data accumulated in the database, and the accumulated in the database are mainly the various cases encountered in reality, so it has very important practical significance and reference value. These cases can be used to augment the knowledge base for some of the less common atypical cases in the database.
  • the inference engine obtained by the training can be used to re-infer the previously processed actual blood flow characteristic parameters stored in the database to obtain corresponding actual conclusions.
  • This processing can correct some of the previous inference errors and help to discover important information that was previously ignored. For example, from the actual conclusions obtained from re-reasoning, it is possible to find some cases that have not been discovered or are not valued. If some valuable cases are found, the actual conclusions corresponding to such cases and the relevant actual blood flow characteristics can be found.
  • the parameters are stored in the database as new knowledge. This also enables the expansion of the knowledge base, that is, the upgrade of the auxiliary diagnostic system.
  • the auxiliary diagnostic system needs to be continuously upgraded during the application process. For example, when the auxiliary diagnostic system is initially set up, the data in the knowledge base may be insufficient. Through the upgrade method 400, the database can be continuously expanded, thereby achieving continuous upgrading of the auxiliary diagnosis system.
  • At least part of the actual conclusion is that it is compared with a manually selected atypical case
  • the actual conclusions should be.
  • At least some of the actual conclusions can be manually selected, and exemplarily, can be selected by an expert.
  • an expert With the application of the auxiliary diagnostic system, a large amount of new data will be added to the database, and there may be some unusual atypical cases.
  • These atypical conditions can be referred to human experts for further analysis. That is to say, the operator (such as an expert) can independently select the actual conclusion corresponding to the atypical case.
  • Such data has very important practical significance and reference value, which is beneficial to improve the effectiveness of the auxiliary diagnosis system.
  • step S410 may include: synthesizing rules provided by the inference engine and known rules stored in the knowledge base of the auxiliary diagnosis system to obtain the integrated rules; and grouping one or more groups based on the integrated rules The actual blood flow characteristic parameters are reasoned.
  • an interpreter can be generated by synthesizing the rules provided by the inference engine with known rules stored in the knowledge base.
  • Each function in f1, f2...fn outputs a conclusion.
  • the vector T can be placed in the interpreter F for calculation, and then the output with the largest value among the obtained n outputs is taken as the final auxiliary diagnosis conclusion. (ie the above actual conclusions).
  • the database of the auxiliary diagnosis system is used to store feedback information about whether the previous conclusion is adopted
  • the upgrade method 400 may further include: determining the number of times the previous conclusion of the specific type is not adopted according to the feedback information stored in the database. Exceeding the number of thresholds, outputting prompt information about a particular type of previous conclusion that may be problematic; receiving one or more of modifying the model used to implement the inference engine, the parameters of the inference engine, and the known rules stored in the knowledge base The modification instruction; and the corresponding modification action is performed according to the modification instruction.
  • the database may also store some information entered by the operator (eg, an expert) of the auxiliary diagnostic system during the human-computer interaction process, such as its opinion on the auxiliary diagnostic conclusion provided by the auxiliary diagnostic system (eg, whether the auxiliary diagnosis conclusion can be Adoption, some additional comments on the conclusions of the auxiliary diagnosis, etc.).
  • the operator e.g, an expert
  • the auxiliary diagnostic system may also store some information entered by the operator (eg, an expert) of the auxiliary diagnostic system during the human-computer interaction process, such as its opinion on the auxiliary diagnostic conclusion provided by the auxiliary diagnostic system (eg, whether the auxiliary diagnosis conclusion can be Adoption, some additional comments on the conclusions of the auxiliary diagnosis, etc.).
  • auxiliary diagnosis system When the auxiliary diagnosis system is actually applied, the operator's adoption of the auxiliary diagnosis conclusion is an important indicator. This data can be analyzed periodically. If a conclusion is found to be frequently changed or frequently adopted by the operator, the evaluation can be re-evaluated. Conclusion and the rules on which the conclusion is based. The assessment can be carried out by the operator (mainly an expert). The operator (mainly an expert) can judge the reason for the inaccuracy of the conclusion, for example, it may be that the known rules stored in the knowledge base are unreasonable, the rules provided by the inference engine are unreasonable, etc.
  • the operator can interact with the auxiliary diagnostic system through the user interface to instruct the auxiliary diagnostic system to modify certain places, such as modifying the model used to implement the inference engine and/or modifying the parameters of the inference engine to modify the inference engine
  • the rules provided can instruct the secondary diagnostic system to modify known rules and the like stored in the knowledge base.
  • the upgrade method 400 can further include: for each of the plurality of blood vessels, at least using an inference engine to infer a set of actual blood flow characteristic parameters associated with the blood vessel to obtain a blood vessel correlation corresponding to the blood vessel Conclusion; blood vessel related conclusions corresponding to the blood vessel are output in real time; and feedback information on whether or not the blood vessel related conclusion corresponding to the blood vessel is accepted is received and stored in real time.
  • transcranial Doppler examination usually involves examining about 10 blood vessels, and the operator and the auxiliary diagnostic system can interact during the examination and at the end of all examinations.
  • the multiple blood vessels that need to be examined can be examined one by one.
  • a set of actual blood flow characteristic parameters associated with the blood vessel can be obtained.
  • the auxiliary diagnosis system can output the auxiliary diagnosis conclusion (ie, the blood vessel-related conclusion corresponding to the blood vessel) in real time based on the obtained information.
  • the auxiliary diagnosis conclusion of the real-time output the operator can determine whether to adopt, and can determine whether to change the default inspection order according to the current auxiliary diagnosis conclusion.
  • the operator can input an instruction to adjust the inspection order.
  • the operator can also choose to maintain the default inspection order, and wait until the inspection is completed.
  • the feedback information of the operator can be obtained by the above method, and the feedback information is feedback information for each blood vessel. Subsequent corrections to the knowledge base or inference engine based on the feedback information can be used to further upgrade the auxiliary diagnostic system.
  • the present invention is not limited to the above-described implementation, and for example, it is possible to output only the final general conclusion without outputting a blood vessel related conclusion associated with each blood vessel to the operator.
  • the upgrade method 400 may further include: inferring, by using at least an inference engine, a plurality of sets of actual blood flow characteristic parameters associated with the plurality of blood vessels in a one-to-one correspondence to obtain a plurality of blood vessel related conclusions corresponding to the plurality of blood vessels one-to-one Determining a general conclusion based on a plurality of blood vessel related conclusions; outputting a general conclusion; and receiving and storing feedback information as to whether the overall conclusion is adopted.
  • the auxiliary diagnostic system can give an overall test report recommendation (which can be called a “total conclusion”). If the operator accepts it, it can be signed and confirmed; if the operator feels incomplete or not correct, you can choose Not adopted.
  • the feedback information of the operator can be obtained by the above method, and the feedback information is overall feedback information for a plurality of blood vessels. Subsequent corrections to the knowledge base or inference engine based on the feedback information can be used to further upgrade the auxiliary diagnostic system.
  • each time the knowledge base and the inference engine are updated they can be regenerated Interpreter. That is, a new interpreter in the auxiliary diagnostic system can be generated based on the knowledge base and/or the inference engine.
  • the update of the interpreter is also an upgrade to the secondary diagnostic system.
  • the interpreter can simply classify actual conclusions, such as "common”, "uncommon”, etc., and human experts can choose more valuable practical conclusions.
  • the classification of interpreters can greatly reduce the work of human experts, giving human experts the opportunity to focus on more characteristic cases, thus greatly improving the iterative upgrade efficiency of the knowledge base.
  • the upgrade method of the auxiliary diagnosis system described above is an autonomous upgrade method.
  • the auxiliary diagnosis system can be automatically upgraded in the actual application process, and the user is continuously improved, so that the correct rate and performance of the system can be continuously improved. .
  • FIG. 5 shows a schematic block diagram of an inference engine training device 500 in accordance with one embodiment of the present invention.
  • the inference engine training device 500 includes a training module 510, a selection module 520, an inference module 530, a hemodynamic verification module 540, and an eligibility determination module 550.
  • the various modules may perform the various steps/functions of the inference engine training method described above in connection with Figures 1-3, respectively. Only the main functions of the components of the inference engine training device 500 will be described below, and the details already described above are omitted.
  • the training module 510 is configured to utilize the plurality of sets of blood flow data stored in the knowledge base as a sample training inference engine, wherein each set of blood flow data stored in the knowledge base includes blood flow characteristic parameters and corresponding known conclusions.
  • the selection module 520 is configured to select at least one set of blood flow data from the knowledge base.
  • the inference module 530 is configured to infer the blood flow characteristic parameters in the blood flow data of the set of blood flow data for each set of blood flow data in the at least one set of blood flow data to obtain a corresponding test conclusion.
  • the hemodynamic check module 540 is configured to perform a hemodynamic check based on blood flow characteristic parameters and corresponding test conclusions in each of the at least one set of blood flow data.
  • the qualification determination module 550 is configured to determine whether the inference engine is qualified based on the hemodynamic verification result.
  • the inference engine training device 500 further includes a first output module (not shown), and the pass judgment module 550 includes: a first boot submodule, configured to start the first output module if it is determined that the inference engine is unqualified
  • the first output module is configured to output indication information for indicating that the inference engine has not passed the hemodynamic check.
  • the inference engine training apparatus 500 further includes: a first receiving module (not shown) for receiving data about modifying a model for implementing the inference engine, parameters of the inference engine, and blood flow data stored in the knowledge base. And a first modification instruction of one or more of the hemodynamic models employed by the hemodynamic check; and a first execution module (not shown) for performing a corresponding modification based on the first modification instruction Make and start the training module.
  • the inference engine training device 500 further includes a first update module (not shown), and the qualification determination module 550 includes: a second promoter module, configured to start the first update module if it is determined that the inference engine is qualified;
  • the first update module is for updating the known rules stored in the knowledge base with rules provided by the inference engine.
  • the inference engine training apparatus 500 further includes a conflict determination module and a second output module (not shown), and the qualification determination module 550 includes: a third promoter module for initiating a conflict if it is determined that the inference engine is qualified a judging module; the conflict judging module is configured to judge whether the rule provided by the inference engine conflicts with a known rule stored in the knowledge base, and if so, start a second output module; and the second output module is configured to output a rule for indicating that the rule conflicts Instructions.
  • the inference engine training apparatus 500 further includes: a second receiving module (not shown) for receiving data about modifying the model for implementing the inference engine, the parameters of the inference engine, and the blood flow data stored in the knowledge base. And a second execution instruction (not shown) for performing a corresponding modification action and starting the training module according to the second modification instruction.
  • the inference engine training apparatus 500 further includes a second update module (not shown), and the conflict determination module includes: a fourth promoter module for using the rules provided in the knowledge base and the known knowledge stored in the knowledge base If the rules do not conflict, the second update module is started; the second update module is used to update the known rules stored in the knowledge base with the rules provided by the inference engine.
  • the inference engine training apparatus 500 further includes: a cross-validation module (not shown) for utilizing the plurality of sets of blood after the training module utilizes the plurality of sets of blood flow data stored in the knowledge base as the sample training inference engine The stream data cross-validates the inference engine to evaluate the correctness of the inference engine.
  • a cross-validation module (not shown) for utilizing the plurality of sets of blood after the training module utilizes the plurality of sets of blood flow data stored in the knowledge base as the sample training inference engine The stream data cross-validates the inference engine to evaluate the correctness of the inference engine.
  • the inference engine training device 500 further includes a third output module (not shown), and the cross-validation module includes: a third promoter module, configured to start the third output module if the correct rate is less than the preset threshold
  • the third output module is configured to output indication information indicating that the inference engine has not passed the cross-validation.
  • the inference engine training apparatus 500 further includes: a third receiving module (not shown) for receiving data about modifying the model for implementing the inference engine, the parameters of the inference engine, and the blood flow data stored in the knowledge base. And a third execution module (not shown) for performing a corresponding modification action and starting the training module according to the third modification instruction.
  • the inference engine is implemented using a Bayesian classifier, a support vector machine or a deep neural network.
  • the hemodynamic verification module 540 includes: a setup sub-module for establishing a predefined hemodynamic model; and a determination sub-module for determining each set of blood in at least one set of blood flow data
  • the blood flow characteristic parameters and corresponding test conclusions in the flow data conform to the physical laws prescribed by the predefined hemodynamic model to obtain hemodynamic test results.
  • FIG. 6 shows a schematic block diagram of an upgrade apparatus 600 of an auxiliary diagnostic system in accordance with one embodiment of the present invention.
  • the upgrading apparatus 600 of the auxiliary diagnosis system includes a first inference module 610, a first output module 620, a first receiving module 630, and a first storage module 640.
  • the various modules may perform the various steps/functions of the upgrade method of the auxiliary diagnostic system described above in connection with FIG. 4, respectively.
  • the main functions of the components of the upgrading apparatus 600 of the auxiliary diagnostic system will be described below, and the details already described above are omitted.
  • the first inference module 610 is configured to infer one or more sets of actual blood flow characteristic parameters by using an inference engine trained by the above inference engine training method to at least utilize an auxiliary inference system to obtain one or more sets of actual blood flow.
  • the first output module 620 is configured to output one or more actual conclusions.
  • the first receiving module 630 is configured to receive indication information about at least part of the actual conclusions of the one or more actual conclusions.
  • the first storage module 640 is configured to store at least part of the actual conclusion and at least one set of actual blood flow characteristic parameters in one-to-one correspondence with at least part of the actual conclusions into the knowledge base of the auxiliary diagnosis system based on the indication information for implementing the upgrade of the auxiliary diagnosis system. .
  • the database of the auxiliary diagnostic system is used to store the actual blood flow characteristic parameters previously processed by the auxiliary diagnostic system and previous conclusions obtained from the inference of the previously processed actual blood flow characteristic parameters, one or more sets of actual blood flow
  • the characteristic parameters are the previously processed actual blood flow characteristic parameters from the database of the auxiliary diagnostic system.
  • At least part of the actual conclusion is the actual conclusion corresponding to the manually selected atypical case.
  • the inference module 610 includes: an integration sub-module for synthesizing the rules provided by the inference engine and the known rules stored in the knowledge base of the auxiliary diagnosis system to obtain the integrated rules; and the inference sub-module One or more sets of actual blood flow characteristic parameters are reasoned based on the integrated rules.
  • the database of the auxiliary diagnosis system is configured to store feedback information about whether the previous conclusion is adopted
  • the upgrading apparatus further includes: a second output module (not shown) for determining according to the feedback information stored in the database If the number of times the previous conclusion of the particular type is not adopted exceeds the threshold of the number of times, then the prompt information may be output regarding the previous conclusion of the particular type; the second receiving module (not shown) is configured to receive the modification for implementing the inference engine.
  • the upgrading apparatus further comprises: a second inference module (not shown) for using, for each of the plurality of blood vessels, at least one set of actual blood flow characteristic parameters associated with the blood vessel using the inference engine Reasoning is performed to obtain a blood vessel related conclusion corresponding to the blood vessel; a third output module (not shown) for outputting a blood vessel related conclusion corresponding to the blood vessel in real time; and a second storage module (not shown) for Feedback information on whether or not the blood vessel related conclusion corresponding to the blood vessel is accepted is received and stored in real time.
  • the upgrading apparatus further includes: a third inference module (not shown), configured to infer, by using at least an inference engine, a plurality of sets of actual blood flow characteristic parameters associated with the plurality of blood vessels in a one-to-one correspondence to obtain Multiple vessel-corresponding multiple blood vessel-related conclusions; a general conclusion determination module (not shown) for determining a total conclusion based on a plurality of blood vessel-related conclusions; a fourth output module (not shown) for outputting a general conclusion And a third storage module (not shown) for receiving and storing feedback information as to whether the overall conclusion is accepted.
  • a third inference module (not shown), configured to infer, by using at least an inference engine, a plurality of sets of actual blood flow characteristic parameters associated with the plurality of blood vessels in a one-to-one correspondence to obtain Multiple vessel-corresponding multiple blood vessel-related conclusions
  • a general conclusion determination module for determining a total conclusion based on a plurality of blood vessel-related conclusions
  • a fourth output module for outputting a general conclusion
  • one or more sets of actual blood flow characteristic parameters are actual blood flow characteristic parameters that the auxiliary diagnostic system currently needs to process
  • the upgrading apparatus further includes: a generating module (not shown) for the knowledge base and/or Or the inference engine generates a new interpreter in the auxiliary diagnostic system.
  • FIG. 7 shows a schematic block diagram of an inference engine training device 700 in accordance with one embodiment of the present invention.
  • the inference engine training device 700 includes a memory 710 and a processor 720.
  • the memory 710 stores program code (i.e., program) for implementing respective steps in the inference engine training method according to an embodiment of the present invention.
  • program code i.e., program
  • the processor 720 is configured to execute program code stored in the memory 710 to perform respective steps of an inference engine training method according to an embodiment of the present invention, and to implement an embodiment according to the present invention.
  • the inference engine training device 500 has a training module 510, a selection module 520, an inference module 530, a hemodynamic verification module 540, and an eligibility determination module 550.
  • the program code when running in the processor 720, is configured to perform the following steps: Step S2010: using a plurality of sets of blood flow data stored in a knowledge base as a sample training inference engine, wherein the knowledge base Each set of blood flow data stored therein includes blood flow characteristic parameters and corresponding known conclusions; step S2020: selecting at least one set of blood flow data from the knowledge base; step S2030: for each set of blood in at least one set of blood flow data Flow data, using an inference engine to infer blood flow characteristic parameters in the blood flow data to obtain corresponding test conclusions; Step S2040: based on blood flow characteristics in each set of blood flow data in at least one set of blood flow data The parameters and corresponding test conclusions are subjected to hemodynamic verification; and step S2050: determining whether the inference engine is qualified based on the hemodynamic verification result.
  • the step S2050 for performing includes: if it is determined that the inference engine fails, then the process goes to step S2060; the program code is at the processor 720.
  • Step S2060 Output indication information indicating that the inference engine has not passed the hemodynamic check.
  • the program code is further configured to perform the following steps when the processor 720 is run: step S2070 Receiving a first modification of one or more of the hemodynamic models employed in modifying the model used to implement the inference engine, the parameters of the inference engine, the blood flow data stored in the knowledge base, and the hemodynamics check And the step S2080: executing the corresponding modification action according to the first modification instruction and returning to step S2010.
  • the step S2050 for performing includes: if it is determined that the inference engine is qualified, then the process goes to step S2090; the program code is at the processor 720. In the middle run, it is also used to perform the following steps: Step S2090: Update the known rules stored in the knowledge base with the rules provided by the inference engine.
  • the step S2050 for performing includes: if it is determined that the inference engine is qualified, then the process goes to step S2100; the program code is at the processor 720.
  • the middle runtime is further configured to perform the following steps: Step S2100: judge whether the rule provided by the inference engine conflicts with a known rule stored in the knowledge base, if yes, go to step S2110; and step S2110: output is used to indicate that the rule occurs Instructions for conflicts.
  • step S2110 for execution of the program code in the processor 720
  • the program code is also used to execute when executed in the processor 720.
  • Step S2120 receiving a second modification instruction for modifying one or more of a model for implementing the inference engine, parameters of the inference engine, and blood flow data stored in the knowledge base
  • step S2130 according to the second The modification instruction executes the corresponding modification action and returns to step S2010.
  • the step S2100 for performing includes: if the rule provided by the inference engine does not conflict with a known rule stored in the knowledge base, then go to the step S2140; when the program code is run in the processor 720, is further configured to perform the following steps: Step S2140: Update the known rules stored in the knowledge base with rules provided by the inference engine.
  • step S2010 for execution of the program code in the processor 720
  • the program code is further configured to perform the following steps when the processor 720 is run: step S2012 : Cross-validation of the inference engine using multiple sets of blood flow data to evaluate the correct rate of the inference engine.
  • the step S2012 for performing includes: if the correct rate is less than the preset threshold, then going to step S2014; the program code is in the process
  • the runtime in the 720 is also used for execution: Step S2014: Outputting indication information indicating that the inference engine has not passed the cross-validation.
  • the program code is further configured to perform the following steps when the processor 720 is run: step S2016 Receiving a third modification instruction for modifying one or more of a model for implementing the inference engine, parameters of the inference engine, and blood flow data stored in the knowledge base; and step S2018: performing the corresponding according to the third modification instruction Modify the action and return to step S2010.
  • the inference engine is implemented using a Bayesian classifier, a support vector machine, or a deep neural network.
  • the step S2040 used to perform includes: establishing a predefined hemodynamic model; and determining each of the at least one set of blood flow data The blood flow characteristic parameters and corresponding test conclusions in the blood flow data conform to the physical laws prescribed by the predefined hemodynamic model to obtain hemodynamic verification results.
  • FIG. 8 shows a schematic block diagram of an upgrade apparatus 800 of an auxiliary diagnostic system in accordance with one embodiment of the present invention.
  • the upgrade device 800 of the auxiliary diagnostic system includes a memory 810 and a processor 820.
  • the memory 810 stores program code (ie, a program) for implementing respective steps in an upgrade method of the auxiliary diagnostic system according to an embodiment of the present invention.
  • program code ie, a program
  • the processor 820 is configured to execute program code stored in the memory 810 to perform respective steps of an upgrade method of the auxiliary diagnostic system according to an embodiment of the present invention, and to implement an auxiliary diagnostic system according to an embodiment of the present invention.
  • the first inference module 610, the first output module 620, the first receiving module 630, and the first storage module 640 in the device 600 are upgraded.
  • the program code when executed in the processor 820, is configured to perform at least one or more groups of inference engines trained by the above-described inference engine training method using at least the auxiliary diagnostic system.
  • the actual blood flow characteristic parameters are inferred to obtain one or more actual conclusions that correspond one-to-one with one or more sets of actual blood flow characteristic parameters; one or more actual conclusions are output; and received in one or more actual conclusions At least part of the actual conclusion indication information; and storing at least part of the actual conclusion and at least one set of actual blood flow characteristic parameters in one-to-one correspondence with at least part of the actual conclusion based on the indication information into the knowledge base of the auxiliary diagnosis system for implementing the auxiliary diagnosis System upgrade.
  • the database of the auxiliary diagnostic system is used to store actual blood flow characteristic parameters previously processed by the auxiliary diagnostic system and previous conclusions obtained by reasoning for previously processed actual blood flow characteristic parameters, one or more sets of actual blood flow
  • the characteristic parameters are the previously processed actual blood flow characteristic parameters from the database of the auxiliary diagnostic system.
  • At least some of the actual conclusions are actual conclusions corresponding to manually selected atypical cases.
  • the program code when executed in the processor 820, is used to perform at least one or more groups of inference engines trained by the above-described inference engine training method using the auxiliary diagnostic system.
  • the step of inferring the actual blood flow characteristic parameter comprises: synthesizing the rules provided by the inference engine and the known rules stored in the knowledge base of the auxiliary diagnosis system to obtain the integrated rule; and grouping one or more groups based on the integrated rule The actual blood flow characteristic parameters are reasoned.
  • a database of the auxiliary diagnostic system is used to store feedback information as to whether the previous conclusion was adopted, and when the program code is run in the processor 820, the program code is further configured to perform the following steps: if stored according to the database The feedback information determines that the number of times the previous conclusion of the particular type has not been adopted exceeds the threshold of the number of times, and outputs prompt information that may be problematic with respect to a particular type of previous conclusion; receiving parameters and knowledge about modifying the model used to implement the inference engine, the inference engine A modification instruction of one or more of the known rules stored in the library; and performing a corresponding modification action according to the modification instruction.
  • the program code when run in the processor 820, is further configured to perform the step of, for each of the plurality of blood vessels, using at least an inference engine to associate a set of actuals associated with the blood vessel Blood flow characteristic parameters are reasoned to obtain blood vessel related conclusions corresponding to the blood vessel; real time A blood vessel related conclusion corresponding to the blood vessel is output; and feedback information as to whether or not the blood vessel related conclusion corresponding to the blood vessel is accepted is received and stored in real time.
  • the program code when run in the processor 820, is further configured to perform the following steps: using at least an inference engine to infer multiple sets of actual blood flow characteristic parameters associated with the plurality of blood vessels in a one-to-one correspondence Obtaining a plurality of blood vessel related conclusions corresponding to the plurality of blood vessels one by one; determining a total conclusion based on the plurality of blood vessel related conclusions; outputting the total conclusion; and receiving and storing feedback information as to whether the total conclusion is adopted.
  • one or more sets of actual blood flow characteristic parameters are actual blood flow characteristic parameters that the diagnostic diagnostic system currently needs to process, and the program code, when run in the processor 820, is also used to perform the following steps : Generating a new interpreter in the auxiliary diagnostic system based on the knowledge base and/or inference engine.
  • a computer readable storage medium on which program instructions (ie, programs) are stored, which are used to execute the program when the program instructions are executed by a computer or a processor
  • program instructions ie, programs
  • the storage medium may include, for example, a memory card of a smart phone, a storage unit of a tablet, a hard disk of a personal computer, a read only memory (ROM), an erasable programmable read only memory (EPROM), a portable compact disk read only memory. (CD-ROM), USB memory, or any combination of the above storage media.
  • the computer program instructions when executed by a computer or processor, may cause a computer or processor to implement various functional modules of an inference engine training device or an upgrade device of an auxiliary diagnostic system in accordance with an embodiment of the present invention, and/ Alternatively, an inference engine training method or an upgrade method of the auxiliary diagnosis system according to an embodiment of the present invention may be performed.
  • the computer program instructions are used at runtime to perform the following steps: Step S2010: using a plurality of sets of blood flow data stored in a knowledge base as a sample training inference engine, wherein each set of blood stored in the knowledge base
  • the flow data includes blood flow characteristic parameters and corresponding known conclusions; step S2020: selecting at least one set of blood flow data from the knowledge base; step S2030: utilizing the inference engine for each set of blood flow data in the at least one set of blood flow data
  • the blood flow characteristic parameters in the blood flow data are reasoned to obtain corresponding test conclusions;
  • Step S2040 based on blood flow characteristic parameters and corresponding test conclusions in each set of blood flow data in at least one set of blood flow data Performing a hemodynamic check; and step S2050: determining whether the inference engine is qualified based on the hemodynamic check result.
  • the computer program instructions are used to perform step S2050 at runtime. Including: if it is determined that the inference engine fails, then go to step S2060; the computer program instructions are also used to perform the following steps during operation: step S2060: output indication information indicating that the inference engine has not passed the hemodynamic check.
  • step S2060 after the step S2060 for execution of the computer program instructions at runtime, the computer program instructions are further configured to perform the following steps at runtime: step S2070: receiving modifications regarding implementation of the inference engine a first modification instruction of the model, the parameters of the inference engine, the blood flow data stored in the knowledge base, and one or more of the hemodynamic models employed in the hemodynamic check; and step S2080: according to the first modification The instruction executes the corresponding modification action and returns to step S2010.
  • step S2050 of the computer program instructions for execution at runtime comprises: if it is determined that the inference engine is qualified, then proceeds to step S2090; the computer program instructions are further configured to perform the following steps at runtime: S2090: Update the known rules stored in the knowledge base with the rules provided by the inference engine.
  • the step S2050 of the computer program instructions for execution at runtime comprises: if it is determined that the inference engine is qualified, then proceeds to step S2100; the computer program instructions are further configured to perform the following steps at runtime: S2100: judge whether the rule provided by the inference engine conflicts with the known rule stored in the knowledge base, if yes, go to step S2110; and step S2110: output indication information indicating that the rule conflicts.
  • step S2110 used by the computer program instructions to be executed at runtime
  • the computer program instructions are further configured to perform the following steps at runtime: step S2120: receiving a modification for implementing the inference engine a second modification instruction of one or more of the model, the parameters of the inference engine, and the blood flow data stored in the knowledge base; and step S2130: performing a corresponding modification action according to the second modification instruction and returning to step S2010.
  • the step S2100 for executing the computer program instructions at runtime includes: if the rules provided by the inference engine do not conflict with the known rules stored in the knowledge base, then proceeding to step S2140; the computer program The instructions are also used at runtime to perform the following steps: Step S2140: Update the known rules stored in the knowledge base with rules provided by the inference engine.
  • the computer program instructions are further configured to perform the following steps at runtime: step S2012: using multiple sets of blood flow data pair inference engines Cross-validation is performed to assess the correct rate of the inference engine.
  • the step S2012 used by the computer program instructions to be executed at runtime includes: if the correct rate is less than the preset threshold, then proceeding to step S2014; the computer program instructions are The runtime is also used to perform the following steps: Step S2014: Output indication information indicating that the inference engine has not passed the cross-validation.
  • the computer program instructions are further used at runtime to perform the following steps: Step S2016: receiving a modification regarding the implementation of the inference engine a third modification instruction of one or more of the model, the parameters of the inference engine, and the blood flow data stored in the knowledge base; and step S2018: performing a corresponding modification action according to the third modification instruction and returning to step S2010.
  • the inference engine is implemented using a Bayesian classifier, a support vector machine, or a deep neural network.
  • the step S2040 of the computer program instructions for execution at runtime includes: establishing a predefined hemodynamic model; and determining blood in each of the at least one set of blood flow data
  • the flow characteristic parameters and corresponding test conclusions conform to the physical laws specified by the predefined hemodynamic model to obtain hemodynamic test results.
  • the computer program instructions are operative at runtime to perform at least one or more sets of actual blood flow characteristic parameters using at least an inference engine trained by the above-described inference engine training method using an auxiliary diagnostic system.
  • Reasoning to obtain one or more actual conclusions that correspond one-to-one with one or more sets of actual blood flow characteristic parameters; output one or more actual conclusions; receive at least partial actual conclusions about one or more actual conclusions Instructing information; and storing, based on the indication information, at least a portion of the actual conclusions and at least one set of actual blood flow characteristic parameters in one-to-one correspondence with at least a portion of the actual conclusions into a knowledge base of the auxiliary diagnostic system for implementing an upgrade of the auxiliary diagnostic system.
  • the database of the auxiliary diagnostic system is used to store actual blood flow characteristic parameters previously processed by the auxiliary diagnostic system and previous conclusions obtained by reasoning for previously processed actual blood flow characteristic parameters, one or more sets of actual blood flow
  • the characteristic parameters are the previously processed actual blood flow characteristic parameters from the database of the auxiliary diagnostic system.
  • At least some of the actual conclusions are actual conclusions corresponding to manually selected atypical cases.
  • the computer program instructions at runtime, perform at least one of the set of actual blood flow characteristic parameters by using an inference engine trained by the above-described inference engine training method using the auxiliary diagnostic system.
  • the steps of reasoning include: synthesizing the rules provided by the inference engine and the known rules stored in the knowledge base of the auxiliary diagnosis system to obtain the integrated rules; and performing one or more sets of actual blood flow characteristic parameters based on the integrated rules reasoning.
  • the database of the auxiliary diagnostic system is used to store feedback information as to whether the previous conclusions were adopted, the computer program instructions being also used at runtime to perform the step of determining a particular type based on feedback information stored in the database If the number of previous conclusions that have not been adopted exceeds the threshold of the number of times, then the prompt information about possible problems with the previous conclusion of the particular type is output; the model for modifying the model used to implement the inference engine, the parameters of the inference engine, and the known knowledge stored in the knowledge base are received. A modification instruction of one or more of the rules; and performing a corresponding modification action according to the modification instruction.
  • the computer program instructions are further operative to perform the step of: for each of the plurality of blood vessels, at least using an inference engine to reason a set of actual blood flow characteristic parameters associated with the blood vessel Obtaining a blood vessel-related conclusion corresponding to the blood vessel; real-time outputting a blood vessel-related conclusion corresponding to the blood vessel; and receiving and storing, in real time, feedback information regarding whether or not the blood vessel-related conclusion corresponding to the blood vessel is adopted.
  • the computer program instructions are further, at runtime, performing the step of: inferring, by using at least an inference engine, a plurality of sets of actual blood flow characteristic parameters associated with the plurality of blood vessels in a one-to-one correspondence to obtain a plurality of roots A plurality of blood vessel-related conclusions corresponding to the blood vessels one by one; determining a total conclusion based on a plurality of blood vessel related conclusions; outputting a total conclusion; and receiving and storing feedback information as to whether the total conclusion is adopted.
  • one or more sets of actual blood flow characteristic parameters are actual blood flow characteristic parameters that the diagnostic diagnostic system currently needs to process, and the computer program instructions are also used at runtime to perform the following steps: based on the knowledge base and/or Or the inference engine generates a new interpreter in the auxiliary diagnostic system.
  • Modules in the inference engine training apparatus may be implemented by a processor executing an inference engine trained electronic device according to an embodiment of the present invention running computer program instructions stored in a memory, or may be in accordance with the present invention
  • the computer instructions stored in the computer readable storage medium of the computer program product of the embodiments are implemented by the computer when executed.
  • each module in the upgrade apparatus of the auxiliary diagnostic system may be implemented by a computer program instruction stored in a memory of a processor of an electronic device implementing an upgrade of the auxiliary diagnostic system according to an embodiment of the present invention.
  • the disclosed apparatus and method may be implemented in other manners.
  • the device embodiments described above are merely illustrative.
  • the division of the unit is only a logical function division.
  • there may be another division manner for example, multiple units or components may be combined or Can be integrated into another device, or some features can be ignored or not executed.
  • Various component embodiments of the present invention may be implemented in hardware or in one or more processes Implemented by software modules running on the device, or in combinations of them.
  • a microprocessor or digital signal processor may be used in practice to implement some of some of the inference engine training devices or upgrade devices of the auxiliary diagnostic system in accordance with embodiments of the present invention or All features.
  • the invention can also be implemented as a device program (e.g., a computer program and a computer program product) for performing some or all of the methods described herein.
  • a program implementing the invention may be stored on a computer readable medium or may be in the form of one or more signals. Such signals may be downloaded from an Internet website, provided on a carrier signal, or provided in any other form.

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Abstract

Disclosed are an inference engine training method and device, an upgrade method and device for an auxiliary diagnostic system and a storage medium. The training method comprises: step S2010: using multiple groups of blood flow data stored in a knowledge base as samples for training an inference engine, wherein each group of the blood flow data stored in the knowledge base comprises blood flow feature parameters and corresponding known conclusions; step S2020: selecting at least one group of blood flow data from the knowledge base; step S2030: inferring by using the inference engine, with respect to each group of blood flow data in the at least one group of blood flow data, blood flow feature parameters in the group of blood flow data to obtain corresponding test conclusions; step S2040: performing hemodynamic checks on the basis of the blood flow feature parameters and the corresponding test conclusions of each group of blood flow data in the at least one group of blood flow data; and step S2050: determining whether the inference engine is up to a standard on the basis of a result of the hemodynamic checks. By using the hemodynamic checks to verify whether the trained inference engine is up to a standard, the training level of the current inference engine can be accurately known.

Description

推理机训练方法和装置、升级方法和装置及存储介质Inference engine training method and device, upgrade method and device, and storage medium 技术领域Technical field
本发明涉及人工智能领域,更具体地涉及一种推理机训练方法和装置、辅助诊断系统的升级方法和装置及计算机可读存储介质。The present invention relates to the field of artificial intelligence, and more particularly to an inference engine training method and apparatus, an upgrade method and apparatus for an auxiliary diagnostic system, and a computer readable storage medium.
背景技术Background technique
超声多普勒(Transcranial Doppler,TCD)血流分析是通过非侵入性的检查评价不同血流状态生理学特征的一种方法。超声经颅多普勒血流分析仪(简称经颅)是一种定制化的超声设备,专门用于经颅骨的超声检查。经颅是二十世纪八十年代初出现的产品,用于诊断脑血管病变,帮助检查脑血管变窄、阻塞、血流不畅或脑溢血等病情。应用多普勒频谱分析技术,可以为临床诊断提供血流波形、血流速度(峰速度、平均速度)、血流紊乱和涡流状态下的频率宽度、血流体积等信息,对脑血管疾病的早期发现十分重要。Transcranial Doppler (TCD) blood flow analysis is a method for evaluating the physiological characteristics of different blood flow states through non-invasive examination. The Ultrasound Transcranial Doppler Flow Analyzer (referred to as Transcranial) is a customized ultrasound device designed for transcranial ultrasound examination. Transcranial is a product that appeared in the early 1980s to diagnose cerebrovascular disease and help to examine conditions such as narrowing of blood vessels, obstruction, poor blood flow, or cerebral hemorrhage. Doppler spectrum analysis technology can provide blood flow waveform, blood flow velocity (peak velocity, average velocity), blood flow disorder and frequency width under eddy current state, blood flow volume and other information for clinical diagnosis. Early detection is very important.
超声经颅多普勒血流分析仪使用体外超声探头经颅骨的缝隙或“窗口”向脑血管发射超声波。超声波与血流之间产生多普勒效应(多普勒频移),反射的超声波返回探头,由分析仪中的处理器进行数据处理,得出相应的信息。利用多普勒效应,超声经颅多普勒血流分析仪可以探查血管内血液流动速度等信息。当血管发生病变,比如狭窄、阻塞等,其血流动力学会发生明显改变。Ultrasound transcranial Doppler flowmetry uses an in vitro ultrasound probe to transmit ultrasound to the cerebral vessels through the gap or "window" of the skull. A Doppler effect (Doppler shift) is generated between the ultrasonic wave and the blood flow, and the reflected ultrasonic wave returns to the probe, and the data is processed by the processor in the analyzer to obtain corresponding information. Using the Doppler effect, the ultrasound transcranial Doppler flow analyzer can detect information such as blood flow velocity in blood vessels. When angiogenesis occurs, such as stenosis, obstruction, etc., its hemodynamics will change significantly.
现有的经颅多普勒设备,主要是生成谱图后,由操作者对谱图进行评估,从而给出诊断意见。首先,这会增加操作者的工作量,操作者需要手动对特征进行逐一识别。其次,操作者特征识别受精神状态影响较大,在疲劳、心情低落时可能会出现漏识别现象。再次,临床诊断问题非常复杂,对于操作者的技术要求较高,需要较多的临床培训。因此可以将基于人工智能的计算机辅助诊断技术应用于经颅多普勒检查,以辅助操作者进行诊断,提高诊断效率。辅助诊断系统一般包括知识库、推理机等部分。目前缺乏针对用于经颅多普勒检查的辅助诊断系统的推理机的训练方法。In the existing transcranial Doppler equipment, after the spectrum is generated, the operator evaluates the spectrum to give a diagnosis. First, this increases the operator's workload, and the operator needs to manually identify the features one by one. Secondly, operator feature recognition is greatly affected by mental state, and leakage recognition may occur when fatigue or mood is low. Thirdly, the clinical diagnosis problem is very complicated, and the technical requirements of the operator are high, which requires more clinical training. Therefore, the artificial intelligence-based computer-aided diagnosis technology can be applied to the transcranial Doppler examination to assist the operator in diagnosis and improve the diagnosis efficiency. Auxiliary diagnostic systems generally include a knowledge base, an inference engine, and the like. There is currently a lack of training methods for inference engines for assisted diagnostic systems for transcranial Doppler examination.
发明内容Summary of the invention
考虑到上述问题而提出了本发明。本发明提供了一种推理机训练方法和装置、辅助诊断系统的升级方法和装置及计算机可读存储介质。The present invention has been made in consideration of the above problems. The invention provides an inference engine training method and device, an upgrade method and device for the auxiliary diagnosis system, and a computer readable storage medium.
根据本发明一方面,提供了一种推理机训练方法。该方法包括:步骤S2010:利用知识库中存储的多组血流数据作为样本训练推理机,其中,知识库中存储的每组血流数据包括血流特征参数和对应的已知结论;步骤S2020:从知识库中选择至少一组血流数据;步骤S2030:对于至少一组血流数据中的每组血流数据,利用推理机对该组血流数据中的血流特征参数进行推理,以获得对应的测试结论;步骤S2040:基于至少一组血流数据中的每组血流数据中的血流特征参数及对应的测试结论进行血流动力学校验;以及步骤S2050:基于血流动力学校验结果判断推理机是否合格。According to an aspect of the present invention, an inference engine training method is provided. The method includes: Step S2010: using a plurality of sets of blood flow data stored in the knowledge base as a sample training inference engine, wherein each set of blood flow data stored in the knowledge base includes a blood flow characteristic parameter and a corresponding known conclusion; step S2020 Selecting at least one set of blood flow data from the knowledge base; step S2030: for each set of blood flow data in the at least one set of blood flow data, using an inference engine to infer blood flow characteristic parameters in the set of blood flow data, Obtaining corresponding test conclusions; step S2040: performing hemodynamic verification based on blood flow characteristic parameters and corresponding test conclusions in each set of blood flow data in at least one set of blood flow data; and step S2050: based on blood flow force school The test result judges whether the inference engine is qualified.
示例性地,步骤S2050包括:如果确定推理机不合格,则转至步骤S2060;推理机训练方法还包括:步骤S2060:输出用于指示推理机未通过血流动力学校验的指示信息。Illustratively, step S2050 includes: if it is determined that the inference engine fails, then go to step S2060; the inference engine training method further includes: step S2060: outputting indication information indicating that the inference engine has not passed the hemodynamic check.
示例性地,在步骤S2060之后,推理机训练方法还包括:步骤S2070:接收关于修改用于实现推理机的模型、推理机的参数、知识库中存储的血流数据和血流动力学校验所采用的血流动力学模型中的一项或多项的第一修改指令;以及步骤S2080:根据第一修改指令执行对应的修改动作并返回步骤S2010。Illustratively, after step S2060, the inference engine training method further includes: step S2070: receiving a model for modifying the model used to implement the inference engine, parameters of the inference engine, blood flow data stored in the knowledge base, and a hemodynamic checkout station. a first modification instruction of one or more of the employed hemodynamic models; and step S2080: performing a corresponding modification action according to the first modification instruction and returning to step S2010.
示例性地,步骤S2050包括:如果确定推理机合格,则转至步骤S2090;推理机训练方法还包括:步骤S2090:以推理机提供的规则更新知识库中存储的已知规则。Illustratively, step S2050 includes: if it is determined that the inference engine is qualified, then go to step S2090; the inference engine training method further includes: step S2090: updating the known rules stored in the knowledge base with rules provided by the inference engine.
示例性地,步骤S2050包括:如果确定推理机合格,则转至步骤S2100;推理机训练方法还包括:步骤S2100:判断推理机提供的规则与知识库中存储的已知规则是否冲突,如果是,则转至步骤S2110;以及步骤S2110:输出用于指示规则发生冲突的指示信息。Exemplarily, step S2050 includes: if it is determined that the inference engine is qualified, go to step S2100; the inference engine training method further includes: step S2100: determining whether the rule provided by the inference engine conflicts with a known rule stored in the knowledge base, if Go to step S2110; and step S2110: output indication information indicating that the rule conflicts.
示例性地,在步骤S2110之后,推理机训练方法还包括:步骤S2120:接收关于修改用于实现推理机的模型、推理机的参数和知识库中存储的血流数据中的一项或多项的第二修改指令;以及步骤S2130:根据第二修改指令执行对应的修改动作并返回步骤S2010。Illustratively, after step S2110, the inference engine training method further includes: step S2120: receiving one or more of modifying the model for implementing the inference engine, the parameters of the inference engine, and the blood flow data stored in the knowledge base. a second modification instruction; and step S2130: performing a corresponding modification action according to the second modification instruction and returning to step S2010.
示例性地,步骤S2100包括:如果推理机提供的规则与知识库中存储的已知规则不冲突,则转至步骤S2140;推理机训练方法还包括:步骤S2140:以推理机提供的规则更新知识库中存储的已知规则。 Exemplarily, step S2100 includes: if the rule provided by the inference engine does not conflict with the known rule stored in the knowledge base, then go to step S2140; the inference engine training method further includes: step S2140: update the knowledge with the rule provided by the inference engine Known rules stored in the library.
示例性地,在步骤S2010之后,推理机训练方法还包括:步骤S2012:利用多组血流数据对推理机进行交叉验证,以评估推理机的正确率。Exemplarily, after step S2010, the inference engine training method further includes: step S2012: cross-validating the inference engine with the plurality of sets of blood flow data to evaluate the correct rate of the inference engine.
示例性地,步骤S2012包括:如果正确率小于预设阈值,则转至步骤S2014;推理机训练方法还包括:步骤S2014:输出用于指示推理机未通过交叉验证的指示信息。Illustratively, step S2012 includes: if the correct rate is less than the preset threshold, then go to step S2014; the inference engine training method further includes: step S2014: outputting indication information indicating that the inference engine has not passed the cross-validation.
示例性地,在步骤S2014之后,推理机训练方法还包括:步骤S2016:接收关于修改用于实现推理机的模型、推理机的参数和知识库中存储的血流数据中的一项或多项的第三修改指令;以及步骤S2018:根据第三修改指令执行对应的修改动作并返回步骤S2010。Illustratively, after step S2014, the inference engine training method further comprises: step S2016: receiving one or more of modifying the model for implementing the inference engine, the parameters of the inference engine, and the blood flow data stored in the knowledge base. a third modification instruction; and step S2018: performing a corresponding modification action according to the third modification instruction and returning to step S2010.
示例性地,推理机采用贝叶斯分类器、支持向量机或深度神经网络实现。Illustratively, the inference engine is implemented using a Bayesian classifier, a support vector machine, or a deep neural network.
示例性地,步骤S2040包括:建立预定义的血流动力学模型;以及判断至少一组血流数据中的每组血流数据中的血流特征参数及对应的测试结论是否符合预定义的血流动力学模型所规定的物理规律,以获得血流动力学校验结果。Illustratively, step S2040 includes: establishing a predefined hemodynamic model; and determining whether blood flow characteristic parameters and corresponding test conclusions in each set of blood flow data in at least one set of blood flow data conform to predefined blood The physical laws specified by the flow dynamics model to obtain hemodynamic verification results.
根据本发明另一方面,提供一种辅助诊断系统的升级方法,包括:至少利用辅助诊断系统的、采用上述推理机训练方法训练获得的推理机对一组或多组实际血流特征参数进行推理,以获得与一组或多组实际血流特征参数一一对应的一个或多个实际结论;输出一个或多个实际结论;接收关于一个或多个实际结论中的至少部分实际结论的指示信息;以及基于指示信息将至少部分实际结论以及与至少部分实际结论一一对应的至少一组实际血流特征参数存储到辅助诊断系统的知识库中用于实现辅助诊断系统的升级。According to another aspect of the present invention, there is provided a method for upgrading an auxiliary diagnostic system, comprising: inferring one or more sets of actual blood flow characteristic parameters using at least an inference engine trained by the above-described inference engine training method using an auxiliary diagnostic system; Obtaining one or more actual conclusions that correspond one-to-one with one or more sets of actual blood flow characteristic parameters; outputting one or more actual conclusions; receiving an indication of at least some of the actual conclusions of the one or more actual conclusions And storing, based on the indication information, at least a portion of the actual conclusions and at least one set of actual blood flow characteristic parameters in one-to-one correspondence with at least a portion of the actual conclusions into a knowledge base of the auxiliary diagnostic system for implementing an upgrade of the auxiliary diagnostic system.
示例性地,辅助诊断系统的数据库用于存储辅助诊断系统先前处理的实际血流特征参数和针对先前处理的实际血流特征参数进行推理获得的先前结论,一组或多组实际血流特征参数是来自辅助诊断系统的数据库的先前处理的实际血流特征参数。Illustratively, the database of the auxiliary diagnostic system is used to store actual blood flow characteristic parameters previously processed by the auxiliary diagnostic system and previous conclusions obtained from inference of previously processed actual blood flow characteristic parameters, one or more sets of actual blood flow characteristic parameters Is the actual processed blood flow characteristic parameter of the database from the secondary diagnostic system.
示例性地,至少部分实际结论是与人工选择的非典型病例对应的实际结论。Illustratively, at least part of the actual conclusion is the actual conclusion corresponding to the manually selected atypical case.
示例性地,至少利用辅助诊断系统的、采用如上述推理机训练方法训练获得的推理机对一组或多组实际血流特征参数进行推理包括:综合推理机提供的规则与辅助诊断系统的知识库中存储的已知规则,以获得综合后的规则;以及基于综合后的规则对一组或多组实际血流特征参数进行推理。Illustratively, inference of one or more sets of actual blood flow characteristic parameters using at least an inference engine trained by the inference engine training method as described above using at least an auxiliary diagnostic system includes: rules provided by the integrated inference engine and knowledge of the auxiliary diagnostic system Known rules stored in the library to obtain a consolidated rule; and reasoning one or more sets of actual blood flow characteristic parameters based on the integrated rules.
示例性地,辅助诊断系统的数据库用于存储关于先前结论是否被采纳的反馈信息,升级方法还包括:如果根据数据库中存储的反馈信息确定特定类型的 先前结论未被采纳的次数超过次数阈值,则输出关于特定类型的先前结论可能存在问题的提示信息;接收关于修改用于实现推理机的模型、推理机的参数和知识库中存储的已知规则中的一项或多项的修改指令;以及根据修改指令执行对应的修改动作。Illustratively, the database of the auxiliary diagnostic system is used to store feedback information about whether the previous conclusion is adopted, and the upgrading method further includes: determining a specific type according to the feedback information stored in the database If the number of times the previous conclusion is not adopted exceeds the threshold of the number of times, the prompt information about the possible conclusion of the particular type of previous conclusion is output; the model for modifying the model used to implement the inference engine, the parameters of the inference engine, and the known rules stored in the knowledge base are received. Modifying one or more of the instructions; and performing a corresponding modification action according to the modified instruction.
示例性地,升级方法还包括:对于多根血管中的每根血管,至少利用推理机对与该血管相关的一组实际血流特征参数进行推理,以获得与该血管对应的血管相关结论;实时输出与该血管对应的血管相关结论;以及实时接收并存储关于与该血管对应的血管相关结论是否被采纳的反馈信息。Illustratively, the upgrading method further includes: for each of the plurality of blood vessels, using at least an inference engine to infer a set of actual blood flow characteristic parameters associated with the blood vessel to obtain a blood vessel related conclusion corresponding to the blood vessel; The blood vessel related conclusion corresponding to the blood vessel is output in real time; and feedback information on whether or not the blood vessel related conclusion corresponding to the blood vessel is accepted is received and stored in real time.
示例性地,升级方法还包括:至少利用推理机对与多根血管一一对应相关的多组实际血流特征参数进行推理,以获得与多根血管一一对应的多个血管相关结论;基于多个血管相关结论确定总结论;输出总结论;以及接收并存储关于总结论是否被采纳的反馈信息。Illustratively, the upgrading method further includes: inferring, by using at least an inference engine, a plurality of sets of actual blood flow characteristic parameters associated with the plurality of blood vessels in a one-to-one correspondence to obtain a plurality of blood vessel correlation conclusions corresponding to the plurality of blood vessels one by one; Multiple vessel related conclusions determine the overall conclusion; output the overall conclusion; and receive and store feedback information as to whether the overall conclusion was adopted.
示例性地,一组或多组实际血流特征参数是辅助诊断系统当前需要处理的血流特征参数,升级方法还包括:基于知识库和/或推理机生成辅助诊断系统中的新的解释器。Illustratively, one or more sets of actual blood flow characteristic parameters are blood flow characteristic parameters that the auxiliary diagnostic system currently needs to process, and the upgrading method further includes: generating a new interpreter in the auxiliary diagnostic system based on the knowledge base and/or the inference engine .
根据本发明另一方面,提供一种推理机训练装置,包括:训练模块,用于利用知识库中存储的多组血流数据作为样本训练推理机,其中,知识库中存储的每组血流数据包括血流特征参数和对应的已知结论;选择模块,用于从知识库中选择至少一组血流数据;推理模块,用于对于至少一组血流数据中的每组血流数据,利用推理机对该组血流数据中的血流特征参数进行处理,以获得对应的测试结论;血流动力学校验模块,用于基于至少一组血流数据中的每组血流数据中的血流特征参数及对应的测试结论进行血流动力学校验;以及合格判断模块,用于基于血流动力学校验结果判断推理机是否合格。According to another aspect of the present invention, an inference engine training apparatus is provided, comprising: a training module, configured to use a plurality of sets of blood flow data stored in a knowledge base as a sample training inference engine, wherein each set of blood flow stored in the knowledge base The data includes blood flow characteristic parameters and corresponding known conclusions; a selection module for selecting at least one set of blood flow data from the knowledge base; and an inference module for each set of blood flow data in the at least one set of blood flow data, Using the inference engine to process the blood flow characteristic parameters in the blood flow data to obtain corresponding test conclusions; the hemodynamic verification module is configured to be based on each set of blood flow data in the at least one set of blood flow data The blood flow characteristic parameter and the corresponding test conclusion are subjected to hemodynamic verification; and the qualification judgment module is configured to judge whether the inference engine is qualified based on the hemodynamic verification result.
根据本发明另一方面,提供一种辅助诊断系统的升级装置,包括:第一推理模块,用于至少利用辅助诊断系统的、采用上述推理机训练方法训练获得的推理机对一组或多组实际血流特征参数进行推理,以获得与一组或多组实际血流特征参数一一对应的一个或多个实际结论;第一输出模块,用于输出一个或多个实际结论;第一接收模块,用于接收关于一个或多个实际结论中的至少部分实际结论的指示信息;以及第一存储模块,用于基于指示信息将至少部分实际结论以及与至少部分实际结论一一对应的至少一组实际血流特征参数存储到辅助诊断系统的知识库中用于实现辅助诊断系统的升级。 According to another aspect of the present invention, there is provided an apparatus for upgrading an auxiliary diagnostic system, comprising: a first inference module, configured to use at least one of the inference engine trained by the inference engine training method of the auxiliary diagnostic system; The actual blood flow characteristic parameters are inferred to obtain one or more actual conclusions corresponding to one or more sets of actual blood flow characteristic parameters; a first output module for outputting one or more actual conclusions; a receiving module, configured to receive indication information about at least part of the actual conclusions of the one or more actual conclusions; and a first storage module, configured to, based on the indication information, at least part of the actual conclusion and at least one of the actual conclusions A set of actual blood flow characteristic parameters are stored in the knowledge base of the auxiliary diagnostic system for implementing an upgrade of the auxiliary diagnostic system.
根据本发明另一方面,提供一种推理机训练装置,包括:存储器,用于存储程序;处理器,用于运行程序;其中,程序在处理器中运行时,用于执行以下步骤:步骤S2010:利用知识库中存储的多组血流数据作为样本训练推理机,其中,知识库中存储的每组血流数据包括血流特征参数和对应的已知结论;步骤S2020:从知识库中选择至少一组血流数据;步骤S2030:对于至少一组血流数据中的每组血流数据,利用推理机对该组血流数据中的血流特征参数进行推理,以获得对应的测试结论;步骤S2040:基于至少一组血流数据中的每组血流数据中的血流特征参数及对应的测试结论进行血流动力学校验;以及步骤S2050:基于血流动力学校验结果判断推理机是否合格。According to another aspect of the present invention, there is provided an inference engine training apparatus comprising: a memory for storing a program; a processor for running a program; wherein, when the program is run in the processor, the method is the following: Step S2010 : using the plurality of sets of blood flow data stored in the knowledge base as a sample training inference engine, wherein each set of blood flow data stored in the knowledge base includes blood flow characteristic parameters and corresponding known conclusions; Step S2020: selecting from a knowledge base At least one set of blood flow data; step S2030: for each set of blood flow data in the at least one set of blood flow data, using an inference engine to infer blood flow characteristic parameters in the blood flow data to obtain a corresponding test conclusion; Step S2040: performing hemodynamic verification based on blood flow characteristic parameters and corresponding test conclusions in each set of blood flow data in at least one set of blood flow data; and step S2050: determining whether the inference engine is based on the hemodynamic check result qualified.
根据本发明另一方面,提供一种辅助诊断系统的升级装置,包括:存储器,用于存储程序;处理器,用于运行程序;其中,程序在处理器中运行时,用于执行以下步骤:至少利用辅助诊断系统的、采用上述推理机训练方法训练获得的推理机对一组或多组实际血流特征参数进行推理,以获得与一组或多组实际血流特征参数一一对应的一个或多个实际结论;输出一个或多个实际结论;接收关于一个或多个实际结论中的至少部分实际结论的指示信息;以及基于指示信息将至少部分实际结论以及与至少部分实际结论一一对应的至少一组实际血流特征参数存储到辅助诊断系统的知识库中用于实现辅助诊断系统的升级。According to another aspect of the present invention, an apparatus for upgrading an auxiliary diagnostic system includes: a memory for storing a program; a processor for running a program; wherein, when the program is run in the processor, the following steps are performed: At least the inference engine obtained by the above-mentioned inference engine training method using the auxiliary diagnosis system infers one or more sets of actual blood flow characteristic parameters to obtain one-to-one correspondence with one or more sets of actual blood flow characteristic parameters. One or more actual conclusions; outputting one or more actual conclusions; receiving indication information regarding at least a portion of the actual conclusions in the one or more actual conclusions; and based on the indication information at least a portion of the actual conclusions and at least some of the actual conclusions Corresponding at least one set of actual blood flow characteristic parameters are stored in a knowledge base of the auxiliary diagnostic system for implementing an upgrade of the auxiliary diagnostic system.
根据本发明另一方面,提供一种计算机可读存储介质,存储介质上存储了程序,程序在运行时用于执行如下步骤:步骤S2010:利用知识库中存储的多组血流数据作为样本训练推理机,其中,知识库中存储的每组血流数据包括血流特征参数和对应的已知结论;步骤S2020:从知识库中选择至少一组血流数据;步骤S2030:对于至少一组血流数据中的每组血流数据,利用推理机对该组血流数据中的血流特征参数进行推理,以获得对应的测试结论;步骤S2040:基于至少一组血流数据中的每组血流数据中的血流特征参数及对应的测试结论进行血流动力学校验;以及步骤S2050:基于血流动力学校验结果判断推理机是否合格。According to another aspect of the present invention, a computer readable storage medium is provided. A program is stored on a storage medium, and the program is executed at runtime to perform the following steps: Step S2010: using a plurality of sets of blood flow data stored in the knowledge base as a sample training An inference engine, wherein each set of blood flow data stored in the knowledge base includes a blood flow characteristic parameter and a corresponding known conclusion; step S2020: selecting at least one set of blood flow data from the knowledge base; and step S2030: for at least one group of blood Each set of blood flow data in the flow data is inferred by the inference engine to determine blood flow characteristic parameters in the blood flow data to obtain a corresponding test conclusion; step S2040: based on each set of blood in at least one set of blood flow data The blood flow characteristic parameter in the flow data and the corresponding test conclusion are subjected to hemodynamic check; and step S2050: determining whether the inference engine is qualified based on the hemodynamic check result.
根据本发明另一方面,提供一种计算机可读存储介质,存储介质上存储了程序,程序在运行时用于执行如下步骤:至少利用辅助诊断系统的、采用上述推理机训练方法训练获得的推理机对一组或多组实际血流特征参数进行推理,以获得与一组或多组实际血流特征参数一一对应的一个或多个实际结论;输出一个或多个实际结论;接收关于一个或多个实际结论中的至少部分实际结论的 指示信息;以及基于指示信息将至少部分实际结论以及与至少部分实际结论一一对应的至少一组实际血流特征参数存储到辅助诊断系统的知识库中用于实现辅助诊断系统的升级。According to another aspect of the present invention, a computer readable storage medium is provided, on which a program is stored, the program being used at runtime to perform the following steps: at least using the auxiliary diagnosis system and the reasoning obtained by the above-described inference engine training method training Performing inference on one or more sets of actual blood flow characteristic parameters to obtain one or more actual conclusions that correspond one-to-one with one or more sets of actual blood flow characteristic parameters; outputting one or more actual conclusions; receiving At least some of the actual conclusions of one or more actual conclusions Instructing information; and storing, based on the indication information, at least a portion of the actual conclusions and at least one set of actual blood flow characteristic parameters in one-to-one correspondence with at least a portion of the actual conclusions into a knowledge base of the auxiliary diagnostic system for implementing an upgrade of the auxiliary diagnostic system.
根据本发明实施例的推理机训练方法和装置、辅助诊断系统的升级方法和装置及存储介质,利用血流动力学校验来验证训练后的推理机是否合格,由此可以准确获知当前推理机的训练水平。如果确定推理机不合格,可以选择继续训练直至推理机合格为止。这样便于训练获得更有效的推理机,进而获得更准确高效的用于经颅多普勒检查的辅助诊断系统。The inference engine training method and device, the upgrade method and device for the auxiliary diagnosis system, and the storage medium according to the embodiment of the present invention use the hemodynamic check to verify whether the inference engine after the training is qualified, thereby accurately knowing the current inference engine Training level. If it is determined that the inference engine is unqualified, it may choose to continue training until the inference engine is qualified. This facilitates training to obtain a more efficient inference engine, thereby obtaining a more accurate and efficient auxiliary diagnostic system for transcranial Doppler examination.
附图说明DRAWINGS
通过结合附图对本发明实施例进行更详细的描述,本发明的上述以及其它目的、特征和优势将变得更加明显。附图用来提供对本发明实施例的进一步理解,并且构成说明书的一部分,与本发明实施例一起用于解释本发明,并不构成对本发明的限制。在附图中,相同的参考标号通常代表相同部件或步骤。The above as well as other objects, features and advantages of the present invention will become more apparent from the embodiments of the invention. The drawings are intended to provide a further understanding of the embodiments of the invention, In the figures, the same reference numerals generally refer to the same parts or steps.
图1示出根据本发明一个实施例的用于经颅多普勒检查的辅助诊断系统及相关元素的示意性框图;1 shows a schematic block diagram of an auxiliary diagnostic system and related elements for transcranial Doppler examination, in accordance with one embodiment of the present invention;
图2示出根据本发明一个实施例的推理机训练方法的示意性流程图;2 is a schematic flow chart showing an inference engine training method according to an embodiment of the present invention;
图3示出大脑动脉环的示意图;Figure 3 shows a schematic view of the cerebral arterial ring;
图4示出根据本发明一个实施例的辅助诊断系统的升级方法的示意性流程图;4 is a schematic flow chart showing an upgrade method of an auxiliary diagnosis system according to an embodiment of the present invention;
图5示出根据本发明一个实施例的推理机训练装置的示意性框图;Figure 5 shows a schematic block diagram of an inference engine training device in accordance with one embodiment of the present invention;
图6示出了根据本发明一个实施例的辅助诊断系统的升级装置的示意性框图;6 shows a schematic block diagram of an upgrade apparatus of an auxiliary diagnostic system in accordance with one embodiment of the present invention;
图7示出了根据本发明一个实施例的推理机训练装置的示意性框图;以及Figure 7 shows a schematic block diagram of an inference engine training device in accordance with one embodiment of the present invention;
图8示出了根据本发明一个实施例的辅助诊断系统的升级装置的示意性框图。Figure 8 shows a schematic block diagram of an upgrade apparatus of an auxiliary diagnostic system in accordance with one embodiment of the present invention.
具体实施方式detailed description
为了使得本发明的目的、技术方案和优点更为明显,下面将参照附图详细描述根据本发明的示例实施例。显然,所描述的实施例仅仅是本发明的一部分实施例,而不是本发明的全部实施例,应理解,本发明不受这里描述的示例实 施例的限制。基于本发明中描述的本发明实施例,本领域技术人员在没有付出创造性劳动的情况下所得到的所有其它实施例都应落入本发明的保护范围之内。In order to make the objects, the technical solutions and the advantages of the present invention more apparent, the exemplary embodiments according to the present invention will be described in detail below with reference to the accompanying drawings. It is apparent that the described embodiments are only a part of the embodiments of the present invention, and are not all embodiments of the present invention. It should be understood that the present invention is not limited by the examples described herein. The limitations of the example. All other embodiments obtained by those skilled in the art based on the embodiments of the present invention described herein without departing from the scope of the invention are intended to fall within the scope of the invention.
计算机辅助诊断技术目前尚未应用于经颅多普勒诊断方面。由于医学诊断具有非常高的专业性,因此通用的辅助诊断方法并不能很好地解决经颅多普勒领域遇到的实际问题。根据本发明实施例,可以将辅助诊断技术取得的成果与经颅多普勒的具体特点相结合,以有效地解决经颅多普勒临床问题。本发明实施例涉及的用于经颅多普勒检查的辅助诊断系统可以包括知识库、数据库、推理机、解释器和用户接口等部分。Computer-aided diagnostic techniques have not yet been applied to the diagnosis of transcranial Doppler. Because medical diagnosis has a very high degree of professionalism, the general auxiliary diagnostic method does not solve the practical problems encountered in the transcranial Doppler field. According to an embodiment of the present invention, the results obtained by the auxiliary diagnostic technique can be combined with the specific characteristics of the transcranial Doppler to effectively solve the clinical problem of transcranial Doppler. The auxiliary diagnostic system for transcranial Doppler examination according to an embodiment of the present invention may include a knowledge base, a database, an inference engine, an interpreter, and a user interface.
图1示出根据本发明一个实施例的用于经颅多普勒检查的辅助诊断系统及相关元素的示意性框图。如图1所示,辅助诊断系统包括知识库、数据库、推理机、解释器和用户接口。专家和文献是与辅助诊断系统相关的元素。文献主要指的是可查阅到的研究结论,由专家进行转化后,可以直接放入知识库。专家主要指的是人类专家,其可以是在经颅多普勒领域具有多年工作经验,掌握大量的专业知识,有能力对临床表现做出正确的诊断结论的人。知识库的基础由专家奠定,同时新的知识导入也可以经过专家进行评审。数据库用于存储推理机推理过程中所需的原始数据、中间结果和最终结论等,往往是作为暂时的存储区。解释器可以根据知识库中的知识(例如知识库中存储的已知规则)将输入的经颅多普勒检查结果转换为辅助诊断结论。用户接口可以提供操作者(其可以是普通用户或者专家)和辅助诊断系统交互的界面。例如,经颅多普勒检查通常要检查10根左右的血管,在检查过程中和全部检查结束时,操作者(例如专家)和辅助诊断系统可以经由用户接口进行交互。知识库和推理机的作用在下文描述。1 shows a schematic block diagram of an auxiliary diagnostic system and related elements for transcranial Doppler examination, in accordance with one embodiment of the present invention. As shown in Figure 1, the auxiliary diagnostic system includes a knowledge base, a database, an inference engine, an interpreter, and a user interface. Experts and literature are elements related to assisted diagnostic systems. The literature mainly refers to the research conclusions that can be consulted. After being transformed by experts, it can be directly put into the knowledge base. Experts mainly refer to human experts, who can be those who have many years of work experience in the transcranial Doppler field, have a large amount of professional knowledge, and have the ability to make correct diagnosis conclusions for clinical manifestations. The foundation of the knowledge base is laid by experts, and new knowledge imports can also be reviewed by experts. The database is used to store the raw data, intermediate results and final conclusions required in the reasoning process of the inference engine, and is often used as a temporary storage area. The interpreter can convert the input transcranial Doppler test results into auxiliary diagnostic conclusions based on knowledge in the knowledge base, such as known rules stored in the knowledge base. The user interface can provide an interface for the operator (which can be a normal user or an expert) to interact with the diagnostic system. For example, a transcranial Doppler examination typically involves examining about 10 blood vessels, and during the examination and at the end of the total examination, the operator (eg, an expert) and the secondary diagnostic system can interact via the user interface. The role of the knowledge base and inference engine is described below.
如上文所述,目前缺乏针对用于经颅多普勒检查的辅助诊断系统的推理机的训练方法。为了解决上述问题,本发明实施例提供一种推理机训练方法和装置。根据本发明实施例的推理机训练方法,在推理机的训练过程中,利用血流动力学校验来验证训练后的推理机是否合格。如果不合格,可以选择重新训练直到推理机合格为止。As described above, there is currently a lack of training methods for inference engines for assisted diagnostic systems for transcranial Doppler examination. In order to solve the above problems, an embodiment of the present invention provides an inference engine training method and apparatus. According to the inference engine training method of the embodiment of the present invention, in the training process of the inference engine, the hemodynamic check is used to verify whether the inference engine after the training is qualified. If it fails, you can choose to retrain until the inference engine is qualified.
下面,将参考图2描述根据本发明实施例的推理机训练方法2000。图2示出根据本发明一个实施例的推理机训练方法2000的示意性流程图。如图2所示,推理机训练方法2000包括以下步骤。Next, an inference engine training method 2000 according to an embodiment of the present invention will be described with reference to FIG. 2 shows a schematic flow diagram of an inference engine training method 2000 in accordance with one embodiment of the present invention. As shown in FIG. 2, the inference engine training method 2000 includes the following steps.
在步骤S2010,利用知识库中存储的多组血流数据作为样本训练推理机, 其中,知识库中存储的每组血流数据包括血流特征参数和对应的已知结论。In step S2010, using the plurality of sets of blood flow data stored in the knowledge base as a sample training inference engine, Wherein, each set of blood flow data stored in the knowledge base includes blood flow characteristic parameters and corresponding known conclusions.
知识库(knowledge base)可以存储由专家标定的数据和由推理机完善的规则。通常由专家标定的数据是非常稀缺的资源,知识库中还有一部分知识是由推理机输出的,可以作为专家知识的重要补充。知识库是辅助诊断系统的质量是否优越的关键所在,即知识库中知识的质量和数量决定着辅助诊断系统的质量水平。知识库中的知识可以包括先验事实、先验结论、规则等等。A knowledge base can store data calibrated by an expert and rules refined by an inference engine. Data that is usually calibrated by experts is a very scarce resource. Some of the knowledge in the knowledge base is output by the inference engine and can be used as an important supplement to expert knowledge. The knowledge base is the key to the superior quality of the auxiliary diagnostic system, that is, the quality and quantity of knowledge in the knowledge base determines the quality level of the auxiliary diagnostic system. Knowledge in the knowledge base can include a priori facts, a priori conclusions, rules, and so on.
上述由专家标定的数据可以包括若干组血流数据,每组血流数据包括血流特征参数(即先验事实)。此外,每组血流数据还可以包括与该组血流数据中的血流特征参数对应的已知结论(即先验结论)。一组血流数据可以视为是一个病例。血流特征参数可以包括收缩期最大血流速度、舒张末期血流速度、平均血流速度、搏动指数、阻力指数、血流反向、窃血、涡流、湍流和短横线等。这些血流特征参数可以从经颅多普勒谱图中提取获得,而经颅多普勒谱图可以由现有的或将来可能出现的超声经颅多普勒血流分析仪检测获得。大脑中主要的血管包含:大脑中动脉、大脑前动脉、大脑后动脉、椎动脉和基底动脉等。由于颈部血管和大脑血管直接相连,因此相关的颈总动脉、颈内动脉和颈外动脉也是超声经颅多普勒血流分析仪可以检查的血管。对于每个血管,可以得到一幅经颅多普勒谱图,并且可以从经颅多普勒谱图中识别出上述血流特征参数。The data calibrated by the expert above may include several sets of blood flow data, each set of blood flow data including blood flow characteristic parameters (ie, a priori facts). In addition, each set of blood flow data can also include known conclusions (i.e., a priori conclusions) corresponding to blood flow characteristic parameters in the set of blood flow data. A set of blood flow data can be considered as one case. Blood flow parameters may include systolic maximum blood flow velocity, end-diastolic blood flow velocity, mean blood flow velocity, pulsation index, resistance index, blood flow reversal, blood stealing, eddy current, turbulence, and dash. These blood flow characteristic parameters can be extracted from the transcranial Doppler spectrum, and the transcranial Doppler spectrum can be obtained by an existing or future ultrasound transcranial Doppler flow analyzer. The main blood vessels in the brain include: middle cerebral artery, anterior cerebral artery, posterior cerebral artery, vertebral artery and basilar artery. Since the blood vessels of the neck and the blood vessels of the brain are directly connected, the relevant common carotid artery, internal carotid artery and external carotid artery are also blood vessels that can be examined by an ultrasound transcranial Doppler blood flow analyzer. For each blood vessel, a transcranial Doppler spectrum can be obtained and the blood flow characteristic parameters can be identified from the transcranial Doppler spectrum.
假设每组血流数据共包括十种血流特征参数,则这些血流特征参数可以采用一个向量标示V=(x0,x1…x9)来表示。其中,速度可以用实际数值表示,状态量可以用0和1表示,比如存在涡流为1,不存在为0。对于多个血管,可以得到多个向量,例如VMCA、VACA、VBA等。所有血管的血流特征参数的综合为T=(VMCA,VACA,VBA…)。T可以代表一组血流数据中的所有血流特征参数。对于一个受试者来说,可以将初始状态下的所有血流特征参数设置为0,每检查完一根血管,可以填充一个子向量。Assuming that each set of blood flow data includes a total of ten blood flow characteristic parameters, these blood flow characteristic parameters can be represented by a vector indicating V=(x0, x1...x9). Among them, the speed can be represented by actual values, and the state quantity can be represented by 0 and 1, for example, there is a eddy current of 1, and no existence is 0. For multiple blood vessels, multiple vectors can be obtained, such as VMCA, VACA, VBA, and the like. The combination of blood flow characteristic parameters of all blood vessels is T = (VMCA, VACA, VBA...). T can represent all blood flow characteristic parameters in a set of blood flow data. For a subject, all blood flow characteristic parameters in the initial state can be set to 0, and each sub-vector can be filled after each blood vessel is examined.
推理机(inference engine)是辅助诊断系统的核心,可以完善人类专家所不能归纳出的细节规则。人类专家归纳的知识通常比较粗略,同时受人力资源限制,也不可能非常全面。通常数百条规则已经是非常大的知识资源了。但是这对于辅助诊断来说远远不足,辅助诊断需要更加完整、丰富的诊断判据,以应对实际应用中的各种复杂病症。人类专家给出的规则(即知识库中存储的已知规则)中所涉及到的阈值通常不够精确,这也需要推理机来完善。当推理机提供的规则与人类专家不一致时,以人类专家的结论为主。虽然人类专家的作 用是决定性的,但是推理机的结果才是知识库的主体。The inference engine is the core of the auxiliary diagnostic system and can perfect the detailed rules that human experts cannot generalize. The knowledge summarized by human experts is usually rough and limited by human resources, and it is not very comprehensive. Usually hundreds of rules are already very large knowledge resources. However, this is far from sufficient for assisted diagnosis. Auxiliary diagnosis requires more complete and rich diagnostic criteria to cope with various complex diseases in practical applications. The thresholds involved in the rules given by human experts (ie known rules stored in the knowledge base) are often not precise enough, which also requires an inference engine to perfect. When the rules provided by the inference engine are inconsistent with human experts, the conclusions of human experts are the main ones. Although the work of human experts The use is decisive, but the result of the inference engine is the subject of the knowledge base.
推理机可以由知识库来训练。可选地,机器学习算法是推理机的一种有效实现方式。例如,推理机可以采用贝叶斯分类器、支持向量机或深度神经网络等实现。The inference engine can be trained by the knowledge base. Alternatively, the machine learning algorithm is an effective implementation of the inference engine. For example, the inference engine can be implemented using a Bayesian classifier, a support vector machine, or a deep neural network.
在步骤S2020,从知识库中选择至少一组血流数据。At step S2020, at least one set of blood flow data is selected from the knowledge base.
可以从知识库中选择至少一组血流数据作为测试集来测试训练后的推理机是否满足要求。示例性地,至少一组血流数据可以随机选择。At least one set of blood flow data can be selected from the knowledge base as a test set to test whether the trained inference engine meets the requirements. Illustratively, at least one set of blood flow data can be randomly selected.
在步骤S2030,对于至少一组血流数据中的每组血流数据,利用推理机对该组血流数据中的血流特征参数进行推理,以获得对应的测试结论。In step S2030, for each set of blood flow data in the at least one set of blood flow data, the inference engine is used to infer the blood flow characteristic parameters in the blood flow data to obtain a corresponding test conclusion.
推理机可以基于训练好的规则对血流特征参数进行推理。将一组血流数据中的血流特征参数输入训练后的推理机,可以获得对应的测试结论(即血流数据对应的病因)。示例性地,推理机经训练之后,获得如下规则:平均血流速度大于65cm/s代表血管存在异常(例如血管狭窄病变)。假设输入推理机的一组血流数据中的、某根血管的平均血流速度为80cm/s,则测试结论可以为存在血管狭窄病变。The inference engine can reason the blood flow characteristic parameters based on the trained rules. The blood flow characteristic parameters in a set of blood flow data are input into the trained inference engine, and the corresponding test conclusions (ie, the cause corresponding to the blood flow data) can be obtained. Illustratively, after the inference engine is trained, the following rule is obtained: an average blood flow velocity greater than 65 cm/s represents an abnormality in the blood vessel (eg, a stenosis lesion). Assuming that the average blood flow velocity of a blood vessel in a set of blood flow data input to the inference engine is 80 cm/s, the test conclusion may be that there is a vascular stenosis lesion.
在步骤S2040,基于至少一组血流数据中的每组血流数据中的血流特征参数及对应的测试结论进行血流动力学校验。In step S2040, hemodynamic verification is performed based on blood flow characteristic parameters and corresponding test conclusions in each set of blood flow data in at least one set of blood flow data.
示例性地,可以建立一个预定义的血流动力学模型来对推理机的输入和输出进行校验。也就是说,步骤S2040可以包括:建立预定义的血流动力学模型;以及判断至少一组血流数据中的每组血流数据中的血流特征参数及对应的测试结论是否符合预定义的血流动力学模型所规定的物理规律,以获得血流动力学校验结果。Illustratively, a predefined hemodynamic model can be established to verify the input and output of the inference engine. That is, step S2040 may include: establishing a predefined hemodynamic model; and determining whether blood flow characteristic parameters and corresponding test conclusions in each set of blood flow data in at least one set of blood flow data conform to a predefined one The physical laws specified by the hemodynamic model to obtain hemodynamic test results.
血流动力学模型作为推理机的一种验证方式来说是有其存在价值的,这样可以有效避免由于纯机器学习而产生违背物理规律的情况。示例性地,可以要求机器学习产生的知识库中的知识和推理机提供的规则经过血流动力学模型的验证,只有符合基本的物理规律,才可认为是一条有效的知识或规则。The hemodynamic model has its existence value as a verification method of the inference engine, which can effectively avoid the situation that violates the physical law due to pure machine learning. Illustratively, the knowledge in the knowledge base generated by machine learning and the rules provided by the inference engine may be verified by the hemodynamic model, and only if it conforms to the basic physical laws, it can be considered as an effective knowledge or rule.
下面结合图3描述血流动力学校验的原理。大脑内部最重要的血管组成一个环状结构,将两侧半球和前、后循环联系起来,称为大脑动脉环(Willis环),如图3所示。大脑中的动脉左右对称,主要的动脉有前动脉、中动脉、后动脉P1段、后动脉P2段、基底动脉、椎动脉、颈总动脉、颈内动脉和颈外动脉等。由于大脑受颅骨保护,而颅骨不利于超声信号传播,因此需要在颅骨上找到比 较薄的地方,才能确保信号可正确获取。典型的检查点为颞窗(图3中检查点1)和枕窗(图3中检查点2)。对于颈部动脉(颈总动脉、颈内动脉和颈外动脉),由于外部仅是软组织保护,因此检查相对较为容易(图3中检查点3)。从颞窗检查,通常可以检查前动脉、中动脉和后动脉。对应血流方向为前动脉背离探头,中动脉朝向探头,后动脉P1段朝向探头,P2段背离探头。从枕窗检查,通常可以检查基底动脉和椎动脉。对应血流方向为基底动脉背离探头,椎动脉背离探头。血流方向是经颅多普勒检查中的重要特征,如果血流方向和正常方向不同(即血流方向不符合物理规律),则可以将其作为疾病诊断的重要依据。虽然本文以颅内血管为例进行描述,然而,实际使用时,颈部血管(颈总动脉、颈内动脉和颈外动脉等)也可遵循此规律。The principle of hemodynamic verification will be described below in conjunction with FIG. The most important blood vessels inside the brain form a ring structure that links the hemispheres to the anterior and posterior circulation, called the cerebral artery ring (Willis ring), as shown in Figure 3. The arteries in the brain are bilaterally symmetric. The main arteries include the anterior, middle, posterior P1, posterior P2, basilar, vertebral, common carotid, internal carotid and external carotid arteries. Since the brain is protected by the skull, and the skull is not conducive to the transmission of ultrasound signals, it is necessary to find the ratio on the skull. Thinner places ensure that the signal is properly acquired. Typical checkpoints are the sash window (checkpoint 1 in Figure 3) and the pillow window (checkpoint 2 in Figure 3). For the cervical artery (the common carotid artery, the internal carotid artery, and the external carotid artery), since the outside is only soft tissue protection, the examination is relatively easy (checkpoint 3 in Fig. 3). From the sacral window, the anterior, middle, and posterior arteries can usually be examined. Corresponding blood flow direction is the anterior artery away from the probe, the middle artery is toward the probe, the P1 segment of the posterior artery is facing the probe, and the P2 segment is facing away from the probe. From the occipital window examination, the basilar artery and vertebral artery can usually be examined. Corresponding blood flow direction is the basilar artery away from the probe, and the vertebral artery is away from the probe. The direction of blood flow is an important feature in transcranial Doppler examination. If the direction of blood flow is different from the normal direction (ie, the direction of blood flow does not conform to the physical law), it can be used as an important basis for disease diagnosis. Although the intracranial blood vessels are described as an example, in the actual use, the neck blood vessels (the common carotid artery, the internal carotid artery, the external carotid artery, etc.) can also follow this rule.
例如,如果一侧颈内动脉发生阻塞,其供血的同侧中动脉和前动脉就可能会出现供血不足的情况,中动脉和前动脉的血流速度减慢就是一个符合血流动力学的规则;而中动脉和前动脉的血流速度增快则违背了血流动力学模型,是一条错误的判据。又例如,如果一侧颈内动脉发生阻塞,颈总动脉的阻力指数就会增加,而中动脉的阻力指数就会降低,因此,如果颈总动脉的阻力指数反而降低,就与血流动力学不符,也是需要进一步评估的判据。For example, if one side of the internal carotid artery is blocked, the blood supply to the ipsilateral middle and anterior arteries may be insufficient. The slowing of the blood flow velocity of the middle and anterior arteries is a hemodynamic rule. The increase in blood flow velocity in the middle and anterior arteries violates the hemodynamic model and is a false criterion. For another example, if one side of the internal carotid artery is blocked, the resistance index of the common carotid artery will increase, and the resistance index of the middle artery will decrease. Therefore, if the resistance index of the common carotid artery is decreased, it is related to hemodynamics. Inconsistent, it is also a criterion for further evaluation.
在步骤S2050,基于血流动力学校验结果判断推理机是否合格。In step S2050, it is judged based on the hemodynamic check result whether the inference engine is qualified.
可以根据需要设定推理机通过血流动力学校验的条件。示例性地,如果参与血流动力学校验的血流数据只有一组,则可以规定在该组血流数据中的血流特征参数及对应的测试结论满足物理规律的情况下,血流动力学校验结果为推理机通过血流动力学校验,反之血流动力学校验结果为推理机未通过血流动力学校验。示例性地,如果参与血流动力学校验的血流数据多于一组,则可以规定在特定数目组(例如10组)或特定比例(例如80%)组的血流数据中的血流血流特征参数及对应的测试结论满足物理规律的情况下,血流动力学校验结果为推理机通过血流动力学校验,反之血流动力学校验结果为推理机未通过血流动力学校验。The conditions under which the inference engine passes the hemodynamic check can be set as needed. Illustratively, if there is only one group of blood flow data participating in the hemodynamic check, it may be specified that the blood flow characteristic parameter and the corresponding test conclusion satisfy the physical law in the blood flow data of the group, the blood flow force school The result of the test is that the inference engine passes the hemodynamic check, and the hemodynamic check result is that the inference engine fails the hemodynamic check. Illustratively, if more than one group of blood flow data is involved in the hemodynamic check, blood bleeds in blood flow data for a particular number (eg, 10 groups) or a particular ratio (eg, 80%) may be specified. When the flow characteristic parameters and the corresponding test conclusions satisfy the physical laws, the hemodynamic check result is the hemodynamic check by the inference engine, and the hemodynamic check result is that the inference engine fails the hemodynamic check.
如果推理机通过血流动力学校验,则可以确定推理机合格,在这种情况下,可以示例性地将推理机提供的规则和/或由推理机推理出的某些诊断结论及对应的血流特征参数存储在知识库中,作为专家知识的补充。如果推理机未通过血流动力学校验,则可以确定推理机不合格,在这种情况下,可以示例性地重新训练推理机。 If the inference engine passes the hemodynamic check, it can be determined that the inference engine is qualified, in which case the rules provided by the inference engine and/or certain diagnostic conclusions inferred by the inference engine and the corresponding blood can be exemplarily Flow feature parameters are stored in the knowledge base as a complement to expert knowledge. If the inference engine fails the hemodynamic check, it can be determined that the inference engine is unqualified, in which case the inference engine can be exemplarily retrained.
根据本发明实施例的推理机训练方法,利用血流动力学校验来验证训练后的推理机是否合格,由此可以准确获知当前推理机的训练水平。如果确定推理机不合格,可以选择继续训练直至推理机合格为止。这样便于训练获得更有效的推理机,进而获得更准确高效的用于经颅多普勒检查的辅助诊断系统。According to the inference engine training method of the embodiment of the present invention, the hemodynamic check is used to verify whether the inference engine after the training is qualified, thereby accurately knowing the training level of the current inference engine. If it is determined that the inference engine is unqualified, it may choose to continue training until the inference engine is qualified. This facilitates training to obtain a more efficient inference engine, thereby obtaining a more accurate and efficient auxiliary diagnostic system for transcranial Doppler examination.
根据本发明实施例,步骤S2050可以包括:如果确定推理机不合格,则转至步骤S2060;推理机训练方法2000还可以包括步骤S2060:输出用于指示推理机未通过血流动力学校验的指示信息。According to an embodiment of the present invention, step S2050 may include: if it is determined that the inference engine fails, then go to step S2060; the inference engine training method 2000 may further include step S2060: outputting an indication for indicating that the inference engine fails the hemodynamic check information.
示例性地,如果确定推理机未通过血流动力学校验,也就是确定推理机不合格,则可以输出指示信息,例如在显示屏上显示“血流动力学校验未通过”这样的文字信息。这样方便通知辅助诊断系统的操作者(例如专家)推理机是否满足要求,方便操作者(例如专家)及时采取措施应对,以尽快训练获得符合要求的推理机。Illustratively, if it is determined that the inference engine has not passed the hemodynamic check, that is, the inference engine is determined to be unsatisfactory, the indication information may be output, for example, the text information "hemodynamic check failed" is displayed on the display screen. This facilitates notification to the operator (eg, expert) of the auxiliary diagnostic system whether the inference engine meets the requirements, and facilitates the operator (eg, an expert) to take timely measures to deal with the inference engine that meets the requirements as soon as possible.
根据本发明实施例,在步骤S2060之后,推理机训练方法2000还可以包括以下步骤。According to an embodiment of the present invention, after the step S2060, the inference engine training method 2000 may further include the following steps.
在步骤S2070,接收关于修改用于实现推理机的模型、推理机的参数、知识库中存储的血流数据和血流动力学校验所采用的血流动力学模型中的一项或多项的第一修改指令。At step S2070, receiving one or more of modifying a model for implementing the inference engine, parameters of the inference engine, blood flow data stored in the knowledge base, and a hemodynamic model employed in the hemodynamic check The first modification instruction.
在步骤S2080,根据第一修改指令执行对应的修改动作并返回步骤S2010。In step S2080, the corresponding modification action is executed according to the first modification instruction and returns to step S2010.
操作者(例如专家)在看到类似上述“血流动力学校验未通过”的文字信息时,获知推理机不满足要求,在这种情况下,操作者(例如专家)可以选择修改知识库中的原始血流数据、向知识库中加入新的血流数据、修改用于实现推理机的模型(例如由贝叶斯分类器改为深度神经网络)、修改推理机的参数或者修改血流动力学模型等。操作者(例如专家)可以将期望执行的修改指令(本实施例中称为第一修改指令)输入辅助诊断系统,辅助诊断系统接收到该指令后,将执行对应的修改动作。在执行修改动作之后,方法返回步骤S2010,重新开始训练推理机,并循环上述步骤S2010至S2050,如果推理机仍然不合格,可以再次执行步骤S2060至S2080。也就是说,步骤S2010至S2080可以重复进行直至推理机合格为止。通过及时调整知识库、推理机或血流动力学模型等环节,可以训练获得鲁棒性更好的推理机,进而获得更准确可靠的辅助诊断系统。The operator (such as an expert) knows that the inference engine does not meet the requirements when seeing the text information similar to the above "hemodynamic check fails". In this case, the operator (for example, an expert) can choose to modify the knowledge base. Raw blood flow data, adding new blood flow data to the knowledge base, modifying models used to implement the inference engine (eg, changing from a Bayesian classifier to a deep neural network), modifying parameters of the inference engine, or modifying blood flow Learning models, etc. An operator (for example, an expert) may input a modification instruction (referred to as a first modification instruction in this embodiment) that is desired to be executed into the auxiliary diagnosis system, and after receiving the instruction, the auxiliary diagnosis system will perform a corresponding modification action. After the modification action is performed, the method returns to step S2010, the training inference engine is restarted, and the above steps S2010 to S2050 are cycled, and if the inference engine is still unsatisfactory, steps S2060 to S2080 may be performed again. That is to say, steps S2010 to S2080 can be repeated until the inference engine is qualified. By timely adjusting the knowledge base, inference engine or hemodynamic model, it is possible to train a more robust inference engine to obtain a more accurate and reliable auxiliary diagnosis system.
根据本发明实施例,步骤S2050可以包括:如果确定推理机合格,则转至 步骤S2090;推理机训练方法2000还可以包括步骤S2090:以推理机提供的规则更新知识库中存储的已知规则。According to an embodiment of the present invention, step S2050 may include: if it is determined that the inference engine is qualified, then go to Step S2090; the inference engine training method 2000 may further include step S2090: updating the known rules stored in the knowledge base with rules provided by the inference engine.
推理机可以提供规则,知识库中存在初始存储好的已知规则。当推理机训练好之后,可以将训练好的推理机提供的规则更新到知识库中。如果推理机通过血流动力学校验,则可以认为推理机已训练好。示例性地,知识库中存储的已知规则可以包括专家预先制定好的规则。示例性地,已知规则还可以包括推理机在先前提供的规则。可以理解,推理机可以不断训练和更新。在知识库中的知识(即血流数据)数量较少时,训练获得的推理机可以提供一些规则。随着知识库中的知识逐渐增多,推理机可以重新训练,重新训练之后获得的推理机可以提供一些新的规则,以此类推。每次训练好的推理机提供的规则可以更新当前存储在知识库中的已知规则。The inference engine can provide rules, and there are known rules that are initially stored in the knowledge base. After the inference engine is trained, the rules provided by the trained inference engine can be updated into the knowledge base. If the inference engine passes the hemodynamic check, then the inference engine can be considered to have been trained. Illustratively, known rules stored in the knowledge base may include rules pre-defined by the expert. Illustratively, the known rules may also include rules that the inference engine previously provided. It can be understood that the inference engine can be continuously trained and updated. When the number of knowledge (ie, blood flow data) in the knowledge base is small, the inference engine obtained by the training can provide some rules. As the knowledge in the knowledge base grows, the inference engine can be retrained, the inference engine obtained after retraining can provide some new rules, and so on. The rules provided by each trained inference engine can update the known rules currently stored in the knowledge base.
根据本发明实施例,步骤S2050可以包括:如果确定推理机合格,则转至步骤S2100;推理机训练方法2000还可以包括:步骤S2100:判断推理机提供的规则与知识库中存储的已知规则是否冲突,如果是,则转至步骤S2110;以及步骤S2110:输出用于指示规则发生冲突的指示信息。According to an embodiment of the present invention, step S2050 may include: if it is determined that the inference engine is qualified, go to step S2100; the inference engine training method 2000 may further include: step S2100: determining a rule provided by the inference engine and a known rule stored in the knowledge base Whether it is a conflict, if yes, go to step S2110; and step S2110: output indication information indicating that the rule conflicts.
在推理机通过血流动力学校验之后,可以由冲突处理机制判断推理机提供的规则与知识库中存储的已知规则(主要是由专家存储的规则)是否冲突。例如,假设知识库中存储的已知规则规定平均血流速度大于70cm/s并且小于30cm/s表示存在异常,而推理机提供的规则规定平均血流速度大于65cm/s表示存在异常,则推理机提供的规则与知识库中存储的已知规则是不冲突的,如果推理机提供的规则规定平均血流速度大于75cm/s才表示异常,则推理机提供的规则与知识库中存储的已知规则是冲突的。也就是说,示例性地,推理机提供的规则比知识库中存储的已知规则更严厉时可以认为推理机提供的规则与知识库中存储的已知规则冲突。After the inference engine passes the hemodynamic check, it can be judged by the conflict handling mechanism whether the rules provided by the inference engine conflict with known rules stored in the knowledge base (mainly rules stored by experts). For example, suppose that the known rules stored in the knowledge base specify that the mean blood flow velocity is greater than 70 cm/s and less than 30 cm/s indicates an abnormality, while the ruler provides rules that specify that the mean blood flow velocity is greater than 65 cm/s indicating an abnormality, then the reasoning The rules provided by the machine are not conflicting with the known rules stored in the knowledge base. If the rules provided by the inference engine stipulate that the average blood flow velocity is greater than 75 cm/s to indicate an abnormality, the rules provided by the inference engine and the stored in the knowledge base Knowing the rules is conflicting. That is, by way of example, the rules provided by the inference engine may be considered to be more stringent than the known rules stored in the knowledge base, and the rules provided by the inference engine may be considered to conflict with known rules stored in the knowledge base.
如果推理机提供的规则与知识库中存储的已知规则存在冲突,则可以输出指示信息,例如在显示屏上显示“规则冲突”这样的文字信息。这样方便通知辅助诊断系统的操作者(例如专家)推理规则与已知规则之间的冲突,方便操作者(例如专家)及时采取措施应对,以尽快训练获得符合要求的推理机。If the rules provided by the inference engine conflict with known rules stored in the knowledge base, the indication information may be output, for example, text information such as "rule conflict" is displayed on the display screen. This facilitates notification of the conflict between the inference rules of the operator (eg, expert) of the auxiliary diagnostic system and the known rules, so that the operator (such as an expert) can take timely measures to deal with the inference engine that meets the requirements as soon as possible.
根据本发明实施例,在步骤S2110之后,推理机训练方法2000还可以包括:步骤S2120:接收关于修改用于实现推理机的模型、推理机的参数和知识库中存储的血流数据中的一项或多项的第二修改指令;以及步骤S2130:根据 第二修改指令执行对应的修改动作并返回步骤S2010。According to an embodiment of the present invention, after step S2110, the inference engine training method 2000 may further include: step S2120: receiving one of modifying a model for implementing the inference engine, parameters of the inference engine, and blood flow data stored in the knowledge base. a second modification instruction of the item or a plurality of items; and step S2130: according to The second modification instruction executes the corresponding modification action and returns to step S2010.
对于推理机提供的规则和知识库中存储的已知规则存在冲突的情况,可以选择对辅助诊断系统进行重新优化,例如修改机器学习参数或者血流动力学模型等,并重新训练推理机。冲突处理在操作人员能力不足时,可以由专家进行补充。For the conflict between the rules provided by the inference engine and the known rules stored in the knowledge base, the auxiliary diagnostic system may be re-optimized, such as modifying machine learning parameters or hemodynamic models, and retraining the inference engine. Conflict handling can be supplemented by experts when the operator's capabilities are insufficient.
根据本发明实施例,步骤S2100可以包括:如果推理机提供的规则与知识库中存储的已知规则不冲突,则转至步骤S2140;推理机训练方法2000还可以包括:步骤S2140:以推理机提供的规则更新知识库中存储的已知规则。According to an embodiment of the present invention, step S2100 may include: if the rule provided by the inference engine does not conflict with the known rule stored in the knowledge base, then go to step S2140; the inference engine training method 2000 may further include: step S2140: using the inference engine The provided rules update the known rules stored in the knowledge base.
在确定提供的规则与知识库中存储的已知规则不冲突的情况下,可以认为推理机已训练好,可以将训练好的推理机提供的规则更新到知识库中。In the case where it is determined that the provided rules do not conflict with the known rules stored in the knowledge base, the inference engine can be considered to be trained, and the rules provided by the trained inference engine can be updated into the knowledge base.
根据本发明实施例,在步骤S2010之后,推理机训练方法2000还可以包括步骤S2012:利用多组血流数据对推理机进行交叉验证,以评估推理机的正确率。According to an embodiment of the present invention, after step S2010, the inference engine training method 2000 may further include step S2012: cross-validating the inference engine with the plurality of sets of blood flow data to evaluate the correct rate of the inference engine.
对于训练集,可以使用K次交叉验证(K-Fold Cross Validation)来评估正确率。K次交叉验证的大致思想是将数据大致分为K个子样本,每次取一个子样本作为验证数据,取余下的K-1个子样本作为训练数据。用于实现推理机的模型构建好后作用于验证数据上,计算出当前正确率(或错误率)。重复K次,将K次正确率(或错误率)平均,得到一个整体正确率(或错误率)。可以通过整体正确率(或错误率),估计当前推理机的正确率(或错误率)。For training sets, K-Fold Cross Validation can be used to assess the correct rate. The general idea of K-time cross-validation is to roughly divide the data into K sub-samples, take one sub-sample each time as verification data, and take the remaining K-1 sub-samples as training data. The model used to implement the inference engine is constructed to act on the verification data to calculate the current correct rate (or error rate). Repeat K times and average the K correct rate (or error rate) to get an overall correct rate (or error rate). The correct rate (or error rate) of the current inference engine can be estimated by the overall correct rate (or error rate).
根据本发明实施例,步骤S2012可以包括:如果正确率小于预设阈值,则转至步骤S2014;推理机训练方法2000还可以包括:步骤S2014:输出用于指示推理机未通过交叉验证的指示信息。According to an embodiment of the present invention, step S2012 may include: if the correct rate is less than the preset threshold, proceeding to step S2014; the inference engine training method 2000 may further include: step S2014: outputting indication information indicating that the inference engine fails the cross-validation .
示例性地,预设阈值可以是任何合适的值,本发明不对此进行限制。如果正确率大于或等于某个预设阈值,则可以认为推理机训练成功。一般临床使用时对于错误的容忍度很低,因此预设阈值可以设定得非常高,例如95%。如果正确率不能达到要求,则可以通过修改推理机的参数、检查知识库是否存在错误、增加血流数据中的血流特征参数的种类等来达到目标正确率。当正确率接近100%时,相当于推理机的结论和专家给出的结论一致,推理机提供的规则其实已经包含了专家给出的知识。Illustratively, the preset threshold may be any suitable value, which is not limited by the invention. If the correct rate is greater than or equal to a predetermined threshold, the inference engine can be considered to be successful. The tolerance for errors in general clinical use is very low, so the preset threshold can be set very high, for example 95%. If the correct rate cannot meet the requirements, the target correct rate can be achieved by modifying the parameters of the inference engine, checking whether the knowledge base has errors, increasing the types of blood flow characteristic parameters in the blood flow data, and the like. When the correct rate is close to 100%, the conclusion equivalent to the inference engine is consistent with the conclusions given by the experts. The rules provided by the inference engine actually contain the knowledge given by the experts.
如果推理机未通过交叉验证,则可以输出指示信息,例如在显示屏上显示“交叉验证未通过”这样的文字信息。这样方便通知辅助诊断系统的操作者(例 如专家)推理机是否满足要求,方便操作者(例如专家)及时采取措施应对,以尽快训练获得符合要求的推理机。If the inference engine does not pass the cross-validation, the indication information can be output, for example, text information such as "cross-validation failed" is displayed on the display screen. This facilitates notification to the operator of the auxiliary diagnostic system (eg If the inference engine meets the requirements, it is convenient for the operator (such as an expert) to take timely measures to deal with the inference engine that meets the requirements as soon as possible.
根据本发明实施例,在步骤S2014之后,推理机训练方法2000还可以包括以下步骤。According to an embodiment of the present invention, after the step S2014, the inference engine training method 2000 may further include the following steps.
在步骤S2016,接收关于修改用于实现推理机的模型、推理机的参数和知识库中存储的血流数据中的一项或多项的第三修改指令。At step S2016, a third modification instruction is received regarding modifying one or more of a model for implementing the inference engine, parameters of the inference engine, and blood flow data stored in the knowledge base.
在步骤S2018,根据第三修改指令执行对应的修改动作并返回步骤S2010。In step S2018, the corresponding modification action is executed according to the third modification instruction and returns to step S2010.
与推理机未通过血流动力学校验的情况类似地,操作者(例如专家)在看到类似上述“交叉验证未通过”的文字信息时,获知推理机不满足要求,在这种情况下,操作者(例如专家)可以选择修改知识库中的原始血流数据、向知识库中加入新的血流数据、修改用于实现推理机的模型、修改推理机的参数等。操作者(例如专家)可以将期望执行的修改指令(本实施例中称为第三修改指令)输入辅助诊断系统,辅助诊断系统接收到该指令后,将执行对应的修改动作。在执行修改动作之后,方法返回步骤S2010,重新开始训练推理机。在训练之后可以再次执行步骤S2012,即再次对训练后的推理机进行交叉验证。如果推理机仍然未通过交叉验证,则可以重复执行步骤S2010、S2012和S2014直至推理机通过交叉验证为止。利用交叉验证可以提高推理机的准确度。Similar to the case where the inference engine does not pass the hemodynamic check, the operator (for example, an expert) knows that the inference engine does not satisfy the requirement when seeing the text information similar to the above-mentioned "cross-validation failed", in which case, The operator (eg, an expert) may choose to modify the original blood flow data in the knowledge base, add new blood flow data to the knowledge base, modify the model used to implement the inference engine, modify the parameters of the inference engine, and the like. An operator (for example, an expert) may input a modification instruction (referred to as a third modification instruction in this embodiment) that is desired to be executed into the auxiliary diagnosis system, and after receiving the instruction, the auxiliary diagnosis system will perform a corresponding modification action. After performing the modification action, the method returns to step S2010 to restart the training of the inference engine. After the training, step S2012 can be performed again, that is, the trained inference engine is cross-validated again. If the inference engine still fails the cross-validation, steps S2010, S2012, and S2014 may be repeatedly performed until the inference engine passes the cross-validation. Cross-validation can improve the accuracy of the inference engine.
上文描述了辅助诊断系统中的推理机的训练方法。推理机训练好之后,可以应用于辅助诊断系统。可以理解的是,推理机的训练过程和辅助诊断系统的应用过程可以是相辅相成的,二者可以交叉实施。例如,在辅助诊断系统的实际应用中,可以在需要时(定期或不定期地)采用上文所述的推理机训练方法重新训练一次推理机,以实现推理机的不断改进。在辅助诊断系统的日后工作中,可以利用新训练好的推理机进行推理。The training method of the inference engine in the auxiliary diagnosis system has been described above. After the inference engine is trained, it can be applied to the auxiliary diagnosis system. It can be understood that the training process of the inference engine and the application process of the auxiliary diagnosis system can be complementary, and the two can be implemented crosswise. For example, in the practical application of the auxiliary diagnostic system, the inference engine can be retrained as needed (regularly or irregularly) using the inference engine training method described above to achieve continuous improvement of the inference engine. In the future work of the auxiliary diagnostic system, the newly trained inference engine can be used for reasoning.
此外,在辅助诊断系统的实际应用中,还可以不断更新辅助诊断系统中的其他部分,例如知识库、解释器等,以实现辅助诊断系统的升级。辅助诊断系统的升级有助于提供更准确的辅助诊断结论。下面描述根据本发明实施例的一种辅助诊断系统的升级方法。In addition, in the practical application of the auxiliary diagnosis system, other parts in the auxiliary diagnosis system, such as a knowledge base, an interpreter, and the like, can be continuously updated to implement an upgrade of the auxiliary diagnosis system. The upgrade of the auxiliary diagnostic system helps to provide a more accurate diagnosis of the diagnosis. An upgrade method of an auxiliary diagnosis system according to an embodiment of the present invention is described below.
图4示出根据本发明一个实施例的辅助诊断系统的升级方法400的示意性流程图。如图4所示,升级方法400包括以下步骤。4 shows a schematic flow diagram of an upgrade method 400 of an auxiliary diagnostic system in accordance with one embodiment of the present invention. As shown in FIG. 4, the upgrade method 400 includes the following steps.
在步骤S410,至少利用辅助诊断系统的、采用上述推理机训练方法200训练获得的推理机对一组或多组实际血流特征参数进行推理,以获得与一组或多 组实际血流特征参数一一对应的一个或多个实际结论。In step S410, at least one or more sets of actual blood flow characteristic parameters are inferred by the inference engine obtained by the above-described inference engine training method 200 using the auxiliary diagnosis system to obtain one or more sets. One or more actual conclusions corresponding to the actual blood flow characteristic parameters of the group.
如上文所述,对于辅助诊断系统来说,可以在需要时(定期或不定期地)采用上文所述的推理机训练方法200重新训练一次推理机。在某次推理机训练结束之后,可以利用训练获得的推理机开始对实际血流特征参数进行推理。比较可取的是,实际血流特征参数可以是在辅助诊断系统的应用过程中需要处理的各种真实病例中的血流特征参数。当然,实际血流特征参数可以有其他来源,例如是仿真实验中的仿真参数等,本发明不对此进行限制。As described above, for the auxiliary diagnostic system, the inference engine can be retrained once when needed (regularly or irregularly) using the inference engine training method 200 described above. After the end of a certain inference engine training, the inference engine obtained by the training can be used to start the inference of the actual blood flow characteristic parameters. Preferably, the actual blood flow characteristic parameter may be a blood flow characteristic parameter in various real cases that need to be processed during the application of the auxiliary diagnostic system. Of course, the actual blood flow characteristic parameters may have other sources, such as simulation parameters in a simulation experiment, etc., which are not limited by the present invention.
可选地,每组实际血流特征参数同样可以包括上文所述的收缩期最大血流速度、舒张末期血流速度、平均血流速度、搏动指数、阻力指数、血流反向、窃血、涡流、湍流和短横线等参数中的一种或多种。Optionally, each set of actual blood flow characteristic parameters may also include the maximum systolic blood flow velocity, end-diastolic blood flow velocity, mean blood flow velocity, pulsation index, resistance index, blood flow reversal, and blood stealing described above. One or more of the parameters of eddy current, turbulence, and dash.
示例性地,所述一组或多组实际血流特征参数可以是辅助诊断系统未处理过的实际血流特征参数,也可以是辅助诊断系统先前处理过的实际血流特征参数,这将在下文描述。Illustratively, the one or more sets of actual blood flow characteristic parameters may be actual blood flow characteristic parameters that have not been processed by the auxiliary diagnostic system, or may be actual blood flow characteristic parameters previously processed by the auxiliary diagnostic system, which will be Described below.
如上文所述,推理机可以提供规则,可以至少基于推理机提供的规则对每组实际血流特征参数进行推理,以获得对应的结论(本文称为实际结论)。As described above, the inference engine can provide rules that can be inferred for each set of actual blood flow characteristic parameters based on at least the rules provided by the inference engine to obtain a corresponding conclusion (this is referred to as the actual conclusion).
在步骤S420,输出一个或多个实际结论。At step S420, one or more actual conclusions are output.
可以通过上文所述的用户接口输出一个或多个实际结论,以供操作者(例如专家)查看。One or more actual conclusions can be output through the user interface described above for viewing by an operator (eg, an expert).
在步骤S430,接收关于一个或多个实际结论中的至少部分实际结论的指示信息。At step S430, indication information regarding at least a portion of the actual conclusions in the one or more actual conclusions is received.
操作者(例如专家)查看实际结论之后,可以分析哪些实际结论属于常见的、比较普通的病例,哪些实际结论属于不太常见的非典型病例,随后,操作者(例如专家)可以自主选择将与哪类病例对应的实际结论存储起来。例如,操作者(例如专家)可以通过用户接口与辅助诊断系统交互,指示辅助诊断系统将与非典型病例对应的实际结论以及与该实际结论对应的实际血流特征参数存储到知识库中作为新的知识。示例性地,知识库中存储新的知识(即知识库得到更新)之后,可以基于更新后的知识库重新训练一遍推理机。此外,知识库中存储新的知识(即知识库得到更新)之后,还可以基于更新后的知识库和当前的推理机(可以是基于更新后的知识库重新训练一遍后获得的推理机)生成新的解释器。After the operator (such as an expert) looks at the actual conclusions, it can analyze which actual conclusions belong to the common, more common cases, and which actual conclusions belong to the less common atypical cases. Subsequently, the operator (such as an expert) can choose to The actual conclusions corresponding to which type of case are stored. For example, an operator (eg, an expert) can interact with the auxiliary diagnostic system through the user interface, instructing the auxiliary diagnostic system to store the actual conclusions corresponding to the atypical case and the actual blood flow characteristic parameters corresponding to the actual conclusion in the knowledge base as new knowledge. Illustratively, after the new knowledge is stored in the knowledge base (ie, the knowledge base is updated), the inference engine can be retrained based on the updated knowledge base. In addition, after the new knowledge is stored in the knowledge base (that is, the knowledge base is updated), it can also be generated based on the updated knowledge base and the current inference engine (which may be an inference engine obtained after retraining based on the updated knowledge base). New interpreter.
在步骤S440,基于指示信息将至少部分实际结论以及与至少部分实际结论 一一对应的至少一组实际血流特征参数存储到辅助诊断系统的知识库中用于实现辅助诊断系统的升级。At step S440, based on the indication information, at least part of the actual conclusion and at least part of the actual conclusion The one-to-one correspondence of at least one set of actual blood flow characteristic parameters is stored in a knowledge base of the auxiliary diagnostic system for implementing an upgrade of the auxiliary diagnostic system.
在一个示例中,一组或多组实际血流特征参数可以是辅助诊断系统当前需要处理的实际血流特征参数,即辅助诊断系统先前未处理过的新的实际血流特征参数。也就是说,辅助诊断系统在应用过程中,接收到新的实际血流特征参数之后,对新的实际血流特征参数进行推理,获得对应的实际结论。此时如果操作者(例如专家)认为某个实际结论属于比较有价值的病例(例如非典型病例),则可以将该实际结论和与该实际结论对应的一组实际血流特征参数存储到知识库中。In one example, one or more sets of actual blood flow characteristic parameters may be actual blood flow characteristic parameters that the auxiliary diagnostic system currently needs to process, ie, new actual blood flow characteristic parameters that the auxiliary diagnostic system has not previously processed. That is to say, after receiving the new actual blood flow characteristic parameter in the application process, the auxiliary diagnosis system infers the new actual blood flow characteristic parameter and obtains the corresponding actual conclusion. At this time, if the operator (for example, an expert) thinks that an actual conclusion belongs to a more valuable case (for example, an atypical case), the actual conclusion and a set of actual blood flow characteristic parameters corresponding to the actual conclusion can be stored in the knowledge. In the library.
在另一个示例中,辅助诊断系统的数据库用于存储辅助诊断系统先前处理的实际血流特征参数和针对先前处理的实际血流特征参数进行推理获得的先前结论,一组或多组实际血流特征参数是来自辅助诊断系统的数据库的先前处理的实际血流特征参数。In another example, the database of the auxiliary diagnostic system is used to store actual blood flow characteristic parameters previously processed by the auxiliary diagnostic system and previous conclusions obtained by reasoning for previously processed actual blood flow characteristic parameters, one or more sets of actual blood flow The characteristic parameters are the previously processed actual blood flow characteristic parameters from the database of the auxiliary diagnostic system.
数据库在辅助诊断系统的应用过程中会积累推理所需的原始数据、中间结果和最终结论等等。数据库中的原始数据可以包括上文所述的血流特征参数(在关于升级方法400的描述中称为“实际血流特征参数”)。也就是说,数据库中可以存储有辅助诊断系统先前已经处理过的实际血流特征参数及对应的先前结论。随着辅助诊断系统的应用时间越长,数据库中积累的数据越多,并且数据库中积累的主要是现实中遇到的各种病例,因此具有非常重要的现实意义和参考价值。对于数据库中的一些不常见的非典型病例,可以利用这些病例来扩充知识库。例如,在某次训练获得新的推理机之后,可以利用训练获得的推理机重新推理一遍数据库中存储的先前处理的实际血流特征参数,获得对应的实际结论。这样处理可以修正以前的某些推理错误,并且有助于发现一些以前被忽略的重要信息。例如,从重新推理获得的实际结论中有可能发现一些以前未被发现或未受重视的病例,如果发现一些有价值的病例,可以将与这类病例对应的实际结论及相关的实际血流特征参数存储到数据库中作为新的知识。这样同样可以实现知识库的扩充,即实现辅助诊断系统的升级。The database accumulates the raw data, intermediate results and final conclusions required for reasoning in the application process of the auxiliary diagnosis system. The raw data in the database may include the blood flow characteristic parameters described above (referred to as "actual blood flow characteristic parameters" in the description of the upgrade method 400). That is to say, the actual blood flow characteristic parameters that the auxiliary diagnostic system has previously processed and the corresponding previous conclusions can be stored in the database. With the application time of the auxiliary diagnosis system, the more data accumulated in the database, and the accumulated in the database are mainly the various cases encountered in reality, so it has very important practical significance and reference value. These cases can be used to augment the knowledge base for some of the less common atypical cases in the database. For example, after a training acquires a new inference engine, the inference engine obtained by the training can be used to re-infer the previously processed actual blood flow characteristic parameters stored in the database to obtain corresponding actual conclusions. This processing can correct some of the previous inference errors and help to discover important information that was previously ignored. For example, from the actual conclusions obtained from re-reasoning, it is possible to find some cases that have not been discovered or are not valued. If some valuable cases are found, the actual conclusions corresponding to such cases and the relevant actual blood flow characteristics can be found. The parameters are stored in the database as new knowledge. This also enables the expansion of the knowledge base, that is, the upgrade of the auxiliary diagnostic system.
辅助诊断系统在应用过程中需要不断升级,例如,在辅助诊断系统初始搭建完成时,知识库中的数据可能是不充分的。通过升级方法400可以实现数据库的不断扩充,从而实现辅助诊断系统的不断升级。The auxiliary diagnostic system needs to be continuously upgraded during the application process. For example, when the auxiliary diagnostic system is initially set up, the data in the knowledge base may be insufficient. Through the upgrade method 400, the database can be continuously expanded, thereby achieving continuous upgrading of the auxiliary diagnosis system.
根据本发明实施例,上述至少部分实际结论是与人工选择的非典型病例对 应的实际结论。至少部分实际结论可以是人工选择的,示例性地,可以是专家选择的。随着辅助诊断系统的应用,会有大量的新数据补充到数据库中,其中可以存在一些不常见的非典型病例。这些非典型病症可以交给人类专家进行进一步分析。也就是说,操作者(例如专家)可以自主选择与非典型病例对应的实际结论,这样的数据具有非常重要的现实意义和参考价值,有利于提高辅助诊断系统的有效性。According to an embodiment of the invention, at least part of the actual conclusion is that it is compared with a manually selected atypical case The actual conclusions should be. At least some of the actual conclusions can be manually selected, and exemplarily, can be selected by an expert. With the application of the auxiliary diagnostic system, a large amount of new data will be added to the database, and there may be some unusual atypical cases. These atypical conditions can be referred to human experts for further analysis. That is to say, the operator (such as an expert) can independently select the actual conclusion corresponding to the atypical case. Such data has very important practical significance and reference value, which is beneficial to improve the effectiveness of the auxiliary diagnosis system.
根据本发明实施例,步骤S410可以包括:综合推理机提供的规则与辅助诊断系统的知识库中存储的已知规则,以获得综合后的规则;以及基于综合后的规则对一组或多组实际血流特征参数进行推理。According to an embodiment of the present invention, step S410 may include: synthesizing rules provided by the inference engine and known rules stored in the knowledge base of the auxiliary diagnosis system to obtain the integrated rules; and grouping one or more groups based on the integrated rules The actual blood flow characteristic parameters are reasoned.
示例性地,可以将推理机提供的规则与知识库中存储的已知规则综合在一起,生成解释器。例如,可以将知识库中的已知规则与推理机提供的规则转化为一组函数F=(f1,f2…fn),n可以是结论的数目。f1,f2…fn中的每一个函数输出一个结论。假设实际血流特征参数采用上文所述的向量T来表示,可以将向量T放入解释器F中进行运算,然后取所获得的n个输出中的数值最大的输出作为最终的辅助诊断结论(即上述实际结论)。Illustratively, an interpreter can be generated by synthesizing the rules provided by the inference engine with known rules stored in the knowledge base. For example, the known rules in the knowledge base and the rules provided by the inference engine can be converted into a set of functions F = (f1, f2 ... fn), where n can be the number of conclusions. Each function in f1, f2...fn outputs a conclusion. Assuming that the actual blood flow characteristic parameters are represented by the vector T described above, the vector T can be placed in the interpreter F for calculation, and then the output with the largest value among the obtained n outputs is taken as the final auxiliary diagnosis conclusion. (ie the above actual conclusions).
根据本发明实施例,辅助诊断系统的数据库用于存储关于先前结论是否被采纳的反馈信息,升级方法400还可以包括:如果根据数据库中存储的反馈信息确定特定类型的先前结论未被采纳的次数超过次数阈值,则输出关于特定类型的先前结论可能存在问题的提示信息;接收关于修改用于实现推理机的模型、推理机的参数和知识库中存储的已知规则中的一项或多项的修改指令;以及根据修改指令执行对应的修改动作。According to an embodiment of the present invention, the database of the auxiliary diagnosis system is used to store feedback information about whether the previous conclusion is adopted, and the upgrade method 400 may further include: determining the number of times the previous conclusion of the specific type is not adopted according to the feedback information stored in the database. Exceeding the number of thresholds, outputting prompt information about a particular type of previous conclusion that may be problematic; receiving one or more of modifying the model used to implement the inference engine, the parameters of the inference engine, and the known rules stored in the knowledge base The modification instruction; and the corresponding modification action is performed according to the modification instruction.
示例性地,数据库还可以存储在人机交互过程中由辅助诊断系统的操作者(例如专家)输入的一些信息,例如其对辅助诊断系统提供的辅助诊断结论的意见(例如辅助诊断结论是否可以采纳、关于辅助诊断结论的一些补充意见等)。Illustratively, the database may also store some information entered by the operator (eg, an expert) of the auxiliary diagnostic system during the human-computer interaction process, such as its opinion on the auxiliary diagnostic conclusion provided by the auxiliary diagnostic system (eg, whether the auxiliary diagnosis conclusion can be Adoption, some additional comments on the conclusions of the auxiliary diagnosis, etc.).
人类专家虽然具有极高的专业素质,但是也可能会出错误。系统设计也不可能完全以专家为主,因此可以设计一个纠错机制,尽量减少人类专家的错误。辅助诊断系统实际应用时,操作者对辅助诊断结论的采纳程度是一个重要指标,可以定期分析这个数据,如果发现某个结论经常被更改或经常性地不被操作者采纳,则可以重新评估该结论及获得该结论所基于的规则。评估工作可以由操作者(主要是专家)进行。操作者(主要是专家)可以判断结论不准确的原因,例如可能是知识库中存储的已知规则不合理、推理机提供的规则不合理等等, 并制定相应的修改计划。操作者(主要是专家)可以通过用户接口与辅助诊断系统交互,指示辅助诊断系统对某些地方进行修改,例如修改用于实现推理机的模型和/或修改推理机的参数,以修改推理机提供的规则。又例如,操作者(主要是专家)可以指示辅助诊断系统修改知识库中存储的已知规则等。Although human experts have a very high professional quality, they may also make mistakes. It is also impossible for the system design to be entirely expert-oriented, so it is possible to design a correction mechanism to minimize the errors of human experts. When the auxiliary diagnosis system is actually applied, the operator's adoption of the auxiliary diagnosis conclusion is an important indicator. This data can be analyzed periodically. If a conclusion is found to be frequently changed or frequently adopted by the operator, the evaluation can be re-evaluated. Conclusion and the rules on which the conclusion is based. The assessment can be carried out by the operator (mainly an expert). The operator (mainly an expert) can judge the reason for the inaccuracy of the conclusion, for example, it may be that the known rules stored in the knowledge base are unreasonable, the rules provided by the inference engine are unreasonable, etc. And develop a corresponding revision plan. The operator (mainly an expert) can interact with the auxiliary diagnostic system through the user interface to instruct the auxiliary diagnostic system to modify certain places, such as modifying the model used to implement the inference engine and/or modifying the parameters of the inference engine to modify the inference engine The rules provided. As another example, an operator (primarily an expert) can instruct the secondary diagnostic system to modify known rules and the like stored in the knowledge base.
示例性地,升级方法400还可以包括:对于多根血管中的每根血管,至少利用推理机对与该血管相关的一组实际血流特征参数进行推理,以获得与该血管对应的血管相关结论;实时输出与该血管对应的血管相关结论;以及实时接收并存储关于与该血管对应的血管相关结论是否被采纳的反馈信息。Illustratively, the upgrade method 400 can further include: for each of the plurality of blood vessels, at least using an inference engine to infer a set of actual blood flow characteristic parameters associated with the blood vessel to obtain a blood vessel correlation corresponding to the blood vessel Conclusion; blood vessel related conclusions corresponding to the blood vessel are output in real time; and feedback information on whether or not the blood vessel related conclusion corresponding to the blood vessel is accepted is received and stored in real time.
例如,经颅多普勒检查通常要检查10根左右血管,在检查过程中和全部检查结束时,操作者和辅助诊断系统可以进行交互。需要检查的多根血管可以逐一进行检查。一根血管检查完毕,可以得到与该血管相关的一组实际血流特征参数。在检查过程中,辅助诊断系统可以根据已获得的信息,实时输出辅助诊断结论(即与血管对应的血管相关结论)。实时输出的辅助诊断结论,操作者可以确定是否采纳,并且可以根据当前的辅助诊断结论确定是否改变默认的检查顺序。例如,如果根据当前的辅助诊断结论确定某个部位可能有问题,并且该部位的血管并非是下一个检查目标,则操作者可以输入指令,要求调整检查顺序。此外,操作者也可以选择维持默认检查顺序,等检查完毕后统一处理。通过以上方式可以获得操作者的反馈信息,该反馈信息是针对每根血管的反馈信息。后续可以基于反馈信息来修正知识库或推理机,实现辅助诊断系统的进一步升级。本发明并不局限于上述实现方式,例如,可以无需向操作者输出与每根血管相关的血管相关结论,可以仅输出最后的总结论。For example, transcranial Doppler examination usually involves examining about 10 blood vessels, and the operator and the auxiliary diagnostic system can interact during the examination and at the end of all examinations. The multiple blood vessels that need to be examined can be examined one by one. Once a blood vessel is examined, a set of actual blood flow characteristic parameters associated with the blood vessel can be obtained. During the examination, the auxiliary diagnosis system can output the auxiliary diagnosis conclusion (ie, the blood vessel-related conclusion corresponding to the blood vessel) in real time based on the obtained information. The auxiliary diagnosis conclusion of the real-time output, the operator can determine whether to adopt, and can determine whether to change the default inspection order according to the current auxiliary diagnosis conclusion. For example, if it is determined that there is a problem with a certain part based on the current auxiliary diagnosis result, and the blood vessel of the part is not the next inspection target, the operator can input an instruction to adjust the inspection order. In addition, the operator can also choose to maintain the default inspection order, and wait until the inspection is completed. The feedback information of the operator can be obtained by the above method, and the feedback information is feedback information for each blood vessel. Subsequent corrections to the knowledge base or inference engine based on the feedback information can be used to further upgrade the auxiliary diagnostic system. The present invention is not limited to the above-described implementation, and for example, it is possible to output only the final general conclusion without outputting a blood vessel related conclusion associated with each blood vessel to the operator.
示例性地,升级方法400还可以包括:至少利用推理机对与多根血管一一对应相关的多组实际血流特征参数进行推理,以获得与多根血管一一对应的多个血管相关结论;基于多个血管相关结论确定总结论;输出总结论;以及接收并存储关于总结论是否被采纳的反馈信息。Illustratively, the upgrade method 400 may further include: inferring, by using at least an inference engine, a plurality of sets of actual blood flow characteristic parameters associated with the plurality of blood vessels in a one-to-one correspondence to obtain a plurality of blood vessel related conclusions corresponding to the plurality of blood vessels one-to-one Determining a general conclusion based on a plurality of blood vessel related conclusions; outputting a general conclusion; and receiving and storing feedback information as to whether the overall conclusion is adopted.
在所有血管检查完毕后,辅助诊断系统可以给出总体的检查报告建议(可以称为“总结论”),如果操作者采纳,则可以签字确认;如果操作者觉得不够完整或不够正确,可以选择不采纳。通过以上方式可以获得操作者的反馈信息,该反馈信息是针对多根血管的整体反馈信息。后续可以基于反馈信息来修正知识库或推理机,实现辅助诊断系统的进一步升级。After all vascular examinations are completed, the auxiliary diagnostic system can give an overall test report recommendation (which can be called a “total conclusion”). If the operator accepts it, it can be signed and confirmed; if the operator feels incomplete or not correct, you can choose Not adopted. The feedback information of the operator can be obtained by the above method, and the feedback information is overall feedback information for a plurality of blood vessels. Subsequent corrections to the knowledge base or inference engine based on the feedback information can be used to further upgrade the auxiliary diagnostic system.
示例性地,在每次知识库和推理机中的一者或两者更新后,可以重新生成 解释器。也就是说,可以基于知识库和/或推理机生成辅助诊断系统中的新的解释器。解释器的更新也属于辅助诊断系统的一种升级。解释器可以对实际结论进行简单分类,例如分为“常见”、“不常见”等,人类专家可以从中选择更有价值的实际结论。解释器的分类可以大大降低人类专家的工作,使得人类专家有机会专注于更有特点的病例,从而大大提高知识库的迭代升级效率。Illustratively, each time the knowledge base and the inference engine are updated, they can be regenerated Interpreter. That is, a new interpreter in the auxiliary diagnostic system can be generated based on the knowledge base and/or the inference engine. The update of the interpreter is also an upgrade to the secondary diagnostic system. The interpreter can simply classify actual conclusions, such as "common", "uncommon", etc., and human experts can choose more valuable practical conclusions. The classification of interpreters can greatly reduce the work of human experts, giving human experts the opportunity to focus on more characteristic cases, thus greatly improving the iterative upgrade efficiency of the knowledge base.
上文描述的辅助诊断系统的升级方法是一种自主化升级方法,采用该方法,辅助诊断系统可以在实际应用过程中自动升级,不断完善自己,从而使得系统的正确率和性能可以不断得到提升。The upgrade method of the auxiliary diagnosis system described above is an autonomous upgrade method. With the method, the auxiliary diagnosis system can be automatically upgraded in the actual application process, and the user is continuously improved, so that the correct rate and performance of the system can be continuously improved. .
根据本发明另一方面,提供一种推理机训练装置。图5示出了根据本发明一个实施例的推理机训练装置500的示意性框图。According to another aspect of the present invention, an inference engine training device is provided. FIG. 5 shows a schematic block diagram of an inference engine training device 500 in accordance with one embodiment of the present invention.
如图5所示,根据本发明实施例的推理机训练装置500包括训练模块510、选择模块520、推理模块530、血流动力学校验模块540和合格判断模块550。所述各个模块可分别执行上文中结合图1-3描述的推理机训练方法的各个步骤/功能。以下仅对该推理机训练装置500的各部件的主要功能进行描述,而省略以上已经描述过的细节内容。As shown in FIG. 5, the inference engine training device 500 according to an embodiment of the present invention includes a training module 510, a selection module 520, an inference module 530, a hemodynamic verification module 540, and an eligibility determination module 550. The various modules may perform the various steps/functions of the inference engine training method described above in connection with Figures 1-3, respectively. Only the main functions of the components of the inference engine training device 500 will be described below, and the details already described above are omitted.
训练模块510用于利用知识库中存储的多组血流数据作为样本训练推理机,其中,知识库中存储的每组血流数据包括血流特征参数和对应的已知结论。The training module 510 is configured to utilize the plurality of sets of blood flow data stored in the knowledge base as a sample training inference engine, wherein each set of blood flow data stored in the knowledge base includes blood flow characteristic parameters and corresponding known conclusions.
选择模块520用于从知识库中选择至少一组血流数据。The selection module 520 is configured to select at least one set of blood flow data from the knowledge base.
推理模块530用于对于至少一组血流数据中的每组血流数据,利用推理机对该组血流数据中的血流特征参数进行推理,以获得对应的测试结论。The inference module 530 is configured to infer the blood flow characteristic parameters in the blood flow data of the set of blood flow data for each set of blood flow data in the at least one set of blood flow data to obtain a corresponding test conclusion.
血流动力学校验模块540用于基于至少一组血流数据中的每组血流数据中的血流特征参数及对应的测试结论进行血流动力学校验。The hemodynamic check module 540 is configured to perform a hemodynamic check based on blood flow characteristic parameters and corresponding test conclusions in each of the at least one set of blood flow data.
合格判断模块550用于基于血流动力学校验结果判断推理机是否合格。The qualification determination module 550 is configured to determine whether the inference engine is qualified based on the hemodynamic verification result.
根据本发明实施例,推理机训练装置500还包括第一输出模块(未示出),合格判断模块550包括:第一启动子模块,用于如果确定推理机不合格,则启动第一输出模块;第一输出模块用于输出用于指示推理机未通过血流动力学校验的指示信息。According to an embodiment of the present invention, the inference engine training device 500 further includes a first output module (not shown), and the pass judgment module 550 includes: a first boot submodule, configured to start the first output module if it is determined that the inference engine is unqualified The first output module is configured to output indication information for indicating that the inference engine has not passed the hemodynamic check.
根据本发明实施例,推理机训练装置500还包括:第一接收模块(未示出),用于接收关于修改用于实现推理机的模型、推理机的参数、知识库中存储的血流数据和血流动力学校验所采用的血流动力学模型中的一项或多项的第一修改指令;以及第一执行模块(未示出),用于根据第一修改指令执行对应的修改动 作并启动训练模块。According to an embodiment of the present invention, the inference engine training apparatus 500 further includes: a first receiving module (not shown) for receiving data about modifying a model for implementing the inference engine, parameters of the inference engine, and blood flow data stored in the knowledge base. And a first modification instruction of one or more of the hemodynamic models employed by the hemodynamic check; and a first execution module (not shown) for performing a corresponding modification based on the first modification instruction Make and start the training module.
根据本发明实施例,推理机训练装置500还包括第一更新模块(未示出),合格判断模块550包括:第二启动子模块,用于如果确定推理机合格,则启动第一更新模块;第一更新模块用于以推理机提供的规则更新知识库中存储的已知规则。According to an embodiment of the present invention, the inference engine training device 500 further includes a first update module (not shown), and the qualification determination module 550 includes: a second promoter module, configured to start the first update module if it is determined that the inference engine is qualified; The first update module is for updating the known rules stored in the knowledge base with rules provided by the inference engine.
根据本发明实施例,推理机训练装置500还包括冲突判断模块和第二输出模块(未示出),合格判断模块550包括:第三启动子模块,用于如果确定推理机合格,则启动冲突判断模块;冲突判断模块用于判断推理机提供的规则与知识库中存储的已知规则是否冲突,如果是,则启动第二输出模块;第二输出模块用于输出用于指示规则发生冲突的指示信息。According to an embodiment of the present invention, the inference engine training apparatus 500 further includes a conflict determination module and a second output module (not shown), and the qualification determination module 550 includes: a third promoter module for initiating a conflict if it is determined that the inference engine is qualified a judging module; the conflict judging module is configured to judge whether the rule provided by the inference engine conflicts with a known rule stored in the knowledge base, and if so, start a second output module; and the second output module is configured to output a rule for indicating that the rule conflicts Instructions.
根据本发明实施例,推理机训练装置500还包括:第二接收模块(未示出),用于接收关于修改用于实现推理机的模型、推理机的参数和知识库中存储的血流数据中的一项或多项的第二修改指令;以及第二执行模块(未示出),用于根据第二修改指令执行对应的修改动作并启动训练模块。According to an embodiment of the present invention, the inference engine training apparatus 500 further includes: a second receiving module (not shown) for receiving data about modifying the model for implementing the inference engine, the parameters of the inference engine, and the blood flow data stored in the knowledge base. And a second execution instruction (not shown) for performing a corresponding modification action and starting the training module according to the second modification instruction.
根据本发明实施例,推理机训练装置500还包括第二更新模块(未示出),冲突判断模块包括:第四启动子模块,用于如果推理机提供的规则与知识库中存储的已知规则不冲突,则启动第二更新模块;第二更新模块用于以推理机提供的规则更新知识库中存储的已知规则。According to an embodiment of the present invention, the inference engine training apparatus 500 further includes a second update module (not shown), and the conflict determination module includes: a fourth promoter module for using the rules provided in the knowledge base and the known knowledge stored in the knowledge base If the rules do not conflict, the second update module is started; the second update module is used to update the known rules stored in the knowledge base with the rules provided by the inference engine.
根据本发明实施例,推理机训练装置500还包括:交叉验证模块(未示出),用于在训练模块利用知识库中存储的多组血流数据作为样本训练推理机之后,利用多组血流数据对推理机进行交叉验证,以评估推理机的正确率。According to an embodiment of the present invention, the inference engine training apparatus 500 further includes: a cross-validation module (not shown) for utilizing the plurality of sets of blood after the training module utilizes the plurality of sets of blood flow data stored in the knowledge base as the sample training inference engine The stream data cross-validates the inference engine to evaluate the correctness of the inference engine.
根据本发明实施例,推理机训练装置500还包括第三输出模块(未示出),交叉验证模块包括:第三启动子模块,用于如果正确率小于预设阈值,则启动第三输出模块;第三输出模块用于输出用于指示推理机未通过交叉验证的指示信息。According to an embodiment of the present invention, the inference engine training device 500 further includes a third output module (not shown), and the cross-validation module includes: a third promoter module, configured to start the third output module if the correct rate is less than the preset threshold The third output module is configured to output indication information indicating that the inference engine has not passed the cross-validation.
根据本发明实施例,推理机训练装置500还包括:第三接收模块(未示出),用于接收关于修改用于实现推理机的模型、推理机的参数和知识库中存储的血流数据中的一项或多项的第三修改指令;以及第三执行模块(未示出),用于根据第三修改指令执行对应的修改动作并启动训练模块。According to an embodiment of the present invention, the inference engine training apparatus 500 further includes: a third receiving module (not shown) for receiving data about modifying the model for implementing the inference engine, the parameters of the inference engine, and the blood flow data stored in the knowledge base. And a third execution module (not shown) for performing a corresponding modification action and starting the training module according to the third modification instruction.
根据本发明实施例,推理机采用贝叶斯分类器、支持向量机或深度神经网络实现。 According to an embodiment of the invention, the inference engine is implemented using a Bayesian classifier, a support vector machine or a deep neural network.
根据本发明实施例,血流动力学校验模块540包括:建立子模块,用于建立预定义的血流动力学模型;以及判断子模块,用于判断至少一组血流数据中的每组血流数据中的血流特征参数及对应的测试结论是否符合预定义的血流动力学模型所规定的物理规律,以获得血流动力学校验结果。According to an embodiment of the invention, the hemodynamic verification module 540 includes: a setup sub-module for establishing a predefined hemodynamic model; and a determination sub-module for determining each set of blood in at least one set of blood flow data The blood flow characteristic parameters and corresponding test conclusions in the flow data conform to the physical laws prescribed by the predefined hemodynamic model to obtain hemodynamic test results.
本领域普通技术人员可以意识到,结合本文中所公开的实施例描述的各示例的单元及算法步骤,能够以电子硬件、或者计算机软件和电子硬件的结合来实现。这些功能究竟以硬件还是软件方式来执行,取决于技术方案的特定应用和设计约束条件。专业技术人员可以对每个特定的应用来使用不同方法来实现所描述的功能,但是这种实现不应认为超出本发明的范围。Those of ordinary skill in the art will appreciate that the elements and algorithm steps of the various examples described in connection with the embodiments disclosed herein can be implemented in electronic hardware or a combination of computer software and electronic hardware. Whether these functions are performed in hardware or software depends on the specific application and design constraints of the solution. A person skilled in the art can use different methods for implementing the described functions for each particular application, but such implementation should not be considered to be beyond the scope of the present invention.
根据本发明另一方面,提供一种辅助诊断系统的升级装置。图6示出了根据本发明一个实施例的辅助诊断系统的升级装置600的示意性框图。According to another aspect of the present invention, an upgrade apparatus for an auxiliary diagnostic system is provided. FIG. 6 shows a schematic block diagram of an upgrade apparatus 600 of an auxiliary diagnostic system in accordance with one embodiment of the present invention.
如图6所示,根据本发明实施例的辅助诊断系统的升级装置600包括第一推理模块610、第一输出模块620、第一接收模块630和第一存储模块640。所述各个模块可分别执行上文中结合图4描述的辅助诊断系统的升级方法的各个步骤/功能。以下仅对该辅助诊断系统的升级装置600的各部件的主要功能进行描述,而省略以上已经描述过的细节内容。As shown in FIG. 6, the upgrading apparatus 600 of the auxiliary diagnosis system according to the embodiment of the present invention includes a first inference module 610, a first output module 620, a first receiving module 630, and a first storage module 640. The various modules may perform the various steps/functions of the upgrade method of the auxiliary diagnostic system described above in connection with FIG. 4, respectively. The main functions of the components of the upgrading apparatus 600 of the auxiliary diagnostic system will be described below, and the details already described above are omitted.
第一推理模块610用于至少利用辅助诊断系统的、采用上述推理机训练方法训练获得的推理机对一组或多组实际血流特征参数进行推理,以获得与一组或多组实际血流特征参数一一对应的一个或多个实际结论。The first inference module 610 is configured to infer one or more sets of actual blood flow characteristic parameters by using an inference engine trained by the above inference engine training method to at least utilize an auxiliary inference system to obtain one or more sets of actual blood flow. One or more actual conclusions in which the feature parameters correspond one-to-one.
第一输出模块620用于输出一个或多个实际结论。The first output module 620 is configured to output one or more actual conclusions.
第一接收模块630用于接收关于一个或多个实际结论中的至少部分实际结论的指示信息。The first receiving module 630 is configured to receive indication information about at least part of the actual conclusions of the one or more actual conclusions.
第一存储模块640用于基于指示信息将至少部分实际结论以及与至少部分实际结论一一对应的至少一组实际血流特征参数存储到辅助诊断系统的知识库中用于实现辅助诊断系统的升级。The first storage module 640 is configured to store at least part of the actual conclusion and at least one set of actual blood flow characteristic parameters in one-to-one correspondence with at least part of the actual conclusions into the knowledge base of the auxiliary diagnosis system based on the indication information for implementing the upgrade of the auxiliary diagnosis system. .
根据本发明实施例,辅助诊断系统的数据库用于存储辅助诊断系统先前处理的实际血流特征参数和针对先前处理的实际血流特征参数进行推理获得的先前结论,一组或多组实际血流特征参数是来自辅助诊断系统的数据库的先前处理的实际血流特征参数。According to an embodiment of the invention, the database of the auxiliary diagnostic system is used to store the actual blood flow characteristic parameters previously processed by the auxiliary diagnostic system and previous conclusions obtained from the inference of the previously processed actual blood flow characteristic parameters, one or more sets of actual blood flow The characteristic parameters are the previously processed actual blood flow characteristic parameters from the database of the auxiliary diagnostic system.
根据本发明实施例,至少部分实际结论是与人工选择的非典型病例对应的实际结论。 According to an embodiment of the invention, at least part of the actual conclusion is the actual conclusion corresponding to the manually selected atypical case.
根据本发明实施例,推理模块610包括:综合子模块,用于综合推理机提供的规则与辅助诊断系统的知识库中存储的已知规则,以获得综合后的规则;以及推理子模块,用于基于综合后的规则对一组或多组实际血流特征参数进行推理。According to an embodiment of the present invention, the inference module 610 includes: an integration sub-module for synthesizing the rules provided by the inference engine and the known rules stored in the knowledge base of the auxiliary diagnosis system to obtain the integrated rules; and the inference sub-module One or more sets of actual blood flow characteristic parameters are reasoned based on the integrated rules.
根据本发明实施例,辅助诊断系统的数据库用于存储关于先前结论是否被采纳的反馈信息,升级装置还包括:第二输出模块(未示出),用于如果根据数据库中存储的反馈信息确定特定类型的先前结论未被采纳的次数超过次数阈值,则输出关于特定类型的先前结论可能存在问题的提示信息;第二接收模块(未示出),用于接收关于修改用于实现推理机的模型、推理机的参数和知识库中存储的已知规则中的一项或多项的修改指令;以及修改模块(未示出),用于根据修改指令执行对应的修改动作。According to an embodiment of the present invention, the database of the auxiliary diagnosis system is configured to store feedback information about whether the previous conclusion is adopted, and the upgrading apparatus further includes: a second output module (not shown) for determining according to the feedback information stored in the database If the number of times the previous conclusion of the particular type is not adopted exceeds the threshold of the number of times, then the prompt information may be output regarding the previous conclusion of the particular type; the second receiving module (not shown) is configured to receive the modification for implementing the inference engine. A modification instruction of one or more of a model, a parameter of the inference engine, and a known rule stored in the knowledge base; and a modification module (not shown) for performing a corresponding modification action according to the modification instruction.
根据本发明实施例,升级装置还包括:第二推理模块(未示出),用于对于多根血管中的每根血管,至少利用推理机对与该血管相关的一组实际血流特征参数进行推理,以获得与该血管对应的血管相关结论;第三输出模块(未示出),用于实时输出与该血管对应的血管相关结论;以及第二存储模块(未示出),用于实时接收并存储关于与该血管对应的血管相关结论是否被采纳的反馈信息。According to an embodiment of the invention, the upgrading apparatus further comprises: a second inference module (not shown) for using, for each of the plurality of blood vessels, at least one set of actual blood flow characteristic parameters associated with the blood vessel using the inference engine Reasoning is performed to obtain a blood vessel related conclusion corresponding to the blood vessel; a third output module (not shown) for outputting a blood vessel related conclusion corresponding to the blood vessel in real time; and a second storage module (not shown) for Feedback information on whether or not the blood vessel related conclusion corresponding to the blood vessel is accepted is received and stored in real time.
根据本发明实施例,升级装置还包括:第三推理模块(未示出),用于至少利用推理机对与多根血管一一对应相关的多组实际血流特征参数进行推理,以获得与多根血管一一对应的多个血管相关结论;总结论确定模块(未示出),用于基于多个血管相关结论确定总结论;第四输出模块(未示出),用于输出总结论;以及第三存储模块(未示出),用于接收并存储关于总结论是否被采纳的反馈信息。According to an embodiment of the present invention, the upgrading apparatus further includes: a third inference module (not shown), configured to infer, by using at least an inference engine, a plurality of sets of actual blood flow characteristic parameters associated with the plurality of blood vessels in a one-to-one correspondence to obtain Multiple vessel-corresponding multiple blood vessel-related conclusions; a general conclusion determination module (not shown) for determining a total conclusion based on a plurality of blood vessel-related conclusions; a fourth output module (not shown) for outputting a general conclusion And a third storage module (not shown) for receiving and storing feedback information as to whether the overall conclusion is accepted.
根据本发明实施例,一组或多组实际血流特征参数是辅助诊断系统当前需要处理的实际血流特征参数,升级装置还包括:生成模块(未示出),用于基于知识库和/或推理机生成辅助诊断系统中的新的解释器。According to an embodiment of the invention, one or more sets of actual blood flow characteristic parameters are actual blood flow characteristic parameters that the auxiliary diagnostic system currently needs to process, and the upgrading apparatus further includes: a generating module (not shown) for the knowledge base and/or Or the inference engine generates a new interpreter in the auxiliary diagnostic system.
图7示出了根据本发明一个实施例的推理机训练装置700的示意性框图。推理机训练装置700包括存储器710和处理器720。FIG. 7 shows a schematic block diagram of an inference engine training device 700 in accordance with one embodiment of the present invention. The inference engine training device 700 includes a memory 710 and a processor 720.
所述存储器710存储用于实现根据本发明实施例的推理机训练方法中的相应步骤的程序代码(即程序)。The memory 710 stores program code (i.e., program) for implementing respective steps in the inference engine training method according to an embodiment of the present invention.
所述处理器720用于运行所述存储器710中存储的程序代码,以执行根据本发明实施例的推理机训练方法的相应步骤,并且用于实现根据本发明实施例 的推理机训练装置500中的训练模块510、选择模块520、推理模块530、血流动力学校验模块540和合格判断模块550。The processor 720 is configured to execute program code stored in the memory 710 to perform respective steps of an inference engine training method according to an embodiment of the present invention, and to implement an embodiment according to the present invention. The inference engine training device 500 has a training module 510, a selection module 520, an inference module 530, a hemodynamic verification module 540, and an eligibility determination module 550.
在一个实施例中,所述程序代码在所述处理器720中运行时,用于执行以下步骤:步骤S2010:利用知识库中存储的多组血流数据作为样本训练推理机,其中,知识库中存储的每组血流数据包括血流特征参数和对应的已知结论;步骤S2020:从知识库中选择至少一组血流数据;步骤S2030:对于至少一组血流数据中的每组血流数据,利用推理机对该组血流数据中的血流特征参数进行推理,以获得对应的测试结论;步骤S2040:基于至少一组血流数据中的每组血流数据中的血流特征参数及对应的测试结论进行血流动力学校验;以及步骤S2050:基于血流动力学校验结果判断推理机是否合格。In one embodiment, the program code, when running in the processor 720, is configured to perform the following steps: Step S2010: using a plurality of sets of blood flow data stored in a knowledge base as a sample training inference engine, wherein the knowledge base Each set of blood flow data stored therein includes blood flow characteristic parameters and corresponding known conclusions; step S2020: selecting at least one set of blood flow data from the knowledge base; step S2030: for each set of blood in at least one set of blood flow data Flow data, using an inference engine to infer blood flow characteristic parameters in the blood flow data to obtain corresponding test conclusions; Step S2040: based on blood flow characteristics in each set of blood flow data in at least one set of blood flow data The parameters and corresponding test conclusions are subjected to hemodynamic verification; and step S2050: determining whether the inference engine is qualified based on the hemodynamic verification result.
在一个实施例中,所述程序代码在所述处理器720运行时,所用于执行的步骤S2050包括:如果确定推理机不合格,则转至步骤S2060;所述程序代码在所述处理器720中运行时,还用于执行以下步骤:步骤S2060:输出用于指示推理机未通过血流动力学校验的指示信息。In one embodiment, when the program code is running by the processor 720, the step S2050 for performing includes: if it is determined that the inference engine fails, then the process goes to step S2060; the program code is at the processor 720. When running in the middle, it is also used to perform the following steps: Step S2060: Output indication information indicating that the inference engine has not passed the hemodynamic check.
在一个实施例中,在所述程序代码在所述处理器720中运行时所用于执行的步骤S2060之后,所述程序代码在所述处理器720中运行时还用于执行以下步骤:步骤S2070:接收关于修改用于实现推理机的模型、推理机的参数、知识库中存储的血流数据和血流动力学校验所采用的血流动力学模型中的一项或多项的第一修改指令;以及步骤S2080:根据第一修改指令执行对应的修改动作并返回步骤S2010。In one embodiment, after the step S2060 for execution of the program code in the processor 720, the program code is further configured to perform the following steps when the processor 720 is run: step S2070 Receiving a first modification of one or more of the hemodynamic models employed in modifying the model used to implement the inference engine, the parameters of the inference engine, the blood flow data stored in the knowledge base, and the hemodynamics check And the step S2080: executing the corresponding modification action according to the first modification instruction and returning to step S2010.
在一个实施例中,所述程序代码在所述处理器720中运行时,所用于执行的步骤S2050包括:如果确定推理机合格,则转至步骤S2090;所述程序代码在所述处理器720中运行时,还用于执行以下步骤:步骤S2090:以推理机提供的规则更新知识库中存储的已知规则。In one embodiment, when the program code is run in the processor 720, the step S2050 for performing includes: if it is determined that the inference engine is qualified, then the process goes to step S2090; the program code is at the processor 720. In the middle run, it is also used to perform the following steps: Step S2090: Update the known rules stored in the knowledge base with the rules provided by the inference engine.
在一个实施例中,所述程序代码在所述处理器720中运行时,所用于执行的步骤S2050包括:如果确定推理机合格,则转至步骤S2100;所述程序代码在所述处理器720中运行时还用于执行以下步骤:步骤S2100:判断推理机提供的规则与知识库中存储的已知规则是否冲突,如果是,则转至步骤S2110;以及步骤S2110:输出用于指示规则发生冲突的指示信息。In one embodiment, when the program code is run in the processor 720, the step S2050 for performing includes: if it is determined that the inference engine is qualified, then the process goes to step S2100; the program code is at the processor 720. The middle runtime is further configured to perform the following steps: Step S2100: judge whether the rule provided by the inference engine conflicts with a known rule stored in the knowledge base, if yes, go to step S2110; and step S2110: output is used to indicate that the rule occurs Instructions for conflicts.
在一个实施例中,在所述程序代码在所述处理器720中运行时所用于执行的步骤S2110之后,所述程序代码在所述处理器720中运行时还用于执行 以下步骤:步骤S2120:接收关于修改用于实现推理机的模型、推理机的参数和知识库中存储的血流数据中的一项或多项的第二修改指令;以及步骤S2130:根据第二修改指令执行对应的修改动作并返回步骤S2010。In one embodiment, after step S2110 for execution of the program code in the processor 720, the program code is also used to execute when executed in the processor 720. The following steps: Step S2120: receiving a second modification instruction for modifying one or more of a model for implementing the inference engine, parameters of the inference engine, and blood flow data stored in the knowledge base; and step S2130: according to the second The modification instruction executes the corresponding modification action and returns to step S2010.
在一个实施例中,所述程序代码在所述处理器720中运行时,所用于执行的步骤S2100包括:如果推理机提供的规则与知识库中存储的已知规则不冲突,则转至步骤S2140;所述程序代码在所述处理器720中运行时,还用于执行以下步骤:步骤S2140:以推理机提供的规则更新知识库中存储的已知规则。In one embodiment, when the program code is run in the processor 720, the step S2100 for performing includes: if the rule provided by the inference engine does not conflict with a known rule stored in the knowledge base, then go to the step S2140; when the program code is run in the processor 720, is further configured to perform the following steps: Step S2140: Update the known rules stored in the knowledge base with rules provided by the inference engine.
在一个实施例中,在所述程序代码在所述处理器720中运行时所用于执行的步骤S2010之后,所述程序代码在所述处理器720中运行时还用于执行以下步骤:步骤S2012:利用多组血流数据对推理机进行交叉验证,以评估推理机的正确率。In one embodiment, after the step S2010 for execution of the program code in the processor 720, the program code is further configured to perform the following steps when the processor 720 is run: step S2012 : Cross-validation of the inference engine using multiple sets of blood flow data to evaluate the correct rate of the inference engine.
在一个实施例中,所述程序代码在所述处理器720中运行时,所用于执行的步骤S2012包括:如果正确率小于预设阈值,则转至步骤S2014;所述程序代码在所述处理器720中运行时还用于执行:步骤S2014:输出用于指示推理机未通过交叉验证的指示信息。In one embodiment, when the program code is run in the processor 720, the step S2012 for performing includes: if the correct rate is less than the preset threshold, then going to step S2014; the program code is in the process The runtime in the 720 is also used for execution: Step S2014: Outputting indication information indicating that the inference engine has not passed the cross-validation.
在一个实施例中,在所述程序代码在所述处理器720中运行时所用于执行的步骤S2014之后,所述程序代码在所述处理器720中运行时还用于执行以下步骤:步骤S2016:接收关于修改用于实现推理机的模型、推理机的参数和知识库中存储的血流数据中的一项或多项的第三修改指令;以及步骤S2018:根据第三修改指令执行对应的修改动作并返回步骤S2010。In one embodiment, after the step S2014 for execution of the program code in the processor 720, the program code is further configured to perform the following steps when the processor 720 is run: step S2016 Receiving a third modification instruction for modifying one or more of a model for implementing the inference engine, parameters of the inference engine, and blood flow data stored in the knowledge base; and step S2018: performing the corresponding according to the third modification instruction Modify the action and return to step S2010.
在一个实施例中,推理机采用贝叶斯分类器、支持向量机或深度神经网络实现。In one embodiment, the inference engine is implemented using a Bayesian classifier, a support vector machine, or a deep neural network.
在一个实施例中,所述程序代码在所述处理器720中运行时,所用于执行的步骤S2040包括:建立预定义的血流动力学模型;以及判断至少一组血流数据中的每组血流数据中的血流特征参数及对应的测试结论是否符合预定义的血流动力学模型所规定的物理规律,以获得血流动力学校验结果。In one embodiment, when the program code is run in the processor 720, the step S2040 used to perform includes: establishing a predefined hemodynamic model; and determining each of the at least one set of blood flow data The blood flow characteristic parameters and corresponding test conclusions in the blood flow data conform to the physical laws prescribed by the predefined hemodynamic model to obtain hemodynamic verification results.
图8示出了根据本发明一个实施例的辅助诊断系统的升级装置800的示意性框图。辅助诊断系统的升级装置800包括存储器810和处理器820。FIG. 8 shows a schematic block diagram of an upgrade apparatus 800 of an auxiliary diagnostic system in accordance with one embodiment of the present invention. The upgrade device 800 of the auxiliary diagnostic system includes a memory 810 and a processor 820.
所述存储器810存储用于实现根据本发明实施例的辅助诊断系统的升级方法中的相应步骤的程序代码(即程序)。 The memory 810 stores program code (ie, a program) for implementing respective steps in an upgrade method of the auxiliary diagnostic system according to an embodiment of the present invention.
所述处理器820用于运行所述存储器810中存储的程序代码,以执行根据本发明实施例的辅助诊断系统的升级方法的相应步骤,并且用于实现根据本发明实施例的辅助诊断系统的升级装置600中的第一推理模块610、第一输出模块620、第一接收模块630和第一存储模块640。The processor 820 is configured to execute program code stored in the memory 810 to perform respective steps of an upgrade method of the auxiliary diagnostic system according to an embodiment of the present invention, and to implement an auxiliary diagnostic system according to an embodiment of the present invention. The first inference module 610, the first output module 620, the first receiving module 630, and the first storage module 640 in the device 600 are upgraded.
在一个实施例中,所述程序代码在所述处理器820中运行时,用于执行以下步骤:至少利用辅助诊断系统的、采用上述推理机训练方法训练获得的推理机对一组或多组实际血流特征参数进行推理,以获得与一组或多组实际血流特征参数一一对应的一个或多个实际结论;输出一个或多个实际结论;接收关于一个或多个实际结论中的至少部分实际结论的指示信息;以及基于指示信息将至少部分实际结论以及与至少部分实际结论一一对应的至少一组实际血流特征参数存储到辅助诊断系统的知识库中用于实现辅助诊断系统的升级。In one embodiment, the program code, when executed in the processor 820, is configured to perform at least one or more groups of inference engines trained by the above-described inference engine training method using at least the auxiliary diagnostic system. The actual blood flow characteristic parameters are inferred to obtain one or more actual conclusions that correspond one-to-one with one or more sets of actual blood flow characteristic parameters; one or more actual conclusions are output; and received in one or more actual conclusions At least part of the actual conclusion indication information; and storing at least part of the actual conclusion and at least one set of actual blood flow characteristic parameters in one-to-one correspondence with at least part of the actual conclusion based on the indication information into the knowledge base of the auxiliary diagnosis system for implementing the auxiliary diagnosis System upgrade.
在一个实施例中,辅助诊断系统的数据库用于存储辅助诊断系统先前处理的实际血流特征参数和针对先前处理的实际血流特征参数进行推理获得的先前结论,一组或多组实际血流特征参数是来自辅助诊断系统的数据库的先前处理的实际血流特征参数。In one embodiment, the database of the auxiliary diagnostic system is used to store actual blood flow characteristic parameters previously processed by the auxiliary diagnostic system and previous conclusions obtained by reasoning for previously processed actual blood flow characteristic parameters, one or more sets of actual blood flow The characteristic parameters are the previously processed actual blood flow characteristic parameters from the database of the auxiliary diagnostic system.
在一个实施例中,至少部分实际结论是与人工选择的非典型病例对应的实际结论。In one embodiment, at least some of the actual conclusions are actual conclusions corresponding to manually selected atypical cases.
在一个实施例中,所述程序代码在所述处理器820中运行时,所用于执行的至少利用所述辅助诊断系统的、采用上述推理机训练方法训练获得的推理机对一组或多组实际血流特征参数进行推理的步骤包括:综合推理机提供的规则与辅助诊断系统的知识库中存储的已知规则,以获得综合后的规则;以及基于综合后的规则对一组或多组实际血流特征参数进行推理。In one embodiment, the program code, when executed in the processor 820, is used to perform at least one or more groups of inference engines trained by the above-described inference engine training method using the auxiliary diagnostic system. The step of inferring the actual blood flow characteristic parameter comprises: synthesizing the rules provided by the inference engine and the known rules stored in the knowledge base of the auxiliary diagnosis system to obtain the integrated rule; and grouping one or more groups based on the integrated rule The actual blood flow characteristic parameters are reasoned.
根据本发明实施例,辅助诊断系统的数据库用于存储关于先前结论是否被采纳的反馈信息,所述程序代码在所述处理器820中运行时,还用于执行以下步骤:如果根据数据库中存储的反馈信息确定特定类型的先前结论未被采纳的次数超过次数阈值,则输出关于特定类型的先前结论可能存在问题的提示信息;接收关于修改用于实现推理机的模型、推理机的参数和知识库中存储的已知规则中的一项或多项的修改指令;以及根据修改指令执行对应的修改动作。According to an embodiment of the present invention, a database of the auxiliary diagnostic system is used to store feedback information as to whether the previous conclusion was adopted, and when the program code is run in the processor 820, the program code is further configured to perform the following steps: if stored according to the database The feedback information determines that the number of times the previous conclusion of the particular type has not been adopted exceeds the threshold of the number of times, and outputs prompt information that may be problematic with respect to a particular type of previous conclusion; receiving parameters and knowledge about modifying the model used to implement the inference engine, the inference engine A modification instruction of one or more of the known rules stored in the library; and performing a corresponding modification action according to the modification instruction.
在一个实施例中,所述程序代码在所述处理器820中运行时,还用于执行以下步骤:对于多根血管中的每根血管,至少利用推理机对与该血管相关的一组实际血流特征参数进行推理,以获得与该血管对应的血管相关结论;实时 输出与该血管对应的血管相关结论;以及实时接收并存储关于与该血管对应的血管相关结论是否被采纳的反馈信息。In one embodiment, the program code, when run in the processor 820, is further configured to perform the step of, for each of the plurality of blood vessels, using at least an inference engine to associate a set of actuals associated with the blood vessel Blood flow characteristic parameters are reasoned to obtain blood vessel related conclusions corresponding to the blood vessel; real time A blood vessel related conclusion corresponding to the blood vessel is output; and feedback information as to whether or not the blood vessel related conclusion corresponding to the blood vessel is accepted is received and stored in real time.
在一个实施例中,所述程序代码在所述处理器820中运行时,还用于执行以下步骤:至少利用推理机对与多根血管一一对应相关的多组实际血流特征参数进行推理,以获得与多根血管一一对应的多个血管相关结论;基于多个血管相关结论确定总结论;输出总结论;以及接收并存储关于总结论是否被采纳的反馈信息。In one embodiment, the program code, when run in the processor 820, is further configured to perform the following steps: using at least an inference engine to infer multiple sets of actual blood flow characteristic parameters associated with the plurality of blood vessels in a one-to-one correspondence Obtaining a plurality of blood vessel related conclusions corresponding to the plurality of blood vessels one by one; determining a total conclusion based on the plurality of blood vessel related conclusions; outputting the total conclusion; and receiving and storing feedback information as to whether the total conclusion is adopted.
在一个实施例中,一组或多组实际血流特征参数是辅助诊断系统当前需要处理的实际血流特征参数,所述程序代码在所述处理器820中运行时,还用于执行以下步骤:基于知识库和/或推理机生成辅助诊断系统中的新的解释器。In one embodiment, one or more sets of actual blood flow characteristic parameters are actual blood flow characteristic parameters that the diagnostic diagnostic system currently needs to process, and the program code, when run in the processor 820, is also used to perform the following steps : Generating a new interpreter in the auxiliary diagnostic system based on the knowledge base and/or inference engine.
此外,根据本发明实施例,还提供了一种计算机可读存储介质,在所述存储介质上存储了程序指令(即程序),在所述程序指令被计算机或处理器运行时用于执行本发明实施例的推理机训练方法或辅助诊断系统的升级方法的相应步骤,并且用于实现根据本发明实施例的推理机训练装置或辅助诊断系统的升级装置中的相应模块。所述存储介质例如可以包括智能电话的存储卡、平板电脑的存储部件、个人计算机的硬盘、只读存储器(ROM)、可擦除可编程只读存储器(EPROM)、便携式紧致盘只读存储器(CD-ROM)、USB存储器、或者上述存储介质的任意组合。Moreover, according to an embodiment of the present invention, there is also provided a computer readable storage medium on which program instructions (ie, programs) are stored, which are used to execute the program when the program instructions are executed by a computer or a processor Corresponding steps of the inference engine training method or the upgrade method of the auxiliary diagnostic system of the embodiment of the invention, and for implementing respective modules in the inference engine training device or the upgrade device of the auxiliary diagnostic system according to an embodiment of the present invention. The storage medium may include, for example, a memory card of a smart phone, a storage unit of a tablet, a hard disk of a personal computer, a read only memory (ROM), an erasable programmable read only memory (EPROM), a portable compact disk read only memory. (CD-ROM), USB memory, or any combination of the above storage media.
在一个实施例中,所述计算机程序指令在被计算机或处理器运行时可以使得计算机或处理器实现根据本发明实施例的推理机训练装置或辅助诊断系统的升级装置的各个功能模块,并且/或者可以执行根据本发明实施例的推理机训练方法或辅助诊断系统的升级方法。In one embodiment, the computer program instructions, when executed by a computer or processor, may cause a computer or processor to implement various functional modules of an inference engine training device or an upgrade device of an auxiliary diagnostic system in accordance with an embodiment of the present invention, and/ Alternatively, an inference engine training method or an upgrade method of the auxiliary diagnosis system according to an embodiment of the present invention may be performed.
在一个实施例中,所述计算机程序指令在运行时用于执行以下步骤:步骤S2010:利用知识库中存储的多组血流数据作为样本训练推理机,其中,知识库中存储的每组血流数据包括血流特征参数和对应的已知结论;步骤S2020:从知识库中选择至少一组血流数据;步骤S2030:对于至少一组血流数据中的每组血流数据,利用推理机对该组血流数据中的血流特征参数进行推理,以获得对应的测试结论;步骤S2040:基于至少一组血流数据中的每组血流数据中的血流特征参数及对应的测试结论进行血流动力学校验;以及步骤S2050:基于血流动力学校验结果判断推理机是否合格。In one embodiment, the computer program instructions are used at runtime to perform the following steps: Step S2010: using a plurality of sets of blood flow data stored in a knowledge base as a sample training inference engine, wherein each set of blood stored in the knowledge base The flow data includes blood flow characteristic parameters and corresponding known conclusions; step S2020: selecting at least one set of blood flow data from the knowledge base; step S2030: utilizing the inference engine for each set of blood flow data in the at least one set of blood flow data The blood flow characteristic parameters in the blood flow data are reasoned to obtain corresponding test conclusions; Step S2040: based on blood flow characteristic parameters and corresponding test conclusions in each set of blood flow data in at least one set of blood flow data Performing a hemodynamic check; and step S2050: determining whether the inference engine is qualified based on the hemodynamic check result.
在一个实施例中,所述计算机程序指令在运行时所用于执行的步骤S2050 包括:如果确定推理机不合格,则转至步骤S2060;所述计算机程序指令在运行时还用于执行以下步骤:步骤S2060:输出用于指示推理机未通过血流动力学校验的指示信息。In one embodiment, the computer program instructions are used to perform step S2050 at runtime. Including: if it is determined that the inference engine fails, then go to step S2060; the computer program instructions are also used to perform the following steps during operation: step S2060: output indication information indicating that the inference engine has not passed the hemodynamic check.
在一个实施例中,在所述计算机程序指令在运行时所用于执行的步骤S2060之后,所述计算机程序指令在运行时还用于执行以下步骤:步骤S2070:接收关于修改用于实现推理机的模型、推理机的参数、知识库中存储的血流数据和血流动力学校验所采用的血流动力学模型中的一项或多项的第一修改指令;以及步骤S2080:根据第一修改指令执行对应的修改动作并返回步骤S2010。In one embodiment, after the step S2060 for execution of the computer program instructions at runtime, the computer program instructions are further configured to perform the following steps at runtime: step S2070: receiving modifications regarding implementation of the inference engine a first modification instruction of the model, the parameters of the inference engine, the blood flow data stored in the knowledge base, and one or more of the hemodynamic models employed in the hemodynamic check; and step S2080: according to the first modification The instruction executes the corresponding modification action and returns to step S2010.
在一个实施例中,所述计算机程序指令在运行时所用于执行的步骤S2050包括:如果确定推理机合格,则转至步骤S2090;所述计算机程序指令在运行时还用于执行以下步骤:步骤S2090:以推理机提供的规则更新知识库中存储的已知规则。In one embodiment, the step S2050 of the computer program instructions for execution at runtime comprises: if it is determined that the inference engine is qualified, then proceeds to step S2090; the computer program instructions are further configured to perform the following steps at runtime: S2090: Update the known rules stored in the knowledge base with the rules provided by the inference engine.
在一个实施例中,所述计算机程序指令在运行时所用于执行的步骤S2050包括:如果确定推理机合格,则转至步骤S2100;所述计算机程序指令在运行时还用于执行以下步骤:步骤S2100:判断推理机提供的规则与知识库中存储的已知规则是否冲突,如果是,则转至步骤S2110;以及步骤S2110:输出用于指示规则发生冲突的指示信息。In one embodiment, the step S2050 of the computer program instructions for execution at runtime comprises: if it is determined that the inference engine is qualified, then proceeds to step S2100; the computer program instructions are further configured to perform the following steps at runtime: S2100: judge whether the rule provided by the inference engine conflicts with the known rule stored in the knowledge base, if yes, go to step S2110; and step S2110: output indication information indicating that the rule conflicts.
在一个实施例中,在所述计算机程序指令在运行时所用于执行的步骤S2110之后,所述计算机程序指令在运行时还用于执行以下步骤:步骤S2120:接收关于修改用于实现推理机的模型、推理机的参数和知识库中存储的血流数据中的一项或多项的第二修改指令;以及步骤S2130:根据第二修改指令执行对应的修改动作并返回步骤S2010。In one embodiment, after the step S2110 used by the computer program instructions to be executed at runtime, the computer program instructions are further configured to perform the following steps at runtime: step S2120: receiving a modification for implementing the inference engine a second modification instruction of one or more of the model, the parameters of the inference engine, and the blood flow data stored in the knowledge base; and step S2130: performing a corresponding modification action according to the second modification instruction and returning to step S2010.
在一个实施例中,所述计算机程序指令在运行时所用于执行的步骤S2100包括:如果推理机提供的规则与知识库中存储的已知规则不冲突,则转至步骤S2140;所述计算机程序指令在运行时还用于执行以下步骤:步骤S2140:以推理机提供的规则更新知识库中存储的已知规则。In one embodiment, the step S2100 for executing the computer program instructions at runtime includes: if the rules provided by the inference engine do not conflict with the known rules stored in the knowledge base, then proceeding to step S2140; the computer program The instructions are also used at runtime to perform the following steps: Step S2140: Update the known rules stored in the knowledge base with rules provided by the inference engine.
在一个实施例中,在所述计算机程序指令在运行时所用于执行的步骤S2010之后,所述计算机程序指令在运行时还用于执行以下步骤:步骤S2012:利用多组血流数据对推理机进行交叉验证,以评估推理机的正确率。In one embodiment, after the step S2010 for execution of the computer program instructions at runtime, the computer program instructions are further configured to perform the following steps at runtime: step S2012: using multiple sets of blood flow data pair inference engines Cross-validation is performed to assess the correct rate of the inference engine.
在一个实施例中,所述计算机程序指令在运行时所用于执行的步骤S2012包括:如果正确率小于预设阈值,则转至步骤S2014;所述计算机程序指令在 运行时还用于执行以下步骤:步骤S2014:输出用于指示推理机未通过交叉验证的指示信息。In one embodiment, the step S2012 used by the computer program instructions to be executed at runtime includes: if the correct rate is less than the preset threshold, then proceeding to step S2014; the computer program instructions are The runtime is also used to perform the following steps: Step S2014: Output indication information indicating that the inference engine has not passed the cross-validation.
在一个实施例中,在所述计算机程序指令在运行时所用于执行的步骤S2014之后,所述计算机程序指令在运行时还用于执行以下步骤:步骤S2016:接收关于修改用于实现推理机的模型、推理机的参数和知识库中存储的血流数据中的一项或多项的第三修改指令;以及步骤S2018:根据第三修改指令执行对应的修改动作并返回步骤S2010。In one embodiment, after the step S2014 for execution of the computer program instructions at runtime, the computer program instructions are further used at runtime to perform the following steps: Step S2016: receiving a modification regarding the implementation of the inference engine a third modification instruction of one or more of the model, the parameters of the inference engine, and the blood flow data stored in the knowledge base; and step S2018: performing a corresponding modification action according to the third modification instruction and returning to step S2010.
在一个实施例中,推理机采用贝叶斯分类器、支持向量机或深度神经网络实现。In one embodiment, the inference engine is implemented using a Bayesian classifier, a support vector machine, or a deep neural network.
在一个实施例中,所述计算机程序指令在运行时所用于执行的步骤S2040包括:建立预定义的血流动力学模型;以及判断至少一组血流数据中的每组血流数据中的血流特征参数及对应的测试结论是否符合预定义的血流动力学模型所规定的物理规律,以获得血流动力学校验结果。In one embodiment, the step S2040 of the computer program instructions for execution at runtime includes: establishing a predefined hemodynamic model; and determining blood in each of the at least one set of blood flow data The flow characteristic parameters and corresponding test conclusions conform to the physical laws specified by the predefined hemodynamic model to obtain hemodynamic test results.
在一个实施例中,所述计算机程序指令在运行时用于执行以下步骤:至少利用辅助诊断系统的、采用上述推理机训练方法训练获得的推理机对一组或多组实际血流特征参数进行推理,以获得与一组或多组实际血流特征参数一一对应的一个或多个实际结论;输出一个或多个实际结论;接收关于一个或多个实际结论中的至少部分实际结论的指示信息;以及基于指示信息将至少部分实际结论以及与至少部分实际结论一一对应的至少一组实际血流特征参数存储到辅助诊断系统的知识库中用于实现辅助诊断系统的升级。In one embodiment, the computer program instructions are operative at runtime to perform at least one or more sets of actual blood flow characteristic parameters using at least an inference engine trained by the above-described inference engine training method using an auxiliary diagnostic system. Reasoning to obtain one or more actual conclusions that correspond one-to-one with one or more sets of actual blood flow characteristic parameters; output one or more actual conclusions; receive at least partial actual conclusions about one or more actual conclusions Instructing information; and storing, based on the indication information, at least a portion of the actual conclusions and at least one set of actual blood flow characteristic parameters in one-to-one correspondence with at least a portion of the actual conclusions into a knowledge base of the auxiliary diagnostic system for implementing an upgrade of the auxiliary diagnostic system.
在一个实施例中,辅助诊断系统的数据库用于存储辅助诊断系统先前处理的实际血流特征参数和针对先前处理的实际血流特征参数进行推理获得的先前结论,一组或多组实际血流特征参数是来自辅助诊断系统的数据库的先前处理的实际血流特征参数。In one embodiment, the database of the auxiliary diagnostic system is used to store actual blood flow characteristic parameters previously processed by the auxiliary diagnostic system and previous conclusions obtained by reasoning for previously processed actual blood flow characteristic parameters, one or more sets of actual blood flow The characteristic parameters are the previously processed actual blood flow characteristic parameters from the database of the auxiliary diagnostic system.
在一个实施例中,至少部分实际结论是与人工选择的非典型病例对应的实际结论。In one embodiment, at least some of the actual conclusions are actual conclusions corresponding to manually selected atypical cases.
在一个实施例中,所述计算机程序指令在运行时所用于执行的至少利用所述辅助诊断系统的、采用上述推理机训练方法训练获得的推理机对一组或多组实际血流特征参数进行推理的步骤包括:综合推理机提供的规则与辅助诊断系统的知识库中存储的已知规则,以获得综合后的规则;以及基于综合后的规则对一组或多组实际血流特征参数进行推理。 In one embodiment, the computer program instructions, at runtime, perform at least one of the set of actual blood flow characteristic parameters by using an inference engine trained by the above-described inference engine training method using the auxiliary diagnostic system. The steps of reasoning include: synthesizing the rules provided by the inference engine and the known rules stored in the knowledge base of the auxiliary diagnosis system to obtain the integrated rules; and performing one or more sets of actual blood flow characteristic parameters based on the integrated rules reasoning.
根据本发明实施例,辅助诊断系统的数据库用于存储关于先前结论是否被采纳的反馈信息,所述计算机程序指令在运行时还用于执行以下步骤:如果根据数据库中存储的反馈信息确定特定类型的先前结论未被采纳的次数超过次数阈值,则输出关于特定类型的先前结论可能存在问题的提示信息;接收关于修改用于实现推理机的模型、推理机的参数和知识库中存储的已知规则中的一项或多项的修改指令;以及根据修改指令执行对应的修改动作。According to an embodiment of the invention, the database of the auxiliary diagnostic system is used to store feedback information as to whether the previous conclusions were adopted, the computer program instructions being also used at runtime to perform the step of determining a particular type based on feedback information stored in the database If the number of previous conclusions that have not been adopted exceeds the threshold of the number of times, then the prompt information about possible problems with the previous conclusion of the particular type is output; the model for modifying the model used to implement the inference engine, the parameters of the inference engine, and the known knowledge stored in the knowledge base are received. A modification instruction of one or more of the rules; and performing a corresponding modification action according to the modification instruction.
在一个实施例中,所述计算机程序指令在运行时还用于执行以下步骤:对于多根血管中的每根血管,至少利用推理机对与该血管相关的一组实际血流特征参数进行推理,以获得与该血管对应的血管相关结论;实时输出与该血管对应的血管相关结论;以及实时接收并存储关于与该血管对应的血管相关结论是否被采纳的反馈信息。In one embodiment, the computer program instructions are further operative to perform the step of: for each of the plurality of blood vessels, at least using an inference engine to reason a set of actual blood flow characteristic parameters associated with the blood vessel Obtaining a blood vessel-related conclusion corresponding to the blood vessel; real-time outputting a blood vessel-related conclusion corresponding to the blood vessel; and receiving and storing, in real time, feedback information regarding whether or not the blood vessel-related conclusion corresponding to the blood vessel is adopted.
在一个实施例中,所述计算机程序指令在运行时还用于执行以下步骤:至少利用推理机对与多根血管一一对应相关的多组实际血流特征参数进行推理,以获得与多根血管一一对应的多个血管相关结论;基于多个血管相关结论确定总结论;输出总结论;以及接收并存储关于总结论是否被采纳的反馈信息。In one embodiment, the computer program instructions are further, at runtime, performing the step of: inferring, by using at least an inference engine, a plurality of sets of actual blood flow characteristic parameters associated with the plurality of blood vessels in a one-to-one correspondence to obtain a plurality of roots A plurality of blood vessel-related conclusions corresponding to the blood vessels one by one; determining a total conclusion based on a plurality of blood vessel related conclusions; outputting a total conclusion; and receiving and storing feedback information as to whether the total conclusion is adopted.
在一个实施例中,一组或多组实际血流特征参数是辅助诊断系统当前需要处理的实际血流特征参数,所述计算机程序指令在运行时还用于执行以下步骤:基于知识库和/或推理机生成辅助诊断系统中的新的解释器。In one embodiment, one or more sets of actual blood flow characteristic parameters are actual blood flow characteristic parameters that the diagnostic diagnostic system currently needs to process, and the computer program instructions are also used at runtime to perform the following steps: based on the knowledge base and/or Or the inference engine generates a new interpreter in the auxiliary diagnostic system.
根据本发明实施例的推理机训练装置中的各模块可以通过根据本发明实施例的实施推理机训练的电子设备的处理器运行在存储器中存储的计算机程序指令来实现,或者可以在根据本发明实施例的计算机程序产品的计算机可读存储介质中存储的计算机指令被计算机运行时实现。Modules in the inference engine training apparatus according to embodiments of the present invention may be implemented by a processor executing an inference engine trained electronic device according to an embodiment of the present invention running computer program instructions stored in a memory, or may be in accordance with the present invention The computer instructions stored in the computer readable storage medium of the computer program product of the embodiments are implemented by the computer when executed.
类似地,根据本发明实施例的辅助诊断系统的升级装置中的各模块可以通过根据本发明实施例的实施辅助诊断系统的升级的电子设备的处理器运行在存储器中存储的计算机程序指令来实现,或者可以在根据本发明实施例的计算机程序产品的计算机可读存储介质中存储的计算机指令被计算机运行时实现。Similarly, each module in the upgrade apparatus of the auxiliary diagnostic system according to an embodiment of the present invention may be implemented by a computer program instruction stored in a memory of a processor of an electronic device implementing an upgrade of the auxiliary diagnostic system according to an embodiment of the present invention. Or may be implemented when computer instructions stored in a computer readable storage medium of a computer program product according to an embodiment of the invention are executed by a computer.
尽管这里已经参考附图描述了示例实施例,应理解上述示例实施例仅仅是示例性的,并且不意图将本发明的范围限制于此。本领域普通技术人员可以在其中进行各种改变和修改,而不偏离本发明的范围和精神。所有这些改变和修改意在被包括在所附权利要求所要求的本发明的范围之内。 Although the example embodiments have been described herein with reference to the drawings, it is understood that the foregoing exemplary embodiments are only illustrative, and are not intended to limit the scope of the invention. A person skilled in the art can make various changes and modifications without departing from the scope and spirit of the invention. All such changes and modifications are intended to be included within the scope of the present invention as claimed.
本领域普通技术人员可以意识到,结合本文中所公开的实施例描述的各示例的单元及算法步骤,能够以电子硬件、或者计算机软件和电子硬件的结合来实现。这些功能究竟以硬件还是软件方式来执行,取决于技术方案的特定应用和设计约束条件。专业技术人员可以对每个特定的应用来使用不同方法来实现所描述的功能,但是这种实现不应认为超出本发明的范围。Those of ordinary skill in the art will appreciate that the elements and algorithm steps of the various examples described in connection with the embodiments disclosed herein can be implemented in electronic hardware or a combination of computer software and electronic hardware. Whether these functions are performed in hardware or software depends on the specific application and design constraints of the solution. A person skilled in the art can use different methods for implementing the described functions for each particular application, but such implementation should not be considered to be beyond the scope of the present invention.
在本申请所提供的几个实施例中,应该理解到,所揭露的设备和方法,可以通过其它的方式实现。例如,以上所描述的设备实施例仅仅是示意性的,例如,所述单元的划分,仅仅为一种逻辑功能划分,实际实现时可以有另外的划分方式,例如多个单元或组件可以结合或者可以集成到另一个设备,或一些特征可以忽略,或不执行。In the several embodiments provided by the present application, it should be understood that the disclosed apparatus and method may be implemented in other manners. For example, the device embodiments described above are merely illustrative. For example, the division of the unit is only a logical function division. In actual implementation, there may be another division manner, for example, multiple units or components may be combined or Can be integrated into another device, or some features can be ignored or not executed.
在此处所提供的说明书中,说明了大量具体细节。然而,能够理解,本发明的实施例可以在没有这些具体细节的情况下实践。在一些实例中,并未详细示出公知的方法、结构和技术,以便不模糊对本说明书的理解。In the description provided herein, numerous specific details are set forth. However, it is understood that the embodiments of the invention may be practiced without these specific details. In some instances, well-known methods, structures, and techniques are not shown in detail so as not to obscure the understanding of the description.
类似地,应当理解,为了精简本发明并帮助理解各个发明方面中的一个或多个,在对本发明的示例性实施例的描述中,本发明的各个特征有时被一起分组到单个实施例、图、或者对其的描述中。然而,并不应将该本发明的方法解释成反映如下意图:即所要求保护的本发明要求比在每个权利要求中所明确记载的特征更多的特征。更确切地说,如相应的权利要求书所反映的那样,其发明点在于可以用少于某个公开的单个实施例的所有特征的特征来解决相应的技术问题。因此,遵循具体实施方式的权利要求书由此明确地并入该具体实施方式,其中每个权利要求本身都作为本发明的单独实施例。Similarly, the various features of the present invention are sometimes grouped together into a single embodiment, figure, in the description of exemplary embodiments of the invention, in the description of the exemplary embodiments of the invention. Or in the description of it. However, the method of the present invention should not be construed as reflecting the intention that the claimed invention requires more features than those specifically recited in the appended claims. Rather, as the invention is reflected by the appended claims, it is claimed that the technical problems can be solved with fewer features than all of the features of a single disclosed embodiment. Therefore, the claims following the specific embodiments are hereby explicitly incorporated into the embodiments, and each of the claims as a separate embodiment of the invention.
本领域的技术人员可以理解,除了特征之间相互排斥之外,可以采用任何组合对本说明书(包括伴随的权利要求、摘要和附图)中公开的所有特征以及如此公开的任何方法或者设备的所有过程或单元进行组合。除非另外明确陈述,本说明书(包括伴随的权利要求、摘要和附图)中公开的每个特征可以由提供相同、等同或相似目的的替代特征来代替。It will be understood by those skilled in the art that all features disclosed in the specification, including the accompanying claims, the abstract and the drawings, and all methods or devices so disclosed, may be employed in any combination, unless the features are mutually exclusive. Process or unit combination. Each feature disclosed in this specification (including the accompanying claims, the abstract and the drawings) may be replaced by alternative features that provide the same, equivalent or similar purpose.
此外,本领域的技术人员能够理解,尽管在此所述的一些实施例包括其它实施例中所包括的某些特征而不是其它特征,但是不同实施例的特征的组合意味着处于本发明的范围之内并且形成不同的实施例。例如,在权利要求书中,所要求保护的实施例的任意之一都可以以任意的组合方式来使用。In addition, those skilled in the art will appreciate that, although some embodiments described herein include certain features that are included in other embodiments and not in other features, combinations of features of different embodiments are intended to be within the scope of the present invention. Different embodiments are formed and formed. For example, in the claims, any one of the claimed embodiments can be used in any combination.
本发明的各个部件实施例可以以硬件实现,或者以在一个或者多个处理 器上运行的软件模块实现,或者以它们的组合实现。本领域的技术人员应当理解,可以在实践中使用微处理器或者数字信号处理器(DSP)来实现根据本发明实施例的推理机训练装置或辅助诊断系统的升级装置中的一些模块的一些或者全部功能。本发明还可以实现为用于执行这里所描述的方法的一部分或者全部的装置程序(例如,计算机程序和计算机程序产品)。这样的实现本发明的程序可以存储在计算机可读介质上,或者可以具有一个或者多个信号的形式。这样的信号可以从因特网网站上下载得到,或者在载体信号上提供,或者以任何其他形式提供。Various component embodiments of the present invention may be implemented in hardware or in one or more processes Implemented by software modules running on the device, or in combinations of them. Those skilled in the art will appreciate that a microprocessor or digital signal processor (DSP) may be used in practice to implement some of some of the inference engine training devices or upgrade devices of the auxiliary diagnostic system in accordance with embodiments of the present invention or All features. The invention can also be implemented as a device program (e.g., a computer program and a computer program product) for performing some or all of the methods described herein. Such a program implementing the invention may be stored on a computer readable medium or may be in the form of one or more signals. Such signals may be downloaded from an Internet website, provided on a carrier signal, or provided in any other form.
应该注意的是上述实施例对本发明进行说明而不是对本发明进行限制,并且本领域技术人员在不脱离所附权利要求的范围的情况下可设计出替换实施例。在权利要求中,不应将位于括号之间的任何参考符号构造成对权利要求的限制。单词“包含”不排除存在未列在权利要求中的元件或步骤。位于元件之前的单词“一”或“一个”不排除存在多个这样的元件。本发明可以借助于包括有若干不同元件的硬件以及借助于适当编程的计算机来实现。在列举了若干装置的单元权利要求中,这些装置中的若干个可以是通过同一个硬件项来具体体现。单词第一、第二、以及第三等的使用不表示任何顺序。可将这些单词解释为名称。It is to be noted that the above-described embodiments are illustrative of the invention and are not intended to be limiting, and that the invention may be devised without departing from the scope of the appended claims. In the claims, any reference signs placed between parentheses shall not be construed as a limitation. The word "comprising" does not exclude the presence of the elements or steps that are not recited in the claims. The word "a" or "an" The invention can be implemented by means of hardware comprising several distinct elements and by means of a suitably programmed computer. In the unit claims enumerating several means, several of these means can be embodied by the same hardware item. The use of the words first, second, and third does not indicate any order. These words can be interpreted as names.
以上所述,仅为本发明的具体实施方式或对具体实施方式的说明,本发明的保护范围并不局限于此,任何熟悉本技术领域的技术人员在本发明揭露的技术范围内,可轻易想到变化或替换,都应涵盖在本发明的保护范围之内。本发明的保护范围应以权利要求的保护范围为准。 The above is only the specific embodiment of the present invention or the description of the specific embodiments, and the scope of the present invention is not limited thereto, and any person skilled in the art can easily within the technical scope disclosed by the present invention. Any changes or substitutions are contemplated as being within the scope of the invention. The scope of the invention should be determined by the scope of the claims.

Claims (26)

  1. 一种推理机训练方法,包括:An inference engine training method, comprising:
    步骤S2010:利用知识库中存储的多组血流数据作为样本训练推理机,其中,所述知识库中存储的每组血流数据包括血流特征参数和对应的已知结论;Step S2010: using multiple sets of blood flow data stored in the knowledge base as a sample training inference engine, wherein each set of blood flow data stored in the knowledge base includes blood flow characteristic parameters and corresponding known conclusions;
    步骤S2020:从所述知识库中选择至少一组血流数据;Step S2020: selecting at least one set of blood flow data from the knowledge base;
    步骤S2030:对于所述至少一组血流数据中的每组血流数据,利用所述推理机对该组血流数据中的血流特征参数进行推理,以获得对应的测试结论;Step S2030: For each set of blood flow data in the at least one set of blood flow data, using the inference engine to infer blood flow characteristic parameters in the blood flow data of the group to obtain a corresponding test conclusion;
    步骤S2040:基于所述至少一组血流数据中的每组血流数据中的血流特征参数及对应的测试结论进行血流动力学校验;以及Step S2040: performing hemodynamic verification based on blood flow characteristic parameters and corresponding test conclusions in each set of blood flow data in the at least one set of blood flow data;
    步骤S2050:基于血流动力学校验结果判断所述推理机是否合格。Step S2050: Determine whether the inference engine is qualified based on the hemodynamic verification result.
  2. 如权利要求1所述的推理机训练方法,其中,The inference engine training method according to claim 1, wherein
    所述步骤S2050包括:The step S2050 includes:
    如果确定所述推理机不合格,则转至步骤S2060;If it is determined that the inference engine fails, then go to step S2060;
    所述推理机训练方法还包括:The inference engine training method further includes:
    步骤S2060:输出用于指示所述推理机未通过血流动力学校验的指示信息。Step S2060: Output indication information indicating that the inference engine has not passed the hemodynamic check.
  3. 如权利要求2所述的推理机训练方法,其中,在所述步骤S2060之后,所述推理机训练方法还包括:The inference engine training method according to claim 2, wherein after the step S2060, the inference engine training method further comprises:
    步骤S2070:接收关于修改用于实现所述推理机的模型、所述推理机的参数、所述知识库中存储的血流数据和血流动力学校验所采用的血流动力学模型中的一项或多项的第一修改指令;以及Step S2070: Receive one of a hemodynamic model used to modify a model for implementing the inference engine, parameters of the inference engine, blood flow data stored in the knowledge base, and hemodynamic check The first modification instruction of the item or items;
    步骤S2080:根据所述第一修改指令执行对应的修改动作并返回所述步骤S2010。Step S2080: Perform a corresponding modification action according to the first modification instruction and return to the step S2010.
  4. 如权利要求1所述的推理机训练方法,其中,The inference engine training method according to claim 1, wherein
    所述步骤S2050包括:The step S2050 includes:
    如果确定所述推理机合格,则转至步骤S2090;If it is determined that the inference engine is qualified, then go to step S2090;
    所述推理机训练方法还包括:The inference engine training method further includes:
    步骤S2090:以所述推理机提供的规则更新所述知识库中存储的已知规则。 Step S2090: Update the known rules stored in the knowledge base with the rules provided by the inference engine.
  5. 如权利要求1所述的推理机训练方法,其中,The inference engine training method according to claim 1, wherein
    所述步骤S2050包括:The step S2050 includes:
    如果确定所述推理机合格,则转至步骤S2100;If it is determined that the inference engine is qualified, then go to step S2100;
    所述推理机训练方法还包括:The inference engine training method further includes:
    步骤S2100:判断所述推理机提供的规则与所述知识库中存储的已知规则是否冲突,如果是,则转至步骤S2110;以及Step S2100: determining whether the rule provided by the inference engine conflicts with a known rule stored in the knowledge base, and if yes, proceeding to step S2110;
    步骤S2110:输出用于指示规则发生冲突的指示信息。Step S2110: Output indication information indicating that the rule conflicts.
  6. 如权利要求5所述的推理机训练方法,其中,在所述步骤S2110之后,所述推理机训练方法还包括:The inference engine training method according to claim 5, wherein after the step S2110, the inference engine training method further comprises:
    步骤S2120:接收关于修改用于实现所述推理机的模型、所述推理机的参数和所述知识库中存储的血流数据中的一项或多项的第二修改指令;以及Step S2120: receiving a second modification instruction for modifying one or more of a model for implementing the inference engine, parameters of the inference engine, and blood flow data stored in the knowledge base;
    步骤S2130:根据所述第二修改指令执行对应的修改动作并返回所述步骤S2010。Step S2130: Perform a corresponding modification action according to the second modification instruction and return to the step S2010.
  7. 如权利要求5所述的推理机训练方法,其中,The inference engine training method according to claim 5, wherein
    所述步骤S2100包括:The step S2100 includes:
    如果所述推理机提供的规则与所述知识库中存储的已知规则不冲突,则转至步骤S2140;If the rule provided by the inference engine does not conflict with the known rules stored in the knowledge base, then go to step S2140;
    所述推理机训练方法还包括:The inference engine training method further includes:
    步骤S2140:以所述推理机提供的规则更新所述知识库中存储的已知规则。Step S2140: Update the known rules stored in the knowledge base with rules provided by the inference engine.
  8. 如权利要求1所述的推理机训练方法,其中,在所述步骤S2010之后,所述推理机训练方法还包括:The inference engine training method according to claim 1, wherein after the step S2010, the inference engine training method further comprises:
    步骤S2012:利用所述多组血流数据对所述推理机进行交叉验证,以评估所述推理机的正确率。Step S2012: cross-validating the inference engine with the plurality of sets of blood flow data to evaluate the correct rate of the inference engine.
  9. 如权利要求8所述的推理机训练方法,其中,The inference engine training method according to claim 8, wherein
    所述步骤S2012包括:The step S2012 includes:
    如果所述正确率小于预设阈值,则转至步骤S2014;If the correct rate is less than the preset threshold, then go to step S2014;
    所述推理机训练方法还包括:The inference engine training method further includes:
    步骤S2014:输出用于指示所述推理机未通过交叉验证的指示信息。Step S2014: Output indication information indicating that the inference engine has not passed the cross-validation.
  10. 如权利要求9所述的推理机训练方法,其中,在所述步骤S2014之后,所述推理机训练方法还包括: The inference engine training method according to claim 9, wherein after the step S2014, the inference engine training method further comprises:
    步骤S2016:接收关于修改用于实现所述推理机的模型、所述推理机的参数和所述知识库中存储的血流数据中的一项或多项的第三修改指令;以及Step S2016: receiving a third modification instruction for modifying one or more of a model for implementing the inference engine, parameters of the inference engine, and blood flow data stored in the knowledge base;
    步骤S2018:根据所述第三修改指令执行对应的修改动作并返回所述步骤S2010。Step S2018: Perform a corresponding modification action according to the third modification instruction and return to the step S2010.
  11. 如权利要求1所述的推理机训练方法,其中,所述推理机采用贝叶斯分类器、支持向量机或深度神经网络实现。The inference engine training method according to claim 1, wherein said inference engine is implemented using a Bayesian classifier, a support vector machine, or a deep neural network.
  12. 如权利要求1所述的推理机训练方法,其中,所述步骤S2040包括:The inference engine training method according to claim 1, wherein said step S2040 comprises:
    建立预定义的血流动力学模型;以及Establish a predefined hemodynamic model;
    判断所述至少一组血流数据中的每组血流数据中的血流特征参数及对应的测试结论是否符合所述预定义的血流动力学模型所规定的物理规律,以获得所述血流动力学校验结果。Determining whether blood flow characteristic parameters and corresponding test conclusions in each set of blood flow data in the at least one set of blood flow data meet physical laws prescribed by the predefined hemodynamic model to obtain the blood Flow dynamics verification results.
  13. 一种辅助诊断系统的升级方法,包括:An upgrade method for an auxiliary diagnostic system, comprising:
    至少利用所述辅助诊断系统的、采用如权利要求1至12任一项所述的推理机训练方法训练获得的推理机对一组或多组实际血流特征参数进行推理,以获得与所述一组或多组实际血流特征参数一一对应的一个或多个实际结论;At least an inference engine trained by the inference engine training method according to any one of claims 1 to 12 using the auxiliary diagnostic system to infer one or more sets of actual blood flow characteristic parameters to obtain One or more actual conclusions in which one or more sets of actual blood flow characteristic parameters correspond one-to-one;
    输出所述一个或多个实际结论;Outputting the one or more actual conclusions;
    接收关于所述一个或多个实际结论中的至少部分实际结论的指示信息;以及Receiving indication information regarding at least a portion of the actual conclusions of the one or more actual conclusions;
    基于所述指示信息将所述至少部分实际结论以及与所述至少部分实际结论一一对应的至少一组实际血流特征参数存储到所述辅助诊断系统的知识库中用于实现所述辅助诊断系统的升级。And storing at least part of the actual conclusion and at least one set of actual blood flow characteristic parameters in one-to-one correspondence with the at least part of the actual conclusion based on the indication information into a knowledge base of the auxiliary diagnostic system for implementing the auxiliary diagnosis System upgrade.
  14. 如权利要求13所述的升级方法,其中,所述辅助诊断系统的数据库用于存储所述辅助诊断系统先前处理的实际血流特征参数和针对所述先前处理的实际血流特征参数进行推理获得的先前结论,所述一组或多组实际血流特征参数是来自所述辅助诊断系统的数据库的先前处理的实际血流特征参数。The upgrade method according to claim 13, wherein the database of the auxiliary diagnostic system is configured to store an actual blood flow characteristic parameter previously processed by the auxiliary diagnostic system and to obtain an inference for the previously processed actual blood flow characteristic parameter As a previous conclusion, the one or more sets of actual blood flow characteristic parameters are previously processed actual blood flow characteristic parameters from a database of the auxiliary diagnostic system.
  15. 如权利要求13所述的升级方法,其中,所述至少部分实际结论是与人工选择的非典型病例对应的实际结论。The upgrade method of claim 13 wherein said at least partial actual conclusion is an actual conclusion corresponding to a manually selected atypical case.
  16. 如权利要求13所述的升级方法,其中,所述至少利用所述辅助诊断系统的、采用如权利要求1至12任一项所述的推理机训练方法训练获得的推理机对一组或多组实际血流特征参数进行推理包括:The upgrading method according to claim 13, wherein said inference engine obtained by training at least said auxiliary diagnostic system using the inference engine training method according to any one of claims 1 to 12 is one or more The reasoning of the actual blood flow characteristic parameters of the group includes:
    综合所述推理机提供的规则与所述辅助诊断系统的知识库中存储的已知 规则,以获得综合后的规则;以及Synthesizing the rules provided by the inference engine with known knowledge stored in the knowledge base of the auxiliary diagnostic system Rules to obtain a consolidated rule;
    基于所述综合后的规则对所述一组或多组实际血流特征参数进行推理。The one or more sets of actual blood flow characteristic parameters are reasoned based on the integrated rules.
  17. 如权利要求13所述的升级方法,其中,所述辅助诊断系统的数据库用于存储关于先前结论是否被采纳的反馈信息,所述升级方法还包括:The upgrade method of claim 13, wherein the database of the auxiliary diagnostic system is configured to store feedback information as to whether the previous conclusion was adopted, the upgrade method further comprising:
    如果根据所述数据库中存储的反馈信息确定特定类型的先前结论未被采纳的次数超过次数阈值,则If it is determined according to the feedback information stored in the database that the number of previous conclusions of a particular type has not been adopted exceeds the threshold of times, then
    输出关于所述特定类型的先前结论可能存在问题的提示信息;Outputting prompt information regarding possible problems with the previous conclusions of the particular type;
    接收关于修改用于实现所述推理机的模型、所述推理机的参数和所述知识库中存储的已知规则中的一项或多项的修改指令;以及Receiving a modification instruction for modifying one or more of a model for implementing the inference engine, parameters of the inference engine, and known rules stored in the knowledge base;
    根据所述修改指令执行对应的修改动作。Performing a corresponding modification action according to the modification instruction.
  18. 如权利要求17所述的升级方法,其中,所述升级方法还包括:The upgrade method of claim 17, wherein the upgrading method further comprises:
    对于多根血管中的每根血管,For each blood vessel in a plurality of blood vessels,
    至少利用所述推理机对与该血管相关的一组实际血流特征参数进行推理,以获得与该血管对应的血管相关结论;At least utilizing the inference engine to infer a set of actual blood flow characteristic parameters associated with the blood vessel to obtain a blood vessel related conclusion corresponding to the blood vessel;
    实时输出与该血管对应的血管相关结论;以及Real-time output of blood vessel-related conclusions corresponding to the blood vessel;
    实时接收并存储关于与该血管对应的血管相关结论是否被采纳的反馈信息。Feedback information on whether or not the blood vessel related conclusion corresponding to the blood vessel is accepted is received and stored in real time.
  19. 如权利要求17所述的升级方法,其中,所述升级方法还包括:The upgrade method of claim 17, wherein the upgrading method further comprises:
    至少利用所述推理机对与多根血管一一对应相关的多组实际血流特征参数进行推理,以获得与所述多根血管一一对应的多个血管相关结论;At least using the inference engine to infer a plurality of sets of actual blood flow characteristic parameters associated with the plurality of blood vessels in a one-to-one correspondence to obtain a plurality of blood vessel related conclusions corresponding to the plurality of blood vessels one-to-one;
    基于所述多个血管相关结论确定总结论;Determining a general conclusion based on the plurality of blood vessel related conclusions;
    输出所述总结论;以及Output the general conclusion; and
    接收并存储关于所述总结论是否被采纳的反馈信息。Feedback information is received and stored as to whether the overall conclusion is accepted.
  20. 如权利要求13所述的升级方法,其中,所述一组或多组实际血流特征参数是所述辅助诊断系统当前需要处理的实际血流特征参数,The upgrading method according to claim 13, wherein said one or more sets of actual blood flow characteristic parameters are actual blood flow characteristic parameters currently required to be processed by said auxiliary diagnostic system,
    所述升级方法还包括:基于所述知识库和/或所述推理机生成所述辅助诊断系统中的新的解释器。The upgrade method further includes generating a new interpreter in the auxiliary diagnostic system based on the knowledge base and/or the inference engine.
  21. 一种推理机训练装置,包括:An inference engine training device comprising:
    训练模块,用于利用知识库中存储的多组血流数据作为样本训练推理机,其中,所述知识库中存储的每组血流数据包括血流特征参数和对应的已知结论;a training module, configured to use the plurality of sets of blood flow data stored in the knowledge base as a sample training inference engine, wherein each set of blood flow data stored in the knowledge base includes a blood flow characteristic parameter and a corresponding known conclusion;
    选择模块,用于从所述知识库中选择至少一组血流数据; a selection module, configured to select at least one set of blood flow data from the knowledge base;
    推理模块,用于对于所述至少一组血流数据中的每组血流数据,利用所述推理机对该组血流数据中的血流特征参数进行推理,以获得对应的测试结论;And a reasoning module, configured to infer, for each set of blood flow data in the at least one set of blood flow data, the blood flow characteristic parameter in the blood flow data by using the inference engine to obtain a corresponding test conclusion;
    血流动力学校验模块,用于基于所述至少一组血流数据中的每组血流数据中的血流特征参数及对应的测试结论进行血流动力学校验;以及a hemodynamic verification module for performing hemodynamic verification based on blood flow characteristic parameters and corresponding test conclusions in each of the at least one set of blood flow data;
    合格判断模块,用于基于血流动力学校验结果判断所述推理机是否合格。The qualification judging module is configured to judge whether the inference engine is qualified based on the hemodynamic verification result.
  22. 一种辅助诊断系统的升级装置,包括:An upgrade device for an auxiliary diagnostic system, comprising:
    第一推理模块,用于至少利用所述辅助诊断系统的、采用如权利要求1至12任一项所述的推理机训练方法训练获得的推理机对一组或多组实际血流特征参数进行推理,以获得与所述一组或多组实际血流特征参数一一对应的一个或多个实际结论;a first inference module, configured to perform at least one or more sets of actual blood flow characteristic parameters by using an inference engine trained by the inference engine training method according to any one of claims 1 to 12; Inferring to obtain one or more actual conclusions that correspond one-to-one with the one or more sets of actual blood flow characteristic parameters;
    第一输出模块,用于输出所述一个或多个实际结论;a first output module, configured to output the one or more actual conclusions;
    第一接收模块,用于接收关于所述一个或多个实际结论中的至少部分实际结论的指示信息;以及a first receiving module, configured to receive indication information about at least part of the actual conclusions of the one or more actual conclusions;
    第一存储模块,用于基于所述指示信息将所述至少部分实际结论以及与所述至少部分实际结论一一对应的至少一组实际血流特征参数存储到所述辅助诊断系统的知识库中用于实现所述辅助诊断系统的升级。a first storage module, configured to store, according to the indication information, the at least part of the actual conclusion and at least one set of actual blood flow characteristic parameters that are in one-to-one correspondence with the at least part of the actual conclusion into the knowledge base of the auxiliary diagnosis system Used to implement an upgrade of the auxiliary diagnostic system.
  23. 一种推理机训练装置,包括:An inference engine training device comprising:
    存储器,用于存储程序;Memory for storing programs;
    处理器,用于运行所述程序;a processor for running the program;
    其中,所述程序在所述处理器中运行时,用于执行以下步骤:Wherein, when the program runs in the processor, it is used to perform the following steps:
    步骤S2010:利用知识库中存储的多组血流数据作为样本训练推理机,其中,所述知识库中存储的每组血流数据包括血流特征参数和对应的已知结论;Step S2010: using multiple sets of blood flow data stored in the knowledge base as a sample training inference engine, wherein each set of blood flow data stored in the knowledge base includes blood flow characteristic parameters and corresponding known conclusions;
    步骤S2020:从所述知识库中选择至少一组血流数据;Step S2020: selecting at least one set of blood flow data from the knowledge base;
    步骤S2030:对于所述至少一组血流数据中的每组血流数据,利用所述推理机对该组血流数据中的血流特征参数进行推理,以获得对应的测试结论;Step S2030: For each set of blood flow data in the at least one set of blood flow data, using the inference engine to infer blood flow characteristic parameters in the blood flow data of the group to obtain a corresponding test conclusion;
    步骤S2040:基于所述至少一组血流数据中的每组血流数据中的血流特征参数及对应的测试结论进行血流动力学校验;以及Step S2040: performing hemodynamic verification based on blood flow characteristic parameters and corresponding test conclusions in each set of blood flow data in the at least one set of blood flow data;
    步骤S2050:基于血流动力学校验结果判断所述推理机是否合格。Step S2050: Determine whether the inference engine is qualified based on the hemodynamic verification result.
  24. 一种辅助诊断系统的升级装置,包括:An upgrade device for an auxiliary diagnostic system, comprising:
    存储器,用于存储程序;Memory for storing programs;
    处理器,用于运行所述程序; a processor for running the program;
    其中,所述程序在所述处理器中运行时,用于执行以下步骤:Wherein, when the program runs in the processor, it is used to perform the following steps:
    至少利用所述辅助诊断系统的、采用如权利要求1至12任一项所述的推理机训练方法训练获得的推理机对一组或多组实际血流特征参数进行推理,以获得与所述一组或多组实际血流特征参数一一对应的一个或多个实际结论;At least an inference engine trained by the inference engine training method according to any one of claims 1 to 12 using the auxiliary diagnostic system to infer one or more sets of actual blood flow characteristic parameters to obtain One or more actual conclusions in which one or more sets of actual blood flow characteristic parameters correspond one-to-one;
    输出所述一个或多个实际结论;Outputting the one or more actual conclusions;
    接收关于所述一个或多个实际结论中的至少部分实际结论的指示信息;以及Receiving indication information regarding at least a portion of the actual conclusions of the one or more actual conclusions;
    基于所述指示信息将所述至少部分实际结论以及与所述至少部分实际结论一一对应的至少一组实际血流特征参数存储到所述辅助诊断系统的知识库中用于实现所述辅助诊断系统的升级。And storing at least part of the actual conclusion and at least one set of actual blood flow characteristic parameters in one-to-one correspondence with the at least part of the actual conclusion based on the indication information into a knowledge base of the auxiliary diagnostic system for implementing the auxiliary diagnosis System upgrade.
  25. 一种计算机可读存储介质,所述存储介质上存储了程序,所述程序在运行时用于执行如下步骤:A computer readable storage medium having stored thereon a program for performing the following steps at runtime:
    步骤S2010:利用知识库中存储的多组血流数据作为样本训练推理机,其中,所述知识库中存储的每组血流数据包括血流特征参数和对应的已知结论;Step S2010: using multiple sets of blood flow data stored in the knowledge base as a sample training inference engine, wherein each set of blood flow data stored in the knowledge base includes blood flow characteristic parameters and corresponding known conclusions;
    步骤S2020:从所述知识库中选择至少一组血流数据;Step S2020: selecting at least one set of blood flow data from the knowledge base;
    步骤S2030:对于所述至少一组血流数据中的每组血流数据,利用所述推理机对该组血流数据中的血流特征参数进行推理,以获得对应的测试结论;Step S2030: For each set of blood flow data in the at least one set of blood flow data, using the inference engine to infer blood flow characteristic parameters in the blood flow data of the group to obtain a corresponding test conclusion;
    步骤S2040:基于所述至少一组血流数据中的每组血流数据中的血流特征参数及对应的测试结论进行血流动力学校验;以及Step S2040: performing hemodynamic verification based on blood flow characteristic parameters and corresponding test conclusions in each set of blood flow data in the at least one set of blood flow data;
    步骤S2050:基于血流动力学校验结果判断所述推理机是否合格。Step S2050: Determine whether the inference engine is qualified based on the hemodynamic verification result.
  26. 一种计算机可读存储介质,所述存储介质上存储了程序,所述程序在运行时用于执行如下步骤:A computer readable storage medium having stored thereon a program for performing the following steps at runtime:
    至少利用所述辅助诊断系统的、采用如权利要求1至12任一项所述的推理机训练方法训练获得的推理机对一组或多组实际血流特征参数进行推理,以获得与所述一组或多组实际血流特征参数一一对应的一个或多个实际结论;At least an inference engine trained by the inference engine training method according to any one of claims 1 to 12 using the auxiliary diagnostic system to infer one or more sets of actual blood flow characteristic parameters to obtain One or more actual conclusions in which one or more sets of actual blood flow characteristic parameters correspond one-to-one;
    输出所述一个或多个实际结论;Outputting the one or more actual conclusions;
    接收关于所述一个或多个实际结论中的至少部分实际结论的指示信息;以及Receiving indication information regarding at least a portion of the actual conclusions of the one or more actual conclusions;
    基于所述指示信息将所述至少部分实际结论以及与所述至少部分实际结论一一对应的至少一组实际血流特征参数存储到所述辅助诊断系统的知识库中用于实现所述辅助诊断系统的升级。 And storing at least part of the actual conclusion and at least one set of actual blood flow characteristic parameters in one-to-one correspondence with the at least part of the actual conclusion based on the indication information into a knowledge base of the auxiliary diagnostic system for implementing the auxiliary diagnosis System upgrade.
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