Objectives-To verify the value of deep learning in diagnosing nonalcoholic fatty liver disease (NAFLD) by comparing 3 image-processing techniques.Methods-A total of 240 participants were recruited and divided into 4 groups (normal, mild, moderate, and severe NAFLD groups), according to the definition and the ultrasound scoring system for NAFLD. Two-dimensional hepatic imaging was analyzed by the envelope signal, grayscale signal, and deep-learning index obtained by 3 image-processing techniques. The values of the 3 methods ranged from 0 to 65,535, 0 to 255, and 0 to 4, respectively. We compared the values among the 4 groups, draw receiver operating characteristic curves, and compared the area under the curve (AUC) values to identify the best imageprocessing technique.Results-The envelope signal value, grayscale value, and deep-learning index had a significant difference between groups and increased with the severity of NAFLD (P < .05). The 3 methods showed good ability (AUC > 0.7) to identify NAFLD. Meanwhile, the deep-learning index showed the superior diagnostic ability in distinguishing moderate and severe NAFLD (AUC = 0.958).
Conclusions-The envelope signal and grayscale values were vital parameters in the diagnosis of NAFLD. Furthermore, deep learning had the best sensitivity and specificity in assessing the severity of NAFLD.
Bell's palsy is a form of temporary facial nerve paralysis that occurs primarily in young adults. Previously, various methods were used to assess outcomes in facial nerve disease. The aim of the present study was to characterize the main branches of the normal and abnormal facial nerve using high-frequency ultrasonography (HFUS). A total of 104 healthy volunteers, 40 patients with acute onset of Bell's palsy and 30 patients who underwent 3-month routine therapy for Bell's palsy disease were included in the study. The healthy volunteers and patients were selected for HFUS examination and VII nerve conduction. The results showed significant differences in nerve diameter, echogenicity, delitescence and amplitude in different groups. Statistically significant correlations were identified for severity grading in one of the experimental groups during HFUS examinations. In conclusion, HFUS as a complementary technique paired with neural electrophysiology may establish the normal values of facial nerve. Additionally, HFUS was beneficial in the process of evaluation and prognosis of Bell's palsy disease.
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