Acute Respiratory Distress Syndrome (ARDS) is a life-threatening condition in critically ill patients, characterized by severe acute hypoxemia and lung injuries. The complexity of ARDS and its high mortality rates warrant innovative approaches for accurate assessment and early intervention. In this scientific study, we present an advanced methodology to evaluate proximal airway volume (PAV) in a porcine model using optical coherence tomography (OCT) and deep learning techniques. We developed an OCT system capable of capturing changes in mucosa thickness (MT) and proximal airway volume in response to smoke inhalation injury in the porcine model. OCT images were acquired at various time points, including baseline, post-injury, and 24, 48, and 72 hours after injury. A comprehensive dataset was compiled for training and validating the deep learning models. The deep learning approach, employing U-Net, DeepLabv3, and SegNet architectures, demonstrated remarkable efficiency in automated PAV calculation when compared to manual segmentation. The Intersection over Union and Dice similarity coefficient metrics validated the accuracy of the models in delineating proximal airway structures.
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