Vomiting Management and Effect Prediction after Early Chemotherapy of Lung Cancer with Diffusion-Weighted Imaging under Artificial Intelligence Algorithm and Comfort Care Intervention

Abstract

This aim of this research was to explore the evaluation and prediction value of diffusion-weighted imaging (DWI) under artificial intelligence algorithm in the vomiting management and chemotherapy of early lung cancer under comfort care. 118 patients with lung cancer were included as the research objects. They were randomly divided into the control group (routine care) and the experiment group (comfort care) with 59 cases in each. The DWI under the weighted nuclear norm minimization (WNNM) noise reduction algorithm was used for examinations. The noise reduction effect of the algorithm under different Gaussian noises, as well as the sensitivity, specificity, and area under the curve (AUC) of the apparent diffusion coefficient (ADC) maps under different $b$ values, was compared and analyzed. The indicators of vomiting, psychological state, quality of life, serum tumor marker levels, and nursing satisfaction were also compared between the two groups of patients after chemotherapy. Compared to the photon mapping (PM) algorithm and the total variation (TV) norm minimization algorithm, the WNNM algorithm had the most ideal noise reduction effect with clearer images, which was conducive to identification. When the $b$ value was 800 s/mm2, the ADC chart had the best sensitivity, specificity, and AUC values of 0.95, 0.89, and 0.87, respectively. After chemotherapy, 45.76% of patients in the experiment group had vomiting in degree 0 and 40.68% had that in degree I, which suggested that the incidence of vomiting was significantly lower than that in the control group ( $P<0.05$ ). All of the psychological state, quality of life, serum tumor marker levels, and nursing satisfaction of patients in the experiment group were significantly better than those in the control group ( $P<0.05$ ). It showed that comfort care could alleviate the vomiting response effectively of patients with lung cancer after chemotherapy and had significant effects in improving the quality of life, the psychological state, and curative effect of patients. WNNM algorithm had the better noise reduction effect in DWI image processing. This work provided a certain reference for the nursing intervention plan after chemotherapy of early lung cancer.