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This work was aimed to explore the application of the L2-block-matching and 3-dimentional filtering (BM3D) (L2-BM3D) denoising algorithm in the treatment of lumbar degeneration with long- and short-segment fixation of posterior decompression. 120 patients with degenerative lumbar scoliosis were randomly divided into group A (MRI images were not processed), group B (MRI images were processed by the BM3D denoising algorithm), and group C (MRI images were processed by the BM3D denoising algorithm based on weighted norm L2). This denoising algorithm was comprehensively evaluated in terms of mean square error (MSE), peak signal-to-noise ratio (PSNR), structural similarity index measure (SSIM), and running time. Besides, the results of surgeries based on different denoising methods were assessed through the surgical time, intraoperative blood loss, postoperative drainage, and postoperative follow-up. The results showed the following: (1) PSNR (peak signal-to-noise ratio) and SSIM (structural similarity index measure) of the L2-BM3D algorithm are better than those of the BM3D algorithm (31.21 dB versus 29.33 dB, 0.83 versus 0.72), while mean square error (MSE) was less than that of the BM3D algorithm ( P &lt; 0.05 ). (2) The operation time, intraoperative bleeding, and postoperative drainage volume in group C were lower than those in group B and group A ( P &lt; 0.05 ). The postoperative follow-up results showed that, in group C, the postoperative VAS (visual analysis scale) score (1.03 ± 0.29) and ODI (Oswestry disability index) (9.29 ± 0.32) were lower, indicating that the postoperative recovery effect of patients was better. Therefore, the patient’s postoperative recovery effect was better. In conclusion, the L2-BM3D algorithm had an ideal denoising effect on MRI images of lumbar degeneration and was worthy of clinical promotion.

Denoising of Degenerative Lumbar Spine Lesions MRI Images Using Block-Matching and 3D Filtering