The invention relates to the field of electrocardiogram treatment, and discloses an individualized electrocardiogram operation process relying on iconography examination and an AI
large model, which comprises the following steps: S1,
chest CT image acquisition: a CT
scanner is used for acquiring chest image data of a patient, the CT
scanner can generate high-resolution multilayer CT images, and the
data format comprises but is not limited to a
DICOM format; s2, heart projection
position analysis: carrying out image preprocessing, heart segmentation, heart center point calculation and heart edge positioning on the acquired CT image data; and S3, lead position optimization: generating a
lead electrode position based on a heart projection position by using an AI
large model. According to the method, the actual position and form of the heart of each patient in the
thoracic cavity can be accurately determined through CT
image acquisition and heart projection
position analysis, and the optimized lead position is generated by utilizing the AI
large model based on the individualized projection positions, so that the
lead electrode can more accurately capture the electrical activity of the heart.