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透析患者可以使用自身肺部超声波识别和诊断肺堵塞吗?
Eyal Schneider1, Netta Maimon1, Ariel Hasidim1
1Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 7747629, Israel.
血液透析患者可以对肺堵塞进行自我肺超声波 (LUS). 将患者的LUS与AI工具相结合,可以提高准确性,使患者在医疗保健中获得权力.
科学领域:
- 医疗成像医学成像
- 在护理地点进行超声波 (POCUS)
- 人工智能在医学中的应用
背景情况:
- 自动化工具和便携式超声波设备的进步促进了治疗点超声波 (POCUS) 远程指导,以检测肺部拥堵.
- 肺堵塞监测对于接受血液透析 (HD) 的患者至关重要.
研究的目的:
- 评估HD患者自行执行的肺超声波 (LUS) 的可行性和准确性,以检测肺堵塞.
- 评估基于人工智能 (AI) 的自动工具在提高自我LUS准确性方面的实用性.
主要方法:
- 潜在的试点研究涉及19名慢性HD患者.
- 患者进行了自我肺超声波 (LUS),结果与POCUS专家评论和基于AI的B线计数工具进行了比较.
- 评估者间可靠性 (IRR) 用权重的科恩卡帕 (Kw) 指数进行评估.
主要成果:
- 在专家审查和AI计数之间发现了中等到实质性的一致性,无论是患者执行的 (Kw = 0.49) 还是研究人员执行的 (Kw = 0.67) LUS.
- 患者在探针放置和图像采集方面表现出熟练,但在准确的B线计数方面遇到了困难.
- 人工智能工具与专家评估显示中度至实质性一致.
结论:
- 对肺堵塞的自我LUS监测对于HD患者来说是可行的,特别是当与AI结合用于B线量化时.
- 这种方法可以使患者能够在管理他们的健康方面发挥更积极的作用.
- 家庭式超声波设备具有早期检测和肺部拥堵的管理的潜力.
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