用人工智能来预测柔性尿路透镜术后的败血症风险:系统性审查
Beatriz Mesalira Alves1, Mikhael Belkovsky2, Carlo Camargo Passerotti2,3
1- Universidade Nove de Julho, - São Bernardo do Campo - SP - Brasil.
Revista do Colegio Brasileiro de Cirurgioes
|July 12, 2023
概括
人工智能 (AI) 模型在对结石进行柔性尿路透镜后预测败血症风险方面表现有前途. 这些人工智能工具为泌尿器科程序中的风险分层提供了有效的策略.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗人工智能 医疗人工智能
- 传染病流行病学 传染病流行病学
背景情况:
- 灵活的尿路透镜是结石的关键治疗方法.
- 手术后泌尿失调是一种罕见但严重的并发症.
- 传统的败血症预测模型缺乏准确性.
研究的目的:
- 系统地审查人工智能 (AI) 应用程序,以预测败血症风险.
- 专注于接受脏质症灵活尿路透镜的患者.
主要方法:
- 系统的文献审查遵循PRISMA指导方针.
- 在 MEDLINE,Embase,Web of Science 和 Scopus 上进行了搜索.
- 包括2,496篇初始文章中的2项研究.
主要成果:
- 这两项研究都使用人工智能模型来预测败血症风险.
- 一种模型使用临床/实验室数据;另一种模型使用CT图像.
- 这两种AI模型都表现出强大的预测性能 (AUC,灵敏度,特异性).
结论:
- 人工智能为泌尿病学中败血症风险分层提供了有效的策略.
- 需要进一步的研究来验证这些AI模型.
- 人工智能可以改善患者在灵活尿路透镜等手术中的结果.
相关概念视频
Imaging Studies V: Intravenous Urography and Retrograde Pyelography
60
IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
60
Acute Kidney Injury IV: Diagnostic Studies and Prevention
36
Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
36
Imaging Studies II: Ultrasonography
29
IntroductionUltrasonography, or renal ultrasound, is a noninvasive medical imaging technique that uses high-frequency sound waves to visualize the kidneys, ureters, bladder, and surrounding tissues.Indications for Urinary System UltrasonographyUrinary system ultrasonography is indicated in various clinical scenarios, such as:Kidney Stones (Urolithiasis): To detect and monitor the size and presence of kidney or urinary tract stones.Hydronephrosis: To assess the dilation of the renal pelvis and...
29
Urine Studies II: Urine Culture and Sensitivity Test
58
A urine culture and sensitivity test is a diagnostic procedure used to identify urinary tract bacterial infections and determine the most effective antibiotics for treatment. This test is generally preferred when a patient shows manifestations of a urinary tract infection, such as frequent or painful urination, cloudy or foul-smelling urine, or lower abdominal pain.Purpose of the TestThe primary goals of a urine culture and sensitivity test are to:Determine the specific bacteria causing the...
58
Urinary Tract Calculi VI: Surgical Management
11
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
11
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
15
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
15


