开发和评估临床决策支持系统,用于急性尾炎的早期诊断
Leila Shahmoradi1, Reza Safdari1, Mir Mikail Mirhosseini1
1Health Information Management and Medical Informatics Department, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran.
Scientific reports
|November 11, 2023
概括
这项研究开发了一种智能临床决策支持系统 (CDSS),用于诊断急性尾炎. 该系统实现了高精度,有助于及时诊断和防止不必要的手术.
科学领域:
- 医疗信息学 医疗信息学
- 人工智能在医学中的应用
- 手术诊断手术诊断的使用方法
背景情况:
- 急性尾炎是急诊室访问和尾切除手术的常见原因.
- 准确及时诊断急性尾炎仍然是一个临床挑战.
- 现有的诊断方法可能会导致延迟或负尾切除.
研究的目的:
- 设计和开发一个智能临床决策支持系统 (CDSS).
- 为了提高急性尾炎诊断的准确性和及时性.
- 为了降低负尾切除率和相关的医疗保健成本.
主要方法:
- 神经网络的开发和评估,包括多层感知器 (MLP) 和支持矢量机器 (SVM).
- 利用了181名参与者的患者病历和病理检测结果.
- 使用SVM算法作为核心和Java作为开发构建了CDSS.
主要成果:
- 基于SVM的人工神经网络展示了高的诊断性能.
- 在诊断急性尾炎时,获得了91.7%的灵敏度,96.2%的特异性和95%的准确性.
- 系统性能与病理学结果和一般外科医生诊断进行了验证.
结论:
- 开发的智能CDSS有效地帮助诊断急性尾炎.
- 该系统显示了减少负尾切除术,住院和治疗费用的潜力.
- 在医疗中心实施可以提高患者转诊系统和诊断效率.
相关概念视频
Appendicitis-II: Diagnostic Studies and Management
80
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
80
Appendicitis-I: Introduction
188
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
188
Nursing Clinical Information System
785
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
785
Acute Pancreatitis II: Clinical Manifestations and Management
131
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
131
Acute Coronary Syndrome III: Diagnostic Studies
9
Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
9
Chronic Pancreatitis II: Collaborative Care
95
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
95


