新手对心声成像的实时人工智能指导:图像质量和适合诊断解释和定量分析的适合性
Victor Mor-Avi1, Bijoy Khandheria2, Robert Klempfner3
1University of Chicago Medical Center, IL (V.M.-A., J.I.C., B.G., K.H., R.M.L.).
Circulation. Cardiovascular imaging
|November 13, 2023
概括
人工智能软件使未经验的用户能够进行诊断质量的心脏超声波检查,接近专家超声波仪的性能,以改善护理点诊断.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 人工智能在医学中的应用
背景情况:
- 评估经验不丰富的用户进行的心声回声检查的质量.
- 评估人工智能导向心脏超声波的诊断适用性,用于基本病理学和定量分析.
研究的目的:
- 用人工智能指导来前性地评估新手使用人工智能指导执行的心声回声图的质量.
- 评估这些检查的诊断解释和定量分析能力.
主要方法:
- 护士和住院人员使用人工智能引导的手持超声波对240名患者进行最低限度的培训.
- 与专家超声波扫描仪扫描进行比较;由经过认证的心声回声学家进行盲目审查.
- 在图像子集上对左心室体积和功能的定量分析.
主要成果:
- 高质量的成像检测左/右心室大小和功能,以及心周溢出 (92.9-100%).
- 新手和专家之间一致的诊断解释 (83-96%).
- 可行的定量分析具有高相关性 (r≥0.74) 和小偏差.
结论:
- 新手用户可以通过人工智能指导实现诊断质量的心脏超声波图像.
- 这项技术显示,有可能提高心脏超声波的采用率和准确性.
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