婴儿重症监护室的人工智能可以预测早产婴儿的输出管成功
Allan C Jenkinson1, Theodore Dassios1,2, Anne Greenough1,2
1Department of Women and Children's Health, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK.
Journal of perinatal medicine
|December 7, 2023
概括
预测早产婴儿的输出管成功是具有挑战性的. 虽然人工智能 (AI) 是有前途的,但当前的AI模型尚未超过机械通风婴儿的既定临床预测指标.
科学领域:
- 新生儿医学 新生儿医学
- 医疗信息学 医疗信息学
- 计算生物学 计算生物学
背景情况:
- 在早产婴儿中,长时间的机械通风会导致支气管肺功能障碍.
- 预测成功的输出管是至关重要的,但仍然很困难.
- 人工智能 (AI) 为改善输出管成功预测提供了一个潜在的途径.
研究的目的:
- 审查目前关于人工智能在预测早产婴儿输出管成功中的作用的文献.
- 与临床预测因素相比,评估AI模型的性能.
主要方法:
- 对11项研究进行了叙述性审查.
- 分析了基于AI的预测模型的性能 (曲线下的面积 - AUC).
- 将AI模型的性能与可用的临床预测因素进行比较.
主要成果:
- 人工智能模型显示AUC范围从0.7到0.87.
- 只有两项研究进行了外部验证.
- 在直接比较中,临床预测因素有时表现优于人工智能模型 (例如,AUC 0.86与0.68).
结论:
- 人工智能有可能改善新生儿的输出管成功预测.
- 目前,没有AI模型能够表现出比临床预测器更高的性能.
- 未来的研究必须包括对临床适用性的外部验证.
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