机器学习方法用于预测全喉切除术后的气管亡
Takeaki Hidaka1, Shimpei Miyamoto2, Kiichi Furuse1
1Department of Plastic and Reconstructive Surgery, National Cancer Center Hospital East, Kashiwa, Japan.
Head & neck
|December 13, 2023
概括
在喉切除术后识别气管亡的危险因素至关重要. 放射治疗病史,副腹腔淋巴结解剖和甲状腺切除术是显著的预测因素,有助于预防策略.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术瘤学手术瘤学
- 医疗信息学 医疗信息学
背景情况:
- 气管亡是全喉切除术 (TPL) 后的一个严重并发症.
- 没有食道切除术的TPL后气管亡的危险因素尚未确定.
研究的目的:
- 识别和评估TPL后气管亡的危险因素.
- 为了比较随机森林和物流回归模型的预测能力.
主要方法:
- 在没有食道切除术的情况下接受TPL的395名患者的回顾性审查.
- 应用随机森林机器学习和多变量物流回归来进行风险因素分析.
主要成果:
- 气管内发生在6.3%的患者中.
- 放射治疗的历史成为最重要的预测因素.
- 甲状腺膜淋巴结剖析和全甲状腺切除术也被确定为相关因素.
- 随机森林模型实现了0.927.7的预测准确度.
结论:
- 随机森林模型有效地预测了TPL后的气管亡.
- 建议在气管瘤形成过程中确定了危险因素的患者采取主动措施.
更多相关视频
09:57Seeding and Implantation of a Biosynthetic Tissue-engineered Tracheal Graft in a Mouse Model
Published on: April 1, 2019
7.3K
04:09Predicting Treatment Response to Image-Guided Therapies Using Machine Learning: An Example for Trans-Arterial Treatment of Hepatocellular Carcinoma
Published on: October 10, 2018
8.3K
相关概念视频
Tracheostomy Decannulation
185
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
185
Tracheostomy Care I: Pre-procedural Steps
196
A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Required Equipment
The equipment necessary for tracheostomy care includes:
196
Trachea
2.1K
The trachea, commonly known as the windpipe, is a vital part of the human respiratory system. It serves as a passageway for air to travel between the larynx and the bronchi, allowing oxygen to reach the lungs. Let's explore its anatomical features, dimensions, layers of the tracheal wall, associated muscles, and the functions of its parts.
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
2.1K
Tracheostomy: Procedure and Tubes
620
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
620
