使用人工智能预测创伤性脑损伤后患者的内高血压:系统性审查
S T van Hal1, M van der Jagt2, M E van Genderen2
1Department of Adult Intensive Care, Erasmus MC University Medical Center, Room Ne-413, Doctor Molewaterplein 40, Rotterdam, 3015 GD, The Netherlands. s.vanhal@erasmusmc.nl.
Neurocritical care
|January 11, 2024
概括
人工智能模型可以预测创伤性脑损伤患者的内高血压 (IH). 虽然一些模型显示出有希望的结果,但大多数研究都有高偏差风险,阻碍了临床整合.
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
- 神经科学是一个神经科学.
背景情况:
- 内高血压 (IH) 显著恶化创伤性脑损伤 (TBI) 的结果.
- 早期检测和干预至关重要,但预防性治疗IH更有好处.
- 人工智能 (AI) 提供了开发IH预测模型的潜力.
结论:
- 几种人工智能模型显示出IH预测的良好性能和外部验证.
- 模型显示出临床整合的潜力,其中一些模型已经达到"实时模型测试"阶段.
- 解决当前研究中偏见的高风险对于在IH管理中推进AI至关重要.
相关概念视频
Increased Intracranial Pressure l: Introduction
Intracranial hypertension is a sustained elevation of intracranial pressure (ICP) above 22 mm Hg. In supine adults, normal ICP is ~7–15 mm Hg.The rigid, nonexpandable cranium contains three components—brain tissue, blood, and cerebrospinal fluid (CSF)—that total ~1,700 mL in a typical adult: 1,400 mL brain (~80%), 150 mL blood (~10%), and 150 mL CSF (~10%). According to the Monro–Kellie doctrine, total intracranial volume is effectively fixed. When one component expands, CSF and venous blood...
Increased Intracranial Pressure ll: Pathophysiology
Increased intracranial pressure (ICP) refers to a potentially life-threatening rise in pressure inside the skull. This usually happens when there is a major change in the volume of brain tissue, blood, or cerebrospinal fluid (CSF) — the three components inside the skull. According to the Monro-Kellie doctrine, if the volume of one component increases, the volumes of the other components must decrease to maintain normal pressure. If this does not happen, ICP rises.The process often begins with...


