自动评估左心室功能用于血液动力学监测,使用人工智能和跨食管回声心脏图
Jinyang Yu1,2, Anders Austlid Taskén3, Hans Martin Flade4,5
1Department of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Norway. jinyang_yu@hotmail.com.
Journal of clinical monitoring and computing
|January 27, 2024
概括
人工智能和跨食道心声学 (autoMAPSE) 提供了对左心室 (LV) 功能的快速,自动评估. 这种人工智能工具为重症监护患者提供了准确的测量,有助于血液动力学监测.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 人工智能的人工智能
背景情况:
- 左心室 (LV) 功能评估在重症监护中至关重要.
- 手动测量状环状平面缩外流 (MAPSE) 可能是耗时的.
- 血液动力学监测需要快速和定量 LV 功能评估.
研究的目的:
- 评估一个人工智能驱动的方法 (autoMAPSE) 来自动测量MAPSE.
- 评估autoMAPSE在重症监护患者中的准确性,精度和趋势能力.
- 为了确定自动MAPSE的可行性,以快速评估LV功能.
主要方法:
- 对40名心脏手术后重症监护病人的回顾性研究.
- 在反特伦登堡位置获得的心声回声数据,以评估血液动力学变化.
- 使用自动MAPSE手动和自动测量MAPSE;用Bland-Altman,LSC和一致率进行分析.
主要成果:
- 自动MAPSE在评估MAPSE从心声回声学角度实现了95%的可行性.
- 自动测量速度快 (<1秒),偏差低 (0.4毫米) 和可接受的一致性.
- 自动MAPSE显示出更高的平均心跳和可接受的趋势能力 (81%一致性) 的卓越精度.
结论:
- 自动MAPSE是一个可行的,快速和定量工具,用于LV功能评估.
- 这种人工智能驱动的方法显示了在重症监护中有效的血液动力学监测的潜力.
- 自动MAPSE提供了一个自动化的替代手动MAPSE测量.
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