用主题建模对退行性宫骨髓病的诊断标准进行范围审查
Stavros Matsoukas1, Carl Moritz Zipser2, Freschta Zipser-Mohammadzada2
1Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Global spine journal
|March 5, 2024
概括
这次范围审查分析了退行性宫肌病 (DCM) 诊断标准. 很少有研究提供了明确的标准,突出了对DCM标准化诊断指南的需要.
科学领域:
- 神经学 神经学
- 医学诊断 医学诊断 医学诊断
背景情况:
- 退行性宫髓病 (DCM) 缺乏标准化的诊断标准.
- 在DCM定义中的可变性阻碍了一致的诊断和研究.
研究的目的:
- 分析过去退行性宫骨髓病研究中使用的纳入标准.
- 确定用于开发DCM标准化诊断标准的模式.
主要方法:
- 对Myelopathy.org数据库 (2005-2021) 的范围审查.
- 主题建模 (HDP,LDA,BERTopic) 应用于DCM的纳入标准.
- 手动解释新出现的主题.
主要成果:
- 在1676份报告中,只有7.16%具有明确的纳入标准.
- 关键的诊断主题包括四肢运动/感觉缺陷,成像/临床相关性和修饰因素.
- 主题建模揭示了诊断方法中不同的模式.
结论:
- 在以前的DCM研究中,只有少数使用了强有力的纳入标准.
- 确定的主题为建立标准化DCM诊断标准提供了基础.
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