人工智能用于使用门诊心电图的腹腔失常能力
Joseph Barker1,2,3,4,5, Xin Li1,6, Ahmed Kotb1,2
1Department of Cardiovascular Sciences, University of Leicester, Glenfield Hospital, Groby Road, Leicester LE3 9QP, UK.
European heart journal. Digital health
|May 22, 2024
概括
一个人工智能模型,VA-ResNet-50,可以从心电图 (ECG) 高度准确地预测腹腔失常 (VA) 风险. 这种人工智能工具有望改善患者的治疗结果,并指导植入式心脏转移器除器的使用.
科学领域:
- 心脏病学 心脏病学
- 人工智能的人工智能
- 医学诊断 医学诊断 医学诊断
背景情况:
- 目前对植入式心脏转移器除器 (ICD) 的临床指南在准确分层室内节律失常 (VA) 风险方面存在局限性.
- 这种不准确性导致了显著的患者发病率和死亡率.
- 人工智能 (AI) 提出了一种新的VA风险分层方法,使用心电图 (ECG).
研究的目的:
- 开发和验证用于VA风险分层的深度神经网络 (DNN).
- 评估AI的能力,以确定常规的门诊心电图的VA风险.
主要方法:
- 一项多中心病例控制研究使用了基于ResNet-50的开源DNN,VA-ResNet-50.
- 该模型分析了三导,24小时的门诊心电图,以预测VA能力.
- 包括270名成年患者 (159名VA患者),在VA事件发生前长达1.6年的时间内收集了心电图.
主要成果:
- 在从ECG分类VA能力时,VA-ResNet-50获得了0.76的准确度和0.79的F1得分.
- 该模型显示,接收机操作员曲线下的面积为0.8.8.
- 人工智能确定为高风险的个人,VA的相对风险是VA的2.87倍.
结论:
- 在VA-ResNet-50分析时,门诊心电图包含了对VA分层的有价值的风险信号.
- 人工智能模型的性能超过了当前的医疗指南.
- 这种由人工智能驱动的方法对优化分配拯救生命的ICD充满希望.
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