机器学习在女性尿失禁:一个范围审查
Qi Wang1,2, Xiaoxiao Wang1,2, Xiaoxiang Jiang3
1College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, China.
Digital health
|October 9, 2024
概括
机器学习 (ML) 对预测和诊断女性尿失禁 (UI) 有希望. 然而,不一致的验证阻碍了其广泛的临床应用,需要未来的研究标准化.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗信息学 医疗信息学
- 人工智能的人工智能
背景情况:
- 女性尿失禁 (UI) 是一种普遍影响生活质量的疾病.
- 机器学习 (ML) 为改善UI的诊断和管理提供了潜力.
- 需要对女性UI中的ML应用有全面的了解.
研究的目的:
- 在过去十年中对女性UI的ML应用进行文献范围审查.
- 确定用于女性UI的ML模型的趋势,方法和结果.
主要方法:
- 在Medline,谷歌学者,PubMed和科学网上进行系统的文献搜索.
- 关键词包括"尿失禁"和"机器学习"或"预测"或"预测模型".
- 数据提取侧重于应用领域,ML类型,输入变量和模型验证.
主要成果:
- 23项研究符合798篇已识别的论文中的纳入标准.
- 物流回归是主要的ML方法 (91.3%).
- ML主要预测分娩后的UI (39.1%) 和手术后的de novo incontinence (34.8%),具有可变的预测性表现 (AUC0.56-0.95).
结论:
- 机器学习模型显示了预测和诊断女性UI的潜力.
- 缺乏标准化,透明度和外部验证限制了当前的适用性和可重复性.
- 未来的研究应该优先考虑对女性UI的ML模型的可靠验证和透明报告.
相关概念视频
01:26The Micturition Reflex
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Urination, or micturition involves the coordination of the bladder's detrusor muscle and two sphincters to ensure controlled bladder emptying.
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating...
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating...
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01:19Anatomy of the Genitourinary System II: Bladder and Urethra
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The lower urinary system consists of the urinary bladder and urethra, which are essential in storing and expelling urine from the body. Together with the internal and external sphincters, these structures work together to regulate urination effectively.Anatomy of the BladderThe urinary bladder is a muscular, stretchable organ behind the pubic bone and in front of the rectum. In females, the bladder is positioned anterior to the vagina and inferior to the uterus, while in males, it is located...
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