简化胸部创伤的管理:基于放射学和人工智能的患者风险评估
Ashraf F Hefny1, Taleb M Almansoori2, Darya Smetanina2,3
1Department of Surgery, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates.
Frontiers in surgery
|November 12, 2024
概括
使用放射学数据开发人工智能模型显著改善了对突击胸部创伤患者的风险评估,提高了重症监护病房转移预测和停留时间估计.
科学领域:
- 医学成像分析分析 医学成像分析
- 医疗保健中的人工智能
- 创伤外科手术是什么
背景情况:
- 胸部受伤管理缺乏可靠的风险评估工具.
- 现有的临床指南不能充分预测并发症或严重程度.
- 需要在粗的胸部创伤护理中改进预后模型.
研究的目的:
- 为了优化突发胸部创伤患者的管理.
- 开发用于重症监护室 (ICU) 转移的预后模型.
- 创建预测住院时间 (LOS) 的模型.
主要方法:
- 利用了212个突击胸部创伤病例的队列.
- 使用PyRadiomics进行肺部细分和体积特征提取.
- 在救护车,入院和放射学数据上开发和训练机器学习模型.
主要成果:
- 放射学数据实现了最高的准确性 (96.3% Sn) 预测ICU转移.
- 综合数据 (救护车,实验室,放射学,体检) 改善了预测 (94.4% Sn) 超过仅救护车数据 (边界性能).
- 机器学习回归模型准确地预测了住院LOS (MAE/ROV <8%),受伤严重程度和出血标记是关键预测因素.
结论:
- 人工智能模型,特别是那些在放射学数据上训练的模型,在重的胸部创伤中为风险分层提供了卓越的性能.
- 这些模型可以帮助临床医生克服当前评估工具的局限性.
- 优化患者管理和风险分层是可以通过先进的AI工具实现的.
关键词:
简称伤害量表 (AIS) 是一个缩写的伤害量表.的胸部创伤 胸部创伤胸部CT扫描 胸部CT扫描伤害严重程度得分 (ISS) 伤害严重程度得分 (ISS)患者管理 患者管理无线电学 (radiomics) 是一种无线电学.回归模型是一种回归模型.有关风险因素的风险因素.更多相关视频
10:17Guidelines and Experience Using Imaging Biomarker Explorer IBEX for Radiomics
Published on: January 8, 2018
13.2K
04:09Predicting Treatment Response to Image-Guided Therapies Using Machine Learning: An Example for Trans-Arterial Treatment of Hepatocellular Carcinoma
Published on: October 10, 2018
8.2K
相关概念视频
01:30Radiological Investigation II: MRI and Ventilation Perfusion Scan
100
Description
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
100
01:30Radiological Investigation I: X-ray and CT
214
Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...
214
01:20Imaging Studies for Cardiovascular System III: X-Ray
145
The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
145
01:13Radiological Investigation III: Pulmonary Angiogram and PET Scan
86
Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
86
01:10Computed Tomography
4.3K
Tomography refers to imaging by sections. Computed tomography (CT) is a non-invasive imaging technique that uses computers to analyze several cross-sectional X-rays to reveal minute details about structures in the body.
The technique was invented in the 1970s and is based on the principle that as X-rays pass through the body, they are absorbed or reflected at different levels. In the technique, a patient lies on a motorized platform while a computerized axial tomography (CAT) scanner rotates...
The technique was invented in the 1970s and is based on the principle that as X-rays pass through the body, they are absorbed or reflected at different levels. In the technique, a patient lies on a motorized platform while a computerized axial tomography (CAT) scanner rotates...
4.3K