商业发作检测软件的系统比较:更新等于升级?
Johannes Koren1, Kady Colabrese2, Manfred Hartmann3
1Karl Landsteiner Institute for Clinical Epilepsy Research and Cognitive Neurology, Vienna, Austria; Department of Neurology, Clinic Hietzing, Vienna, Austria.
概括
Encevis 2.0 显示出更高的发作检测率,而 Persyst 14 在这个更新的软件比较中提供了更少的错误阳性. 这两种发作检测软件包都适合在适当的专业知识下临床使用.
科学领域:
- 神经学 神经学
- 医疗技术 医疗技术 医学技术
- 的研究研究.
背景情况:
- 商业发作检测软件对于管理至关重要.
- 评估了先前版本的恩塞维斯和Persyst.
- 软件更新需要重新评估性能.
研究的目的:
- 为了比较更新的Encevis 2.0和Persyst 14发作检测软件的性能.
- 在大型视频EEG数据集中评估检测率和假阳性率.
主要方法:
- 一项后续研究评估了两个更新的发作检测软件包 (encevis 2.0,Persyst 14).
- 数据包括80名患者,6826小时的EEG和912次发作.
- 分析使用了不同的灵敏度设置.
主要成果:
- 与Persyst 14 (67.3%-71.1%) 相比,Encevis 2.0的检测率 (80.7%-89.1%) 更高.
- Persyst 14的虚假阳性率明显低于Encevis 2.0 (12-22每天) 的虚假阳性率 (2-4每天).
- 平均每名患者的发作数为11.4次,性-克隆性发作率为0.7次.
结论:
- Encevis 2.0提供了更高的灵敏度,而Persyst 14提供了更好的特异性.
- 更新后的软件显示了不同的性能变化:Encevis提高了灵敏度,Persyst提高了假阳性率.
- 自动发作检测软件在临床上是可行的,但需要专家的解释和软件局限性的意识.
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