在使用基于AI的算法检测到的患者中遵守SVS腹腔大动脉动脉瘤指南
Elena M Wilson1, Kaelan Yao1, Valentyna Kostiuk1
1Yale School of Medicine, New Haven, CT, USA.
Annals of vascular surgery
|May 11, 2025
概括
对腹腔大动脉动脉瘤 (AAA) 管理的血管外科学会 (SVS) 准则的遵守仍然是温和的. 人工智能可以改善患者监测和结果.
科学领域:
- 血管外科 血管外科
- 医疗成像医学成像
- 人工智能的人工智能
背景情况:
- 腹腔大动脉瘤 (AAA) 管理指南来自血管外科学会 (SVS).
- 评估遵守这些指导方针对于患者的治疗结果至关重要.
- 目前AAA监测和干预的遵守水平需要评估.
研究的目的:
- 评估是否遵守最新的SVS指南,用于腹腔大动脉瘤 (AAA) 管理.
- 评估符合成像监测,医生评估和外科手术干预标准.
- 探索人工智能在改善AAA患者护理方面的潜在作用.
主要方法:
- 基于人工智能的自然语言处理应用于AAA患者的成像扫描 (2019年,2021年).
- 对人口统计,并发症,成像和随访遵守情况进行回顾性图表审查.
- 在P < 0.05.05时设置显著性的统计分析.
主要成果:
- 在279名患者的队列中,成像监测的遵守率为67.7%.
- 坚持的女性比不坚持的女性要年轻得多 (P = 0.003).
- 修复率在2021年增加,但一些干预措施发生在SVS值以下.
结论:
- 对AAA管理的SVS指导方针的遵守是适度的.
- 基于AI的工具显示了增强AAA患者监测和结果的潜力.
- 需要进一步的研究来验证AI在AAA管理中的影响.
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