دورية أكاديمية
أعرض في EDS

Automated evaluation of ASPECTS from brain computerized tomography of patients with acute ischemic stroke.

التفاصيل البيبلوغرافية
العنوان: Automated evaluation of ASPECTS from brain computerized tomography of patients with acute ischemic stroke.
المؤلفون: Scavasine VC; Neurology Division, Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, Brazil., Ferreti LA; Neurology Division, Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, Brazil., da Costa RT; Neurology Division, Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, Brazil., Leitao CA; Radiology Division, Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, Brazil., Teixeira BC; Radiology Division, Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, Brazil., Zétola VHF; Neurology Division, Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, Brazil., Lange MC; Neurology Division, Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, Brazil.
المصدر: Journal of neuroimaging : official journal of the American Society of Neuroimaging [J Neuroimaging] 2023 Jan; Vol. 33 (1), pp. 134-137. Date of Electronic Publication: 2022 Oct 28.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley Country of Publication: United States NLM ID: 9102705 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1552-6569 (Electronic) Linking ISSN: 10512284 NLM ISO Abbreviation: J Neuroimaging Subsets: MEDLINE
أسماء مطبوعة: Publication: 2009- : Hoboken, NJ : Wiley
Original Publication: Boston, Mass. : Little, Brown and Co., c1991-
مواضيع طبية MeSH: Ischemic Stroke* , Stroke*/diagnostic imaging , Stroke*/therapy , Brain Ischemia*/diagnostic imaging , Brain Ischemia*/therapy, Humans ; Artificial Intelligence ; Tomography, X-Ray Computed/methods ; Brain/diagnostic imaging ; Retrospective Studies
مستخلص: Background and Purpose: Precise evaluation of brain computerized tomography (CT) is a crucial step in acute ischemic stroke evaluation. Electronic Alberta Stroke Program Early CT Score (E-ASPECTS) helps in the selection of patients who may be eligible for thrombolysis. This paper seeks to assess the performance of emergency physicians (EPs) in the evaluation of ASPECTS scores with and without the use of E-ASPECTS and to compare their results with neuroradiologists.
Methods: A total of 116 patients were selected. Initially, two EPs and two neuroradiologists evaluated the admission nonenhanced CT without E-ASPECTS. Then, after 30 days, they re-evaluated the images using E-ASPECTS. Sensitivity, specificity, Matthew's correlation coefficients (MCC), and receiver operating characteristic curves were generated for analysis before and after the software use.
Results: Eps' performances improved when they used E-ASPECTS, with their results closer to those obtained by neuroradiologists. In the initial evaluation, MCC values for the two EPs were -0.01 and 0.04, respectively. After the software assistance, they obtained 0.38 and 0.43, respectively, which was closer to the scores obtained by the neuroradiologists (0.53 and 0.39, respectively).
Discussion: This is the first study that has specifically compared neuroradiologists' and EPs' performances before and after using E-ASPECTS. E-ASPECTS assisted and improved the evaluation of the images of patients with acute ischemic stroke.
Conclusion: Artificial intelligence in the emergency room may increase the number of patients treated with tissue-type plasminogen activators.
(© 2022 American Society of Neuroimaging.)
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فهرسة مساهمة: Keywords: artificial intelligence; cerebrovascular disorders; emergency medicine; ischemic stroke; neuroimaging
تواريخ الأحداث: Date Created: 20221028 Date Completed: 20230116 Latest Revision: 20230131
رمز التحديث: 20230131
DOI: 10.1111/jon.13066
PMID: 36307385
قاعدة البيانات: MEDLINE
الوصف
تدمد:1552-6569
DOI:10.1111/jon.13066