مورد إلكتروني
The Utility of Automated ASPECTS in Acute Ischemic Stroke for Intravenous Recombinant Tissue Plasminogen Activator (IV-rtPA) Therapy.
| العنوان: | The Utility of Automated ASPECTS in Acute Ischemic Stroke for Intravenous Recombinant Tissue Plasminogen Activator (IV-rtPA) Therapy. |
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| المؤلفون: | Shibata, Soichiro |
| المصدر: | Neurology International; vol 14, iss 4; 2035-8385 |
| بيانات النشر: | eScholarship, University of California 2022-11-21 |
| تفاصيل مُضافة: | Shibata, Soichiro Sakurai, Kenzo Tachikawa, Keiji Ko, Riyoko Hino, Sakae Fukano, Takayuki Isahaya, Kenji Haraguchi, Takafumi Yamauchi, Junji Tanabe, Kenichiro Nagasaka, Misako Hagiwara, Yuta Shimizu, Takahiro Akiyama, Hisanao Kobayashi, Yasuyuki Hasegawa, Yasuhiro Yamano, Yoshihisa |
| نوع الوثيقة: | Electronic Resource |
| مستخلص: | PURPOSE: This study aimed to investigate the accuracy and clinical significance of an artificial intelligence (AI)-based automated Alberta Stroke Program Early Computed Tomography (ASPECT) scoring software of head CT for the indication of intravenous recombinant tissue plasminogen activator (rt-PA) therapy. METHODS: This study included two populations of acute ischemic stroke: one comprised patients who had undergone head CT within 48 h of presentation (Population #1, n = 448), while the other included patients within 4.5 h from onset (Population #2, n = 132). The primary endpoint was the concordance rate of ASPECTS of the neurologists and AI software against the benchmark score. The secondary endpoints were to validate the accuracy of the neurologist and AI software in assessing the ability to rule out extensive infarction (ASPECTS of 0-5) in population #2. RESULTS: The reading accuracy of AI software was comparable to that of the board-certified vascular neurologists. The detection rate of cardiogenic cerebral embolism was better than that of atherothrombotic cerebral infarction. By excluding extensive infarction, AI-software showed a higher specificity and equivalent sensitivity compared to those of experts. CONCLUSIONS: The AI software for ASPECTS showed convincing agreement with expert evaluation and would be supportive in determining the indications of intravenous rt-PA therapy. |
| مصطلحات الفهرس: | ASPECTS, acute cerebral infarction, artificial intelligence, recombinant tissue plasminogen activator therapy, article |
| URL: | |
| الإتاحة: | Open access content. Open access content public |
| ملاحظة: | application/pdf Neurology International vol 14, iss 4 2035-8385 |
| أرقام أخرى: | CDLER oai:escholarship.org:ark:/13030/qt56h8j9nh qt56h8j9nh https://escholarship.org/uc/item/56h8j9nhTest https://escholarship.orgTest/ 1401040686 |
| المصدر المساهم: | UC MASS DIGITIZATION From OAIster®, provided by the OCLC Cooperative. |
| رقم الانضمام: | edsoai.on1401040686 |
| قاعدة البيانات: | OAIster |
| الوصف غير متاح. |