التفاصيل البيبلوغرافية
| العنوان: |
Pilot Report for Intracranial Hemorrhage Detection with Deep Learning Implanted Head Computed Tomography Images at Emergency Department. |
| المؤلفون: |
Chien, Hung-Wei Chang, Yang, Tsung-Lung, Juang, Wang-Chuan, Chen, Yen-Yu Arthur, Li, Yu-Chuan Jack, Chen, Chih-Yu |
| المصدر: |
Journal of Medical Systems; Jul2022, Vol. 46 Issue 7, p1-6, 6p, 4 Charts, 1 Graph |
| مصطلحات موضوعية: |
CRANIAL radiography, DEEP learning, HOSPITALS, LENGTH of stay in hospitals, MEDICAL quality control, HOSPITAL emergency services, INTRACRANIAL hemorrhage, RETROSPECTIVE studies, ACQUISITION of data, MEDICAL care costs, MEDICAL records, DESCRIPTIVE statistics, COMPUTED tomography, RECEIVER operating characteristic curves, DATA analysis software, SENSITIVITY & specificity (Statistics) |
| مصطلحات جغرافية: |
TAIWAN |
| مستخلص: |
Hemorrhagic stroke is a serious clinical condition that requires timely diagnosis. An artificial intelligence algorithm system called DeepCT can identify hemorrhagic lesions rapidly from non-contrast head computed tomography (NCCT) images and has received regulatory clearance. A non-controlled retrospective pilot clinical trial was conducted. Patients who received NCCT at the emergency department (ED) of Kaohsiung Veteran General Hospital were collected. From 2020 January-1st to April-30th, the physicians read NCCT images without DeepCT. From 2020May-1st to August-31st, the physicians were assisted by DeepCT. The length of ED stays (LOS) for the patients was collected. 2,999 patients were included (188 and 2811 with and without ICH). For patients with a final diagnosis of ICH, implementing DeepCT significantly shortened their LOS (560.67 ± 604.93 min with DeepCT vs. 780.83 ± 710.27 min without DeepCT; p = 0.0232). For patients with a non-ICH diagnosis, the LOS did not significantly differ (705.90 ± 760.86 min with DeepCT vs. 679.45 ± 681.97 min without DeepCT; p = 0.3362). For patients with ICH, those assisted with DeepCT had a significantly shorter LOS than those without DeepCT. For patients with a non-ICH diagnosis, implementing DeepCT did not affect the LOS, because emergency physicians need same efforts to identify the underlying problem(s) with or without DeepCT. In summary, implementing DeepCT system in the ED will save costs, decrease LOS, and accelerate patient flow; most importantly, it will improve the quality of care and increase the confidence and shorten the response time of the physicians and radiologists. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
