用于创伤检查的超声重点评估中腹部游离液体检测的图像分割与机器学习：一项初步研究。
Image Segmentation and Machine Learning for Detection of Abdominal Free Fluid in Focused Assessment With Sonography for Trauma Examinations: A Pilot Study.
作者信息
Sjogren Anna R, Leo Megan M, Feldman James, Gwin Joseph T
机构信息
Boston Medical Center, Boston, Massachusetts USA.
Boston University School of Medicine, Boston, Massachusetts USA.
出版信息
J Ultrasound Med. 2016 Nov;35(11):2501-2509. doi: 10.7863/ultra.15.11017. Epub 2016 Oct 13.
Abstract
The objective of this pilot study was to test the feasibility of automating the detection of abdominal free fluid in focused assessment with sonography for trauma (FAST) examinations. Perihepatic views from 10 FAST examinations with positive results and 10 FAST examinations with negative results were used. The sensitivity and specificity compared to manual classification by trained physicians was evaluated. The sensitivity and specificity (95% confidence interval) were 100% (69.2%-100%) and 90.0% (55.5%-99.8%), respectively. These findings suggest that computerized detection of free fluid on abdominal ultrasound images may be sensitive and specific enough to aid clinicians in their interpretation of a FAST examination.
摘要
这项初步研究的目的是测试在创伤重点超声评估（FAST）检查中自动检测腹腔游离液体的可行性。使用了10例结果为阳性的FAST检查和10例结果为阴性的FAST检查的肝周视图。评估了与训练有素的医生进行手动分类相比的敏感性和特异性。敏感性和特异性（95%置信区间）分别为100%（69.2%-100%）和90.0%（55.5%-99.8%）。这些发现表明，腹部超声图像上游离液体的计算机检测可能足够敏感和特异，有助于临床医生对FAST检查进行解读。
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Telemed J E Health. 2016 Apr;22(4):276-81. doi: 10.1089/tmj.2015.0100. Epub 2015 Sep 16.
2
Rural ED transfers due to lack of radiology services.因缺乏放射科服务导致的农村急诊转诊。
Am J Emerg Med. 2015 Nov;33(11):1630-4. doi: 10.1016/j.ajem.2015.07.050. Epub 2015 Jul 29.
3
Point of care ultrasound (POCUS) telemedicine project in rural Nicaragua and its impact on patient management.尼加拉瓜农村地区的床旁超声（POCUS）远程医疗项目及其对患者管理的影响。
J Ultrasound. 2014 Sep 20;18(2):179-85. doi: 10.1007/s40477-014-0126-1. eCollection 2015 Jun.
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Perceived barriers in the use of ultrasound in developing countries.发展中国家在使用超声方面所察觉到的障碍。
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6
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9
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Int J Emerg Med. 2014 Feb 5;7(1):7. doi: 10.1186/1865-1380-7-7.
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