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在应对2019冠状病毒病时,人工智能和数字通信在急性中风治疗流程中的创新应用。

Innovative use of artificial intelligence and digital communication in acute stroke pathway in response to COVID-19.

作者信息

Nagaratnam Kiruba, Harston George, Flossmann Enrico, Canavan Clara, Geraldes Rui Carmelo, Edwards Chani

机构信息

Royal Berkshire NHS Foundation Trust, Reading, UK.

Oxford University Hospitals NHS Foundation Trust, Oxford, UK.

出版信息

Future Healthc J. 2020 Jun;7(2):169-173. doi: 10.7861/fhj.2020-0034.

DOI:10.7861/fhj.2020-0034
PMID:32550287
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7296572/
Abstract

Acute stroke care demands real-time, specialist-led treatment decisions, including thrombolysis and referral for mechanical thrombectomy. Pathways designed to deliver time-critical interventions for stroke patients are under intense pressure due to the impact of COVID-19 pandemic. In response to this unprecedented burden on acute care services, stroke clinicians are having to reconfigure existing clinical pathways both within and between hospitals. Incorporating artificial intelligence and digital communication support into clinical pathways offers an opportunity to mitigate the disruption to acute stroke care. In this case study we describe how Royal Berkshire Hospital, working collaboratively with Brainomix, a UK-based artificial intelligence software company, adopted technological innovation and integrated it into the hyperacute stroke pathway. A case is presented to demonstrate how this innovation can support patient care and deliver successful patient outcomes. We believe this model can be adopted in other hospitals and networks to deliver safe and efficient hyperacute stroke care.

摘要

急性中风护理需要实时、由专家主导的治疗决策,包括溶栓治疗和转介进行机械取栓术。由于新冠疫情的影响,旨在为中风患者提供时间紧迫干预措施的路径面临巨大压力。为应对急性护理服务前所未有的负担,中风临床医生不得不重新配置医院内部和医院之间现有的临床路径。将人工智能和数字通信支持纳入临床路径,为减轻对急性中风护理的干扰提供了一个机会。在本案例研究中,我们描述了皇家伯克郡医院如何与英国人工智能软件公司Brainomix合作,采用技术创新并将其整合到超急性中风路径中。本文呈现了一个案例,以展示这种创新如何支持患者护理并实现成功的患者治疗结果。我们相信,该模式可在其他医院和医疗网络中采用,以提供安全、高效的超急性中风护理。

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本文引用的文献

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Artificial intelligence to diagnose ischemic stroke and identify large vessel occlusions: a systematic review.人工智能诊断缺血性卒中和识别大血管闭塞:系统评价。
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Collateral Automation for Triage in Stroke: Evaluating Automated Scoring of Collaterals in Acute Stroke on Computed Tomography Scans.用于脑卒中分诊的侧支自动化:评估 CT 扫描上急性脑卒中的侧支自动评分。
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European Stroke Organisation (ESO)- European Society for Minimally Invasive Neurological Therapy (ESMINT) guidelines on mechanical thrombectomy in acute ischemic stroke.欧洲卒中组织(ESO)- 欧洲微创神经治疗学会(ESMINT)急性缺血性卒中机械取栓治疗指南。
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Automated ASPECT rating: comparison between the Frontier ASPECT Score software and the Brainomix software.自动ASPECT评分:Frontier ASPECT Score软件与Brainomix软件的比较。
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e-ASPECTS Correlates with and Is Predictive of Outcome after Mechanical Thrombectomy.电子ASPECTS与机械取栓术后的预后相关且具有预测性。
AJNR Am J Neuroradiol. 2017 Aug;38(8):1594-1599. doi: 10.3174/ajnr.A5236. Epub 2017 Jun 8.
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e-ASPECTS software is non-inferior to neuroradiologists in applying the ASPECT score to computed tomography scans of acute ischemic stroke patients.e-ASPECTS 软件在应用 ASPECT 评分对急性缺血性脑卒中患者的计算机断层扫描进行评估方面与神经放射科医生相当。
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Performance of e-ASPECTS software in comparison to that of stroke physicians on assessing CT scans of acute ischemic stroke patients.e-ASPECTS 软件在评估急性缺血性脑卒中患者 CT 扫描方面的表现与脑卒中医师的表现比较。
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