Katsuki Masahito, Narita Norio, Ishida Naoya, Watanabe Ohmi, Cai Siqi, Ozaki Dan, Sato Yoshimichi, Kato Yuya, Jia Wenting, Nishizawa Taketo, Kochi Ryuzaburo, Sato Kanako, Tominaga Teiji
Department of Neurosurgery, Kesennuma City Hospital, Kesennuma, Miyagi, Japan.
Department of Neurosurgery, Tohoku University, Sendai, Miyagi, Japan.
Surg Neurol Int. 2021 Jan 28;12:31. doi: 10.25259/SNI_774_2020. eCollection 2021.
Chronologically meteorological and calendar factors were risks of stroke occurrence. However, the prediction of stroke occurrences is difficult depending on only meteorological and calendar factors. We tried to make prediction models for stroke occurrences using deep learning (DL) software, Prediction One (Sony Network Communications Inc., Tokyo, Japan), with those variables.
We retrospectively investigated the daily stroke occurrences between 2017 and 2019. We used Prediction One software to make the prediction models for daily stroke occurrences (present or absent) using 221 chronologically meteorological and calendar factors. We made a prediction models from the 3-year dataset and evaluated their accuracies using the internal cross-validation. Areas under the curves (AUCs) of receiver operating characteristic curves were used as accuracies.
The 371 cerebral infarction (CI), 184 intracerebral hemorrhage (ICH), and 53 subarachnoid hemorrhage patients were included in the study. The AUCs of the several DL-based prediction models for all stroke occurrences were 0.532-0.757. Those for CI were 0.600-0.782. Those for ICH were 0.714-0.988.
Our preliminary results suggested a probability of the DL-based prediction models for stroke occurrence only by meteorological and calendar factors. In the future, by synchronizing a variety of medical information among the electronic medical records and personal smartphones as well as integrating the physical activities or meteorological conditions in real time, the prediction of stroke occurrence could be performed with high accuracy, to save medical resources, to have patients care for themselves, and to perform efficient medicine.
从时间顺序来看,气象和日历因素是中风发生的风险因素。然而,仅依靠气象和日历因素来预测中风的发生是困难的。我们尝试使用深度学习(DL)软件Prediction One(索尼网络通信公司,东京,日本)以及这些变量来建立中风发生的预测模型。
我们回顾性调查了2017年至2019年期间每日中风的发生情况。我们使用Prediction One软件,利用221个按时间顺序排列的气象和日历因素,建立每日中风发生情况(存在或不存在)的预测模型。我们从三年的数据集中建立预测模型,并使用内部交叉验证评估其准确性。将受试者操作特征曲线的曲线下面积(AUC)用作准确性指标。
该研究纳入了371例脑梗死(CI)、184例脑出血(ICH)和53例蛛网膜下腔出血患者。几种基于深度学习的所有中风发生情况预测模型的AUC为0.532 - 0.757。CI的AUC为0.600 - 0.782。ICH的AUC为0.714 - 0.988。
我们的初步结果表明,仅通过气象和日历因素建立基于深度学习的中风发生预测模型具有一定可能性。未来,通过同步电子病历和个人智能手机之间的各种医疗信息,以及实时整合身体活动或气象条件,可以高精度地进行中风发生的预测,以节省医疗资源,让患者自我护理,并实现高效医疗。