Katsuki Masahito, Kawamura Shin, Koh Akihito
Department of Neurosurgery, Iwaki City Medical Center, Iwaki, JPN.
Department of Neurosurgery, Itoigawa General Hospital, Itoigawa, JPN.
Cureus. 2021 Jun 16;13(6):e15695. doi: 10.7759/cureus.15695. eCollection 2021 Jun.
Introduction Reliable prediction models of subarachnoid hemorrhage (SAH) outcomes and delayed cerebral ischemia (DCI) are needed to decide the treatment strategy. Automated artificial intelligence (AutoAI) is attractive, but there are few reports on AutoAI-based models for SAH functional outcomes and DCI. We herein made models using an AutoAI framework, Prediction One (Sony Network Communications Inc., Tokyo, Japan), and compared it to other previous statistical prediction scores. Methods We used an open dataset of 298 SAH patients, who were with non-severe neurological grade and treated by coiling. Modified Rankin Scale 0-3 at six months was defined as a favorable functional outcome and DCI occurrence as another outcome. We randomly divided them into a 248-patient training dataset and a 50-patient test dataset. Prediction One made the model using training dataset with 5-fold cross-validation. We evaluated the model using the test dataset and compared the area under the curves (AUCs) of the created models. Those of the modified SAFIRE score and the Fisher computed tomography (CT) scale to predict the outcomes. Results The AUCs of the AutoAI-based models for functional outcome in the training and test dataset were 0.994 and 0.801, and those for the DCI occurrence were 0.969 and 0.650. AUCs for functional outcome calculated using modified SAFIRE score were 0.844 and 0.892. Those for the DCI occurrence calculated using the Fisher CT scale were 0.577 and 0.544. Conclusions We easily and quickly made AutoAI-based prediction models. The models' AUCs were not inferior to the previous prediction models despite the easiness.
引言 为了确定治疗策略,需要可靠的蛛网膜下腔出血(SAH)预后和迟发性脑缺血(DCI)预测模型。自动化人工智能(AutoAI)很有吸引力,但关于基于AutoAI的SAH功能预后和DCI模型的报道很少。我们在此使用AutoAI框架Prediction One(索尼网络通信公司,东京,日本)构建模型,并将其与之前的其他统计预测评分进行比较。方法 我们使用了一个包含298例SAH患者的开放数据集,这些患者神经功能分级不严重且接受了血管内栓塞治疗。将6个月时改良Rankin量表评分为0 - 3分定义为良好的功能预后,将DCI的发生作为另一个预后指标。我们将他们随机分为一个包含248例患者的数据训练集和一个包含50例患者的测试数据集。Prediction One使用训练数据集并通过5折交叉验证构建模型。我们使用测试数据集评估该模型,并比较所构建模型的曲线下面积(AUC)。比较改良SAFIRE评分和Fisher计算机断层扫描(CT)量表预测预后的AUC。结果 基于AutoAI的模型在训练集和测试集中预测功能预后的AUC分别为0.994和0.801,预测DCI发生的AUC分别为0.969和0.650。使用改良SAFIRE评分计算功能预后的AUC分别为0.844和0.892。使用Fisher CT量表计算DCI发生的AUC分别为0.577和0.544。结论 我们轻松快速地构建了基于AutoAI的预测模型。尽管构建过程简便,但这些模型的AUC并不逊于之前的预测模型。