Department of Business Administration, School of Business, Yeungnam University, Gyeongsan-Si, Republic of Korea.
Department of Game Design, Faculty of Arts, Uppsala University, Uppsala, Sweden.
Eur Neurol. 2022;85(4):273-279. doi: 10.1159/000522254. Epub 2022 Mar 29.
BACKGROUND: Machine learning (ML) is an artificial intelligence technique in which a system learns patterns and rules from a given data. OBJECTIVES: The objective of the study was to investigate the potential of ML for predicting motor recovery in stroke patients. METHODS: We analyzed data from 833 consecutive stroke patients using 3 ML algorithms: deep neural network (DNN), random forest, and logistic regression. We created a practical ML model using the most common data measured in almost all rehabilitation hospitals as input data. Demographic and clinical data, including modified Brunnstrom classification (MBC) and functional ambulation classification (FAC), were collected when patients were transferred to the rehabilitation unit (8-30 days) and 6 months after stroke onset and were used as input data. Motor outcomes at 6 months after stroke onset of the affected upper and lower extremities were classified according to MBC and FAC, respectively. Patients with an MBC of <5 and an FAC of <4 at 6 months after stroke onset were considered to have a "poor" outcome, whereas those with MBC ≥5 and FAC ≥4 were considered to have a "good" outcome. RESULTS: The area under the curve (AUC) for the DNN model for predicting motor function was 0.836 for the upper and lower limb motor functions. For the random forest and logistic regression models, the AUCs were 0.736 and 0.790 for the upper and lower limb motor functions, respectively. The AUCs for the random forest and logistic regression models were 0.741 and 0.795 for the upper and lower limb motor functions, respectively. CONCLUSION: Although we used simple and common data that can be obtained in clinical practice as variables, our DNN algorithm was useful for predicting motor recovery of the upper and lower extremities in stroke patients during the recovery phase.
背景:机器学习(ML)是一种人工智能技术,系统通过给定的数据学习模式和规则。
目的:本研究旨在探讨机器学习在预测脑卒中患者运动功能恢复中的应用潜力。
方法:我们分析了 833 例连续脑卒中患者的数据,使用了 3 种机器学习算法:深度神经网络(DNN)、随机森林和逻辑回归。我们使用几乎所有康复医院都常用的最常见数据作为输入数据,创建了一个实用的机器学习模型。患者转入康复单元时(8-30 天)和脑卒中发病后 6 个月时收集人口统计学和临床数据,包括改良 Brunnstrom 分级(MBC)和功能性步行分类(FAC),并将其作为输入数据。脑卒中发病后 6 个月时,根据 MBC 和 FAC 将患侧上下肢的运动功能进行分类。脑卒中发病后 6 个月时 MBC <5 和 FAC <4 的患者被认为预后较差,而 MBC ≥5 和 FAC ≥4 的患者则被认为预后良好。
结果:DNN 模型预测上肢和下肢运动功能的曲线下面积(AUC)分别为 0.836。随机森林和逻辑回归模型的 AUC 分别为上肢和下肢运动功能的 0.736 和 0.790。随机森林和逻辑回归模型的 AUC 分别为上肢和下肢运动功能的 0.741 和 0.795。
结论:尽管我们使用了在临床实践中可以获得的简单且常见的数据作为变量,但我们的 DNN 算法在预测脑卒中患者恢复期上下肢运动功能恢复方面是有用的。
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