Department of Physical Medicine & Rehabilitation, China Medical University Hsinchu Hospital, Hsinchu, Taiwan.
Institute of Physical Therapy, China Medical University, Taichung, Taiwan.
Med Biol Eng Comput. 2022 Oct;60(10):2841-2849. doi: 10.1007/s11517-022-02636-7. Epub 2022 Aug 2.
Nowadays, the physicians usually predict functional outcomes of stroke based on clinical experiences and big data, so we wish to develop a model to accurately identify imaging features for predicting functional outcomes of stroke patients. Using magnetic resonance imaging of ischemic and hemorrhagic stroke patients, we developed and trained a VGG-16 convolutional neural network (CNN) to predict functional outcomes after 28-day hospitalization. A total of 44 individuals (24 men and 20 women) were recruited from Taoyuan General Hospital and China Medical University Hsinchu Hospital to enroll in the study. Based on "modified Rankin Scale (mRS)" and "National Institutes of Health Stroke Scale (NIHSS)" assessments, men, women, and mixed men and women were trained separately to evaluate the differences of the results, and we have shown that VGG-16 demonstrated high accuracy in predicting the functional outcomes of stroke patients. The new deep-learning approach has provided an automated decision support system for personalized recommendations and treatments, assisting the physicians to predict functional outcomes of stroke patients in clinical practice.
如今,医生通常根据临床经验和大数据来预测中风患者的功能预后,因此我们希望开发一种模型,以便准确识别影像学特征,从而预测中风患者的功能预后。我们使用缺血性和出血性中风患者的磁共振成像数据,开发并训练了一个 VGG-16 卷积神经网络(CNN),以预测 28 天住院后的功能预后。总共从桃园总医院和中国医药大学新竹医院招募了 44 名个体(24 名男性和 20 名女性)参与研究。基于“改良 Rankin 量表(mRS)”和“国立卫生研究院中风量表(NIHSS)”评估,分别对男性、女性和男女混合组进行训练,以评估结果的差异,结果表明 VGG-16 能够准确预测中风患者的功能预后。这种新的深度学习方法为个性化推荐和治疗提供了自动化决策支持系统,帮助医生在临床实践中预测中风患者的功能预后。