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基于计算机和人工智能的经颅多普勒分析在急性脑血管病中的应用。

Transcranial Doppler analysis based on computer and artificial intelligence for acute cerebrovascular disease.

机构信息

Department of Neurology, Chongqing General Hospital, Chongqing 401147, China.

Department of Neurosurgery, Chongqing General Hospital, Chongqing 401147, China.

出版信息

Math Biosci Eng. 2023 Jan;20(2):1695-1715. doi: 10.3934/mbe.2023077. Epub 2022 Nov 4.

Abstract

Cerebrovascular disease refers to damage to brain tissue caused by impaired intracranial blood circulation. It usually presents clinically as an acute nonfatal event and is characterized by high morbidity, disability, and mortality. Transcranial Doppler (TCD) ultrasonography is a non-invasive method for the diagnosis of cerebrovascular disease that uses the Doppler effect to detect the hemodynamic and physiological parameters of the major intracranial basilar arteries. It can provide important hemodynamic information that cannot be measured by other diagnostic imaging techniques for cerebrovascular disease. And the result parameters of TCD ultrasonography such as blood flow velocity and beat index can reflect the type of cerebrovascular disease and serve as a basis to assist physicians in the treatment of cerebrovascular diseases. Artificial intelligence (AI) is a branch of computer science which is used in a wide range of applications in agriculture, communications, medicine, finance, and other fields. In recent years, there are much research devoted to the application of AI to TCD. The review and summary of related technologies is an important work to promote the development of this field, which can provide an intuitive technical summary for future researchers. In this paper, we first review the development, principles, and applications of TCD ultrasonography and other related knowledge, and briefly introduce the development of AI in the field of medicine and emergency medicine. Finally, we summarize in detail the applications and advantages of AI technology in TCD ultrasonography including the establishment of an examination system combining brain computer interface (BCI) and TCD ultrasonography, the classification and noise cancellation of TCD ultrasonography signals using AI algorithms, and the use of intelligent robots to assist physicians in TCD ultrasonography and discuss the prospects for the development of AI in TCD ultrasonography.

摘要

脑血管疾病是指由颅内血液循环障碍引起的脑组织损伤。它通常在临床上表现为急性非致命事件,其特点是发病率、残疾率和死亡率高。经颅多普勒 (TCD) 超声检查是一种用于诊断脑血管疾病的非侵入性方法,它利用多普勒效应检测大脑主要基底动脉的血流动力学和生理参数。它可以为脑血管疾病提供其他诊断成像技术无法测量的重要血流动力学信息。TCD 超声检查的结果参数,如血流速度和搏动指数,可以反映脑血管疾病的类型,并作为辅助医生治疗脑血管疾病的依据。人工智能 (AI) 是计算机科学的一个分支,广泛应用于农业、通信、医学、金融等领域。近年来,有许多研究致力于将 AI 应用于 TCD。对相关技术的综述和总结是促进该领域发展的一项重要工作,可以为未来的研究人员提供直观的技术总结。在本文中,我们首先回顾了 TCD 超声检查的发展、原理和应用以及其他相关知识,并简要介绍了 AI 在医学和急救医学领域的发展。最后,我们详细总结了 AI 技术在 TCD 超声检查中的应用和优势,包括结合脑机接口 (BCI) 和 TCD 超声检查建立检查系统、使用 AI 算法对 TCD 超声信号进行分类和噪声消除、以及使用智能机器人辅助医生进行 TCD 超声检查,并讨论了 AI 在 TCD 超声检查中的发展前景。

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