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目前的无创颅内压监测现状:文献综述。

The current status of noninvasive intracranial pressure monitoring: A literature review.

机构信息

University of Crete, Medical School, Andrea Kalokerinou 13, Heraklion, Crete 715 00, Greece.

Department of Neurosurgery, Heraklion University Hospital, Voutes, Heraklion, Crete 715 00, Greece.

出版信息

Clin Neurol Neurosurg. 2024 Apr;239:108209. doi: 10.1016/j.clineuro.2024.108209. Epub 2024 Feb 29.

DOI:10.1016/j.clineuro.2024.108209
PMID:38430649
Abstract

Elevated intracranial pressure (ICP) is a life-threatening condition that must be promptly diagnosed. However, the gold standard methods for ICP monitoring are invasive, time-consuming, and they involve certain risks. To address these risks, many noninvasive approaches have been proposed. This study undertakes a literature review of the existing noninvasive methods, which have reported promising results. The experimental base on which they are established, however, prevents their application in emergency conditions and thus none of them are capable of replacing the traditional invasive methods to date. On the other hand, contemporary methods leverage Machine Learning (ML) which has already shown unprecedented results in several medical research areas. That said, only a few publications exist on ML-based approaches for ICP estimation, which are not appropriate for emergency conditions due to their restricted capability of employing the medical imaging data available in intensive care units. The lack of such image-based ML models to estimate ICP is attributed to the scarcity of annotated datasets requiring directly measured ICP data. This ascertainment highlights an active and unexplored scientific frontier, calling for further research and development in the field of ICP estimation, particularly leveraging the untapped potential of ML techniques.

摘要

颅内压升高(ICP)是一种危及生命的情况,必须迅速诊断。然而,ICP 监测的金标准方法具有侵入性、耗时且存在一定风险。为了解决这些风险,已经提出了许多非侵入性方法。本研究对现有的非侵入性方法进行了文献回顾,这些方法报告了有希望的结果。然而,它们所依据的实验基础使其无法应用于紧急情况,因此迄今为止,它们都无法替代传统的侵入性方法。另一方面,当代方法利用机器学习(ML),它在多个医学研究领域已经取得了前所未有的成果。也就是说,只有少数关于基于 ML 的 ICP 估计方法的出版物存在,由于它们在重症监护病房中可用的医疗成像数据方面的能力有限,因此不适合紧急情况。缺乏基于图像的 ML 模型来估计 ICP 的原因是缺乏需要直接测量 ICP 数据的标注数据集。这种确定凸显了一个活跃且未被探索的科学前沿,需要在 ICP 估计领域进行进一步的研究和开发,特别是利用 ML 技术尚未开发的潜力。

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