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使用人工智能预测深静脉血栓形成:一种临床数据方法。

Predicting Deep Venous Thrombosis Using Artificial Intelligence: A Clinical Data Approach.

作者信息

Anghele Aurelian-Dumitrache, Marina Virginia, Dragomir Liliana, Moscu Cosmina Alina, Anghele Mihaela, Anghel Catalin

机构信息

Department of General Surgery, Faculty of Medicine and Pharmacy, "Dunărea de Jos" University, 47 Str. Domnească, 800201 Galati, Romania.

Medical Department of Occupational Health, Faculty of Medicine and Pharmacy, "Dunărea de Jos" University, 47 Str. Domnească, 800201 Galati, Romania.

出版信息

Bioengineering (Basel). 2024 Oct 25;11(11):1067. doi: 10.3390/bioengineering11111067.

Abstract

Deep venous thrombosis is a critical medical condition that occurs when a blood clot forms in a deep vein, usually in the legs, and can lead to life-threatening complications such as pulmonary embolism if not detected early. Hospitalized patients, especially those with immobility or post-surgical recovery, are at higher risk of developing deep venous thrombosis, making early prediction and intervention vital for preventing severe outcomes. In this study, we evaluated the following eight machine learning models to predict deep venous thrombosis risk: logistic regression, random forest, XGBoost, artificial neural networks, k-nearest neighbors, gradient boosting, CatBoost, and LightGBM. These models were rigorously tested using key metrics, including accuracy, precision, recall, F1-score, specificity, and receiver operating characteristic curve, to determine their effectiveness in clinical prediction. Logistic regression emerged as the top-performing model, delivering high accuracy and an outstanding receiver operating characteristic curve score, which reflects its strong ability to distinguish between patients with and without deep venous thrombosis. Most importantly, the model's high recall underscores its ability to identify nearly all true deep venous thrombosis cases, significantly reducing the risk of false negatives-a critical concern in clinical settings, where delayed or missed diagnoses can result in life-threatening complications. Although models such as random forest and eXtreme Gradient Boosting also demonstrated competitive performances, logistic regression proved the most reliable across all metrics. These results suggest that machine learning models, particularly logistic regression, have great potential for early deep venous thrombosis detection, enabling timely clinical interventions and improved patient outcomes.

摘要

深静脉血栓形成是一种严重的医学病症,当血凝块在深静脉(通常在腿部)形成时就会发生,如果不及早发现,可能会导致危及生命的并发症,如肺栓塞。住院患者,尤其是那些行动不便或术后恢复的患者,发生深静脉血栓形成的风险更高,因此早期预测和干预对于预防严重后果至关重要。在本研究中,我们评估了以下八种机器学习模型来预测深静脉血栓形成风险:逻辑回归、随机森林、XGBoost、人工神经网络、k近邻、梯度提升、CatBoost和LightGBM。使用关键指标(包括准确率、精确率、召回率、F1分数、特异性和受试者工作特征曲线)对这些模型进行了严格测试,以确定它们在临床预测中的有效性。逻辑回归成为表现最佳的模型,具有较高的准确率和出色的受试者工作特征曲线分数,这反映了其区分深静脉血栓形成患者和非患者的强大能力。最重要的是,该模型的高召回率突出了其识别几乎所有真正深静脉血栓形成病例的能力,显著降低了假阴性风险——这是临床环境中的一个关键问题,因为延迟或漏诊可能导致危及生命的并发症。尽管随机森林和极端梯度提升等模型也表现出有竞争力的性能,但逻辑回归在所有指标上都被证明是最可靠的。这些结果表明,机器学习模型,尤其是逻辑回归,在早期深静脉血栓形成检测方面具有巨大潜力,能够实现及时的临床干预并改善患者预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6775/11590985/14994ce8a7e1/bioengineering-11-01067-g001.jpg

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