Badjatia Neeraj, Podell Jamie, Felix Ryan B, Chen Lujie Karen, Dalton Kenneth, Wang Tina I, Yang Shiming, Hu Peter
Program in Trauma, University of Maryland School of Medicine, Baltimore, MD, USA.
Department of Neurology, University of Maryland School of Medicine, Baltimore, MD, USA.
Curr Neurol Neurosci Rep. 2025 Feb 19;25(1):19. doi: 10.1007/s11910-025-01405-x.
This review investigates the use of machine learning (ML) in prognosticating outcomes for traumatic brain injury (TBI). It underscores the benefits of ML models in processing and integrating complex, multimodal data-including clinical, imaging, and physiological inputs-to identify intricate non-linear relationships that traditional methods might overlook.
ML algorithms of clinical features, neuroimaging, and metrics from the autonomic nervous system enhance the early detection of clinical deterioration and improve outcome prediction. Challenges persist, including issues of data variability, model interpretability, and overfitting. However, advancements in model standardization and validation are key to enhancing their clinical applicability. ML-based, multimodal approaches offer transformative potential for personalized treatment planning and patient management. Future directions include integrating digital twins and real-time continuous data analysis, reinforcing the idea that comprehensive data amalgamation is essential for precise, adaptive prognostication and decision-making in neurocritical care, ultimately leading to better patient outcomes.
本综述探讨机器学习(ML)在预测创伤性脑损伤(TBI)预后中的应用。它强调了ML模型在处理和整合复杂的多模态数据(包括临床、影像学和生理输入)以识别传统方法可能忽略的复杂非线性关系方面的优势。
基于临床特征、神经影像学和自主神经系统指标的ML算法可加强对临床恶化的早期检测并改善预后预测。挑战依然存在,包括数据可变性、模型可解释性和过拟合问题。然而,模型标准化和验证方面的进展是提高其临床适用性的关键。基于ML的多模态方法为个性化治疗规划和患者管理提供了变革潜力。未来方向包括整合数字孪生和实时连续数据分析,强化了全面数据融合对于神经重症监护中精确、适应性预后和决策至关重要的观点,最终带来更好的患者预后。