电邮这篇文章 人工智能如何影响胸部CT扫描对COVID-19中肺损伤的评估？
- 作者: Morozov S.1, Chernina V.1, Andreychenko A.1, Vladzymyrskyy A.1, Mokienko O.1, Gombolevskiy V.1
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隶属关系:
- Moscow Center for Diagnostics and Telemedicine
- 期: 卷 2, 编号 1 (2021)
- 页面: 27-38
- 栏目: 原创性科研成果
- URL: https://journals.rcsi.science/DD/article/view/60040
- DOI: https://doi.org/10.17816/DD60040
- ID: 60040
如何引用文章
详细
理由：在大流行期间，计算机断层扫描（CT）是评估与COVID-19相关的肺部变化的主要工具之一。莫斯科的放射学家使用了经过调整的KT0-4量表，根据计算机断层扫描技术，通过视觉评估了一般病情严重程度对COVID-19中肺部改变的放射学征象的性质和严重程度的依赖性。大量的研究中，医生可能会遗漏发现结果并在评估肺损伤量方面犯错误，因此在大流行期间，在门诊医疗中使用AI服务可能很有用。
目的：比较放射科医生形成的CT0-4类别的分布与AI服务处理的结果以及没有AI服务形成的类别的比较。方法：回顾性研究，ClinicalTrials.gov（NCT04489992）。DZM的门诊医疗组织中，分析了从CT0-4类别进行的一次CT扫描的结果，分析时间为：2020年4月8日至2020年1月12日，以及11月（2020年11月1日至2020年1月12日）。根据标准协议在48台计算机断层扫描仪上执行CT，并通过ERIS处理。测试组包括由AI服务处理的CT，对照组为不包含AI的CT。分析包括5种AI服务：RADlogics COVID-19（美国RADLogics），COVID-IRA（俄罗斯的IRA实验室），Care Mentor AI，COVID（俄罗斯的CareMentor AI），第三意见。CT-COVID-19英寸（第三意见，俄罗斯），COVID-MULTIVOX（俄罗斯伽马迈德）。AI服务是随机编码的。
结果：分析了260594例患者的CT扫描结果（m / f％= 44/56，平均年龄-49.5）。测试组包括115,618次CT扫描，对照组-144976。根据特定的AI服务，对于 CT-0类别的不同子组，其设置比对照组少2.3％至18.5％。与未使用AI相比，将CT3-4类别设置为比不使用AI少4.7％至27.6％，并且将CT-4类别与不使用AI设置成从40％至60％（p <0.0001）。
对于11月（从01.11.2020到01.12.2020），分析了41386名患者的CT扫描结果（m / f％= 44/56，平均年龄-53.2岁）。测试组包括28881 CT扫描，对照组-12505。根据特定的AI服务，对于CT-0类别的不同子组，其设置比对照组小1％至2.6％。显示的CT3-4类别比没有使用AI的类别多出0.2％至15.7％； 类别CT-4设置为比不使用AI时少25％（p = 0.001）。
结论：在门诊基础上将AI服务用于主要CT扫描会导致CT-0和CT3-4数量减少，从而影响管理COVID-19患者的策略。
作者简介
Sergey Morozov
Moscow Center for Diagnostics and Telemedicine
Email: morozov@npcmr.ru
ORCID iD: 0000-0001-6545-6170
SPIN 代码: 8542-1720
Scopus 作者 ID: 57200964938
Researcher ID: T-9163-2017
Dr. Sci. (Med.), Professor
俄罗斯联邦, MoscowValeria Chernina
Moscow Center for Diagnostics and Telemedicine
Email: v.chernina@npcmr.ru
ORCID iD: 0000-0002-0302-293X
SPIN 代码: 8896-8051
Scopus 作者 ID: 57210638679
Researcher ID: AAF-1215-2020
MD
俄罗斯联邦, MoscowAnna Andreychenko
Moscow Center for Diagnostics and Telemedicine
Email: a.andreychenko@npcmr.ru
ORCID iD: 0000-0001-6359-0763
SPIN 代码: 6625-4186
Scopus 作者 ID: 42960997200
Researcher ID: E-4930-2017
Cand. Sci. (Phys.-Math.)
俄罗斯联邦, MoscowAnton Vladzymyrskyy
Moscow Center for Diagnostics and Telemedicine
Email: a.vladzimirsky@npcmr.ru
ORCID iD: 0000-0002-2990-7736
SPIN 代码: 3602-7120
Scopus 作者 ID: 8944262100
Researcher ID: D-1447-2017
Dr. Sci. (Med.)
俄罗斯联邦, MoscowOlesya Mokienko
Moscow Center for Diagnostics and Telemedicine
Email: Lesya.md@yandex.ru
ORCID iD: 0000-0002-7826-5135
SPIN 代码: 8088-9921
Scopus 作者 ID: 55155448000
Researcher ID: J-3210-2016
Cand. Sci. (Med.)
俄罗斯联邦, MoscowVictor Gombolevskiy
Moscow Center for Diagnostics and Telemedicine
编辑信件的主要联系方式.
Email: v.gombolevskiy@npcmr.ru
ORCID iD: 0000-0003-1816-1315
SPIN 代码: 6810-3279
Scopus 作者 ID: 57196441765
Researcher ID: J-3389-2017
https://www.scopus.com/authid/detail.uri?authorId=57204359134
Cand. Sci. (Med.), Head of Medical Research Department
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