Lung Imaging and Artificial Intelligence in ARDS

被引:4
作者
Chiumello, Davide [1 ,2 ,3 ]
Coppola, Silvia [2 ]
Catozzi, Giulia [1 ]
Danzo, Fiammetta [4 ,5 ]
Santus, Pierachille [4 ,5 ]
Radovanovic, Dejan [4 ,5 ]
机构
[1] Univ Milan, Dept Hlth Sci, I-20122 Milan, Italy
[2] San Paolo Univ Hosp Milan, Dept Anesthesia & Intens Care, ASST Santi Paolo & Carlo, I-20142 Milan, Italy
[3] Univ Milan, Coordinated Res Ctr Resp Failure, I-20122 Milan, Italy
[4] Luigi Sacco Univ Hosp, ASST Fatebenefratelli Sacco, Div Resp Dis, I-20157 Milan, Italy
[5] Univ Milan, Dept Biomed & Clin Sci, I-20157 Milan, Italy
关键词
artificial intelligence; lung imaging; CT; LUS; ARDS; COVID-19; deep learning; machine learning; ACUTE RESPIRATORY-DISTRESS; END-EXPIRATORY PRESSURE; ULTRASOUND ASSESSMENT; LEARNING ALGORITHM; VENTILATION; RECRUITMENT; CONTUSION; MORTALITY; MEDICINE; CARE;
D O I
10.3390/jcm13020305
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Artificial intelligence (AI) can make intelligent decisions in a manner akin to that of the human mind. AI has the potential to improve clinical workflow, diagnosis, and prognosis, especially in radiology. Acute respiratory distress syndrome (ARDS) is a very diverse illness that is characterized by interstitial opacities, mostly in the dependent areas, decreased lung aeration with alveolar collapse, and inflammatory lung edema resulting in elevated lung weight. As a result, lung imaging is a crucial tool for evaluating the mechanical and morphological traits of ARDS patients. Compared to traditional chest radiography, sensitivity and specificity of lung computed tomography (CT) and ultrasound are higher. The state of the art in the application of AI is summarized in this narrative review which focuses on CT and ultrasound techniques in patients with ARDS. A total of eighteen items were retrieved. The primary goals of using AI for lung imaging were to evaluate the risk of developing ARDS, the measurement of alveolar recruitment, potential alternative diagnoses, and outcome. While the physician must still be present to guarantee a high standard of examination, AI could help the clinical team provide the best care possible.
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页数:20
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