一种用于早期妊娠超声诊断的新型智能扫描辅助系统:卡塔尔世界杯8强波胆分析临床决策支持系统评估研究%A Dhombres,Ferdinand %A Maurice,Paul %A Guilbaud,Lucie %A Franchinard,Loriane %A Dias,Barbara %A Charlet,Jean %A Blondiaux,Eléonore %A Khoshnood,Babak %A Jurkovic,Davor %A Jauniaux,Eric %A Jouannic,Jean- marie %+服务Médecine ffautale，索bonne Université，公共援助- Hôpitaux de Paris / Hôpitaux Est Parisiens大学，Hôpital Armand Trousseau, 26 avenue du Dr Arnold Netter，巴黎，75012，法国，33 622286740，ferdinand.dhombres@inserm.fr %K决策支持系统%K本体%K知识库%K医学超声%K异位妊娠%D 2019 %7 03.07.2019 %9原创论文%J J医学互联网Res %G英文%X背景:在产科/妇科(OB/GYN)急诊科，早孕超声扫描通常由非专业检查人员执行。确定妊娠位置的精确诊断是早期妊娠妥善处理的关键，专家通常能够在第一次扫描中确定妊娠位置。基于语义、专家验证知识库的决策支持系统可以提高非专家检查人员对早期妊娠经阴道超声的诊断性能。目的:本研究旨在评价一种新型的早期妊娠超声智能扫描辅助系统，用于诊断妊娠位置和确定图像质量。方法:两名学员进行虚拟经阴道超声检查的早期妊娠病例使用和不使用该系统。超声图像和报告由两位专家采用评分法进行盲查。比较使用和不使用该系统进行的扫描之间的妊娠位置诊断和超声图像质量。结果:每位受训人员对所有32例使用和未使用该系统的患者进行了虚拟阴道检查。 The analysis of the 128 resulting scans showed higher quality of the images (quality score: +23%; P<.001), less images per scan (4.6 vs 6.3 [without the CDSS]; P<.001), and higher confidence in reporting conclusions (trust score: +20%; P<.001) with use of the system. Further, use of the system cost an additional 8 minutes per scan. We observed a correct diagnosis of pregnancy location in 39 (61%) and 52 (81%) of 64 scans in the nonassisted mode and assisted mode, respectively. Additionally, an exact diagnosis (with precise ectopic location) was made in 30 (47%) and 49 (73%) of the 64 scans without and with use of the system, respectively. These differences in diagnostic performance (+20% for correct location diagnosis and +30% for exact diagnosis) were both statistically significant (P=.002 and P<.001, respectively). Conclusions: The Intelligent Scan Assistant System is based on an expert-validated knowledge base and demonstrates significant improvement in early pregnancy scanning, both in diagnostic performance (pregnancy location and precise diagnosis) and scan quality (selection of images, confidence, and image quality). %M 31271152 %R 10.2196/14286 %U //www.mybigtv.com/2019/7/e14286/ %U https://doi.org/10.2196/14286 %U http://www.ncbi.nlm.nih.gov/pubmed/31271152