scholarly journals Risk Factors Associated with Need for Neurosurgical Intervention in Patients with Mild Traumatic Intracranial Hemorrhage

2021 ◽  
Vol 233 (5) ◽  
pp. e222-e223
Author(s):  
Puja D. Patel ◽  
Tara C. Stansbury ◽  
Mark D. Cipolle
2016 ◽  
Vol 91 (12) ◽  
pp. E499-E501 ◽  
Author(s):  
Sara Melboucy‐Belkhir ◽  
Mehdi Khellaf ◽  
Alexandre Augier ◽  
Marouane Boubaya ◽  
Vincent Levy ◽  
...  

2013 ◽  
Vol 9 (2) ◽  
pp. 114
Author(s):  
Sang-Mi Yang ◽  
Sukh Que Park ◽  
Sung-Jin Cho ◽  
Jae-Chil Chang ◽  
Hyung-Ki Park ◽  
...  

2020 ◽  
Vol 10 (9) ◽  
pp. 3297 ◽  
Author(s):  
Justin L. Wang ◽  
Hassan Farooq ◽  
Hanqi Zhuang ◽  
Ali K. Ibrahim

Intracranial Hemorrhage (ICH) has high rates of mortality, and risk factors associated with it are sometimes nearly impossible to avoid. Previous techniques to detect ICH using machine learning have shown some promise. However, due to a limited number of labeled medical images available, which often causes poor model accuracy in terms of the Dice coefficient, there is much to be improved. In this paper, we propose a modified u-net and curriculum learning strategy using a multi-task semi-supervised attention-based model, initially introduced by Chen et al., to segment ICH sub-groups from CT images. Using a modified inverse-sigmoid-based curriculum learning training strategy, we were able to stabilize Chen’s algorithm experimentally. This semi-supervised model produced higher Dice coefficient values in comparison to a supervised counterpart, regardless of the amount of labeled data used to train the model. Specifically, when training with 80% of the ground truth data, our semi-supervised model produced a Dice coefficient of 0.67, which was higher than 0.61, obtained by a comparable supervised model. This result also surpassed by a greater margin the one obtained by using the out-of-the-box u-net by Hssayeni et al.


2005 ◽  
Vol 71 (9) ◽  
pp. 701-704 ◽  
Author(s):  
Rob Schuster ◽  
Kenneth Waxman

This study was performed to determine the need for repeat head computed tomography (CT) in patients with blunt traumatic intracranial hemorrhage (ICH) who were initially treated nonoperatively and to determine which factors predicted observation failure or success. A total of 1,462 patients were admitted to our level II trauma center for treatment of head injury. Seventeen per cent (255/1,462) were diagnosed with ICH on initial head CT. Craniotomy was initially performed in 15.7 per cent (40/255) of patients with ICH. Two hundred sixteen patients with ICH were initially observed. Ninety-seven per cent (179/184) of observed patients with ICH and repeat head CT never underwent a craniotomy, 2.7 per cent (5/184) of patients with ICH initially observed underwent craniotomy after repeat head CT, and four patients (80%) had deteriorating neurologic status. Multivariate analysis revealed the following significant admission risk factors were associated with a need for repeat head CT indicating the need for craniotomy: treatment with anti-coagulation and/or antiplatelet medications, elevated prothrombin time (PT), and age greater than 70 years. In patients with blunt traumatic intracranial hemorrhage initially observed, there is little utility of repeated head CT in the absence of deteriorating neurologic status. The only admission risk factors for a repeat CT indicating the need for craniotomy were advanced age and coagulopathy.


Sign in / Sign up

Export Citation Format

Share Document