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Artificial Intelligence-enabled Automated Medical Prediction and Diagnosis in Trauma Patients
Published in Richard Jiang, Li Zhang, Hua-Liang Wei, Danny Crookes, Paul Chazot, Recent Advances in AI-enabled Automated Medical Diagnosis, 2022
Lianyong Li, Changqing Zhong, Gang Wang, Wei Wu, Yuzhu Guo, Zheng Zhang, Bo Yang, Xiaotong Lou, Ke Li, Fleming Yang
Half of the mortality in patients with intracranial hemorrhage (ICH) occurs within the first 24 hours. Enlarged hematoma can lead to worsening of neurological deficits, and irreversible damage may occur as early as the first few hours after the onset of ICH; so, accurate diagnosis is essential for these patients. These patients can be managed according to specific types, locations, and sizes based on neuroimaging of CT examination. Artificial Intelligence can screen acute lesions in CT images, which may help radiologists cope with the rapidly increasing number of cases [6]. One approach is to use these screening tools to prioritize acute ICH cases on the work-list. Therefore, it is important to determine the potential impact of such a system, not only by considering the accuracy of ICH testing, but also by considering the type of bleeding, the location of the lesion, and the severity of bleeding in order to best allocate resources.
Head-Brain-Sas Biomechanics and TBI in Sports and Accidents
Published in Youlian Hong, Routledge Handbook of Ergonomics in Sport and Exercise, 2013
During an impact the brain moves in an oscillatory motion with respect to the skull, which causes a shear wave through the brain. TBI can be classified based on the severity of accident. In severe head trauma, an intracranial haemorrhage occurs, where there is bleeding inside the skull due to the rupture of a blood vessel in the skull. This could be due to a physical trauma such as head injury or non-traumatic causes such as a haemorrhagic stroke (e.g. an aneurysm).
Central nervous system
Published in David A Lisle, Imaging for Students, 2012
The generic term ‘stroke’ refers to an acute event leading to a focal neurological deficit that lasts for more than 24 hours. Stroke may be caused by either decreased blood flow to the brain (ischaemia and infarction) or by intracranial haemorrhage.
Neurologic injuries following road traffic accidents in the Dominican Republic: Examining causes and potential solutions
Published in Traffic Injury Prevention, 2019
Sumanth P. Reddy, Maura S. Walsh, Robert Paulino-Ramirez, Jomar Florenzán, Jaime Fernández, Fiemu E. Nwariaku, Abier Abdelnaby
Of the 69 patients (56.4%) who suffered a TBI, 66.7% (n = 46) were classified as moderate–severe TBIs and 30.3% (n = 23) were classified as mild TBIs according to the Mayo Classification System (Figure 2). Subdural hemorrhage (12%; n = 14) was the most common subtype of intracranial hemorrhage, followed by subarachnoid hemorrhage (9.4%; n = 11), intraparenchymal hemorrhage (4.3%; n = 5), and epidural hematoma (3.4%; n = 4; Figure 1). Adjusting for age and gender, patients who were diagnosed with any intracranial hemorrhage were 1.97 times more likely to die during admission (adjusted odds ratio [OR]; P < .0001; 95% confidence interval [CI], 1.67, 2.32). Similarly, patients diagnosed with cerebral edema were 1.32 times more likely to die during admission, when adjusting for age and gender (adjusted OR; P < .01; 95% CI, 1.08, 1.61). Other notable head injuries included cerebral contusion (7.7%; n = 9) and pneumocephalus (3.4%; n = 4). The average admission GCS of patients who died in the hospital was 7.8 points lower than that of those who survived (P < .0001, 2-tailed; 95% CI, 6.2, 9.6; Table 1).
Review on the current treatment status of vein of Galen malformations and future directions in research and treatment
Published in Expert Review of Medical Devices, 2021
Panagiotis Primikiris, Georgios Hadjigeorgiou, Maria Tsamopoulou, Alessandra Biondi, Christina Iosif
Regarding clinical presentation, data were available for 318 patients of which the most common presentations were congestive heart failure (201 patients, 63.2%- most common in neonates), followed by hydrocephalus (86 patients, 27.0%- most common in infants) and seizures (37 patients, 11,6%- most common in children). Increased head circumference presented in 53.3% of infants and 37.5% of children. Intracranial hemorrhage was present in 26 patients (8.2%).