In Journal of neurointerventional surgery ; h5-index 49.0
BACKGROUND : This study aimed to investigate the application of deep learning (DL) models for the detection of subdural hematoma (SDH).
METHODS : We conducted a comprehensive search using relevant keywords. Articles extracted were original studies in which sensitivity and/or specificity were reported. Two different approaches of frequentist and Bayesian inference were applied. For quality and risk of bias assessment we used Quality Assessment of Diagnostic Accuracy Studies-2 (QUADAS-2).
RESULTS : We analyzed 22 articles that included 1,997,749 patients. In the first step, the frequentist method showed a pooled sensitivity of 88.8% (95% confidence interval (CI): 83.9% to 92.4%) and a specificity of 97.2% (95% CI 94.6% to 98.6%). In the second step, using Bayesian methods including 11 studies that reported sensitivity and specificity, a sensitivity rate of 86.8% (95% CI: 77.6% to 92.9%) at a specificity level of 86.9% (95% CI: 60.9% to 97.2%) was achieved. The risk of bias assessment was not remarkable using QUADAS-2.
CONCLUSION : DL models might be an appropriate tool for detecting SDHs with a reasonably high sensitivity and specificity.
Abdollahifard Saeed, Farrokhi Amirmohammad, Mowla Ashkan
2022-Nov-23
Intervention, Subdural, Technology
