Evidence map›Paper›PMID 38343208›Full record

ArticleJournal of imaging informatics in medicine2024

Application of Machine Learning to Ultrasonography in Identifying Anatomical Landmarks for Cricothyroidotomy Among Female Adults: A Multi-center Prospective Observational Study.

Chih-Hung Wang, Jia-Da Li, Cheng-Yi Wu, Yu-Chen Wu, Joyce Tay, Meng-Che Wu, Ching-Hang Hsu, Yi-Kuan Liu, Chu-Song Chen, Chien-Hua Huang

Open access · hybridAbstract read
In one paragraph

Article in Journal of imaging informatics in medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.3field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Review
  2. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Chih-Hung WangDepartment of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan.
Jia-Da LiNTU Joint Research Center for AI Technology and All Vista Healthcare, National Taiwan University, Taipei, Taiwan.
Cheng-Yi WuDepartment of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan.
Yu-Chen WuDepartment of Computer Science and Information Engineering, National Taiwan University, Taipei, Taiwan.
Joyce TayDepartment of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan.
Meng-Che WuDepartment of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan.
Ching-Hang HsuInstitute of Information Science, Academia Sinica, Taipei, Taiwan.
Yi-Kuan LiuNTU Joint Research Center for AI Technology and All Vista Healthcare, National Taiwan University, Taipei, Taiwan.
Chu-Song ChenDepartment of Computer Science and Information Engineering, National Taiwan University, Taipei, Taiwan. chusong@csie.ntu.edu.tw.
Chien-Hua HuangDepartment of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan. chhuang5940@ntu.edu.tw.ORCID 0000-0003-2981-4537
National Taiwan University · TWNational Taiwan University Hospital · TWInstitute of Information Science, Academia Sinica · TW

Funding

National Science and Technology Council 110-2634-F-006-022National Taiwan University Hospital 110-S4808National Taiwan University Hospital 111-UN0032
6 · The paper itself

Abstract

We aimed to develop machine learning (ML)-based algorithms to assist physicians in ultrasound-guided localization of cricoid cartilage (CC) and thyroid cartilage (TC) in cricothyroidotomy. Adult female volunteers were prospectively recruited from two hospitals between September and December, 2020. Ultrasonographic images were collected via a modified longitudinal technique. You Only Look Once (YOLOv5s), Faster Regions with Convolutional Neural Network features (Faster R-CNN), and Single Shot Detector (SSD) were selected as the model architectures. A total of 488 women (mean age: 36.0 years) participated in the study, contributing to a total of 292,053 frames of ultrasonographic images. The derived ML-based algorithms demonstrated excellent discriminative performance for the presence of CC (area under the receiver operating characteristic curve [AUC]: YOLOv5s, 0.989, 95% confidence interval [CI]: 0.982-0.994; Faster R-CNN, 0.986, 95% CI: 0.980-0.991; SSD, 0.968, 95% CI: 0.956-0.977) and TC (AUC: YOLOv5s, 0.989, 95% CI: 0.977-0.997; Faster R-CNN, 0.981, 95% CI: 0.965-0.991; SSD, 0.982, 95% CI: 0.973-0.990). Furthermore, in the frames where the model could correctly indicate the presence of CC or TC, it also accurately localized CC (intersection-over-union: YOLOv5s, 0.753, 95% CI: 0.739-0.765; Faster R-CNN, 0.720, 95% CI: 0.709-0.732; SSD, 0.739, 95% CI: 0.726-0.751) or TC (intersection-over-union: YOLOv5s, 0.739, 95% CI: 0.722-0.755; Faster R-CNN, 0.709, 95% CI: 0.687-0.730; SSD, 0.713, 95% CI: 0.695-0.730). The ML-based algorithms could identify anatomical landmarks for cricothyroidotomy in adult females with favorable discriminative and localization performance. Further studies are warranted to transfer this algorithm to hand-held portable ultrasound devices for clinical use.

Indexed as

CricothyroidotomyFemaleMachine learningObject detectionUltrasound

Identifiers

PMID38343208
PMCPMC11031510
OpenAlexW4390705283

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.