Ultrasound Radiomics-Guided Iliac Fascia Block on Postoperative Cognitive Dysfunction in Elderly Patients Undergoing Hip Surgery

Zha, Jun; Ni, Jinping; Chen, Shuo; Feng, Haijun; Che, Tuanjie; Qiao, Shigang

doi:10.1155/2022/2492667

Cited by 5 publications

(3 citation statements)

References 30 publications

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“…However, to our knowledge, there are not already available radiomics models to ensure personalized treatment strategies in an emergency context in the elderly population. As known, geriatric surgery is based on different therapeutic algorithms from general surgery, and the huge variability among this population is strictly related to the different performance and ASA scores [131,[143][144][145][146][147][148][149].…”

Section: Discussionmentioning

confidence: 99%

Future Perspectives on Radiomics in Acute Liver Injury and Liver Trauma

Brunese,

Avella,

Cappuccio

et al. 2024

JPM

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Background: Acute liver injury occurs most frequently due to trauma, but it can also occur because of sepsis or drug-induced injury. This review aims to analyze artificial intelligence (AI)’s ability to detect and quantify liver injured areas in adults and pediatric patients. Methods: A literature analysis was performed on the PubMed Dataset. We selected original articles published from 2018 to 2023 and cohorts with ≥10 adults or pediatric patients. Results: Six studies counting 564 patients were collected, including 170 (30%) children and 394 adults. Four (66%) articles reported AI application after liver trauma, one (17%) after sepsis, and one (17%) due to chemotherapy. In five (83%) studies, Computed Tomography was performed, while in one (17%), FAST-UltraSound was performed. The studies reported a high diagnostic performance; in particular, three studies reported a specificity rate > 80%. Conclusions: Radiomics models seem reliable and applicable to clinical practice in patients affected by acute liver injury. Further studies are required to achieve larger validation cohorts.

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Section: Discussionmentioning

confidence: 99%

Future Perspectives on Radiomics in Acute Liver Injury and Liver Trauma

Brunese,

Avella,

Cappuccio

et al. 2024

JPM

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“…Ultrasound-guided iliac fascia block using radionics improves postoperative pain, reduces fentanyl dosage, C-Reactive Protein(CRP), and Neuron-specific enolase (NSE) levels, decreases the incidence of postoperative cognitive dysfunction(POCD), and improves nerve block effectiveness in elderly patients undergoing hip surgery [58]. Nerve blocks contribute to reducing delirium risk by providing better pain control and decreasing opioid reliance [58][57] [7].…”

Section: Reduced Complicationsmentioning

confidence: 99%

Peripheral Nerve Blocks in Geriatric Orthopedic Anesthesia for Hip Fractures: Unveiling Economic and Clinical Dimensions

Emery Niyonkuru,

Xu Zhang,

Peng Ma

2024

EPRA

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Hip fractures in elderly patients significantly burden health and healthcare costs. Effective pain management is crucial for optimal recovery, prompting the exploration of innovative strategies like peripheral nerve blocks (PNBs). This review investigated the clinical and economic impact of PNBs on geriatric patients undergoing hip fracture surgery. A systematic review identified relevant research on PNB use in this population, searching databases like PubMed, Cochrane, and others for studies published before September 2023. The findings revealed several potential benefits associated with PNBs, including targeted pain control, decreased opioid dependence, and facilitated earlier mobilization. Notably, the analysis highlighted a dual impact, with PNBs demonstrating potential clinical advantages like shorter hospital stays and fewer complications alongside their costs. However, the evidence of their influence on healthcare costs remains inconclusive. Despite the uncertainty surrounding cost-effectiveness, the overall trend suggests positive clinical outcomes associated with PNBs, including improved recovery and reduced opioid reliance. These potential benefits could translate to a positive impact on healthcare resource utilization. In conclusion, PNBs show promise for improved clinical outcomes and potentially reducing healthcare resource utilization. To solidify cost-effectiveness, future studies should pinpoint economic benefits and refine PNBs use. A more thorough analysis is needed to confirm these financial advantages. KEYWORDS: hip fracture, peripheral nerve blocks, elderly, hospitalization duration, healthcare costs.

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“…Full texts of the remaining 10 studies were then assessed carefully. An additional five articles were excluded for the following reasons: one focused on using magnetic resonance imaging for characterizing CTS [14], another analyzed the optic nerve [15], one targeted nerve block [16], one emphasized differentiating demyelinating peripheral nerve neuropathy [17], and one aimed to predict facial nerve function in acoustic neuroma patients [18] (Table S3). A total of 5 studies were included in the final quantitative analysis.…”

Section: Literature Searchmentioning

confidence: 99%

The Potential of Ultrasound Radiomics in Carpal Tunnel Syndrome Diagnosis: A Systematic Review and Meta-Analysis

Wu,

Lin,

Shu

et al. 2023

Diagnostics

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Background: Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy for which ultrasound imaging has recently emerged as a valuable diagnostic tool. This meta-analysis aims to investigate the role of ultrasound radiomics in the diagnosis of CTS and compare it with other diagnostic approaches. Methods: We conducted a comprehensive search of electronic databases from inception to September 2023. The included studies were assessed for quality using the Quality Assessment Tool for Diagnostic Accuracy Studies. The primary outcome was the diagnostic performance of ultrasound radiomics compared to radiologist evaluation for diagnosing CTS. Results: Our meta-analysis included five observational studies comprising 840 participants. In the context of radiologist evaluation, the combined statistics for sensitivity, specificity, and diagnostic odds ratio were 0.78 (95% confidence interval (CI), 0.71 to 0.83), 0.72 (95% CI, 0.59 to 0.81), and 9 (95% CI, 5 to 15), respectively. In contrast, the ultrasound radiomics training mode yielded a combined sensitivity of 0.88 (95% CI, 0.85 to 0.91), a specificity of 0.88 (95% CI, 0.84 to 0.92), and a diagnostic odds ratio of 58 (95% CI, 38 to 87). Similarly, the ultrasound radiomics testing mode demonstrated an aggregated sensitivity of 0.85 (95% CI, 0.78 to 0.89), a specificity of 0.80 (95% CI, 0.73 to 0.85), and a diagnostic odds ratio of 22 (95% CI, 12 to 41). Conclusions: In contrast to assessments by radiologists, ultrasound radiomics exhibited superior diagnostic performance in detecting CTS. Furthermore, there was minimal variability in the diagnostic accuracy between the training and testing sets of ultrasound radiomics, highlighting its potential as a robust diagnostic tool in CTS.

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Ultrasound Radiomics-Guided Iliac Fascia Block on Postoperative Cognitive Dysfunction in Elderly Patients Undergoing Hip Surgery

Cited by 5 publications

References 30 publications

Future Perspectives on Radiomics in Acute Liver Injury and Liver Trauma

Future Perspectives on Radiomics in Acute Liver Injury and Liver Trauma

Peripheral Nerve Blocks in Geriatric Orthopedic Anesthesia for Hip Fractures: Unveiling Economic and Clinical Dimensions

The Potential of Ultrasound Radiomics in Carpal Tunnel Syndrome Diagnosis: A Systematic Review and Meta-Analysis

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