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Enhancing Pediatric Adnexal Torsion Diagnosis: Prediction Method Utilizing Machine Learning Techniques.
- Source :
- Children; Oct2023, Vol. 10 Issue 10, p1612, 11p
- Publication Year :
- 2023
-
Abstract
- This study systematically examines pediatric adnexal torsion, proposing a diagnostic approach using machine learning techniques to distinguish it from acute appendicitis. Our retrospective analysis involved 41 female pediatric patients divided into two groups: 21 with adnexal torsion (group 1) and 20 with acute appendicitis (group 2). In group 1, the average age was 10 ± 2.6 years, while in group 2, it was 9.8 ± 21.9 years. Our analysis found no statistically significant age distinctions between these two groups. Despite acute lower abdominal pain being a common factor, group 1 displayed shorter pain duration (28.9 h vs. 46.8 h, p < 0.05), less vomiting (28% vs. 50%, p < 0.05), lower fever incidence (4.7% vs. 50%, p < 0.05), reduced leukocytosis (57% vs. 75%, p < 0.05), and CRP elevation (30% vs. 80%, p < 0.05) compared to group 2. Machine learning techniques, specifically support vector classifiers, were employed using clinical presentation, pain duration, white blood cell counts, and ultrasound findings as features. The classifier consistently demonstrated an average predictive accuracy of 87% to 97% in distinguishing adnexal torsion from appendicitis, as confirmed across various SVM models employing different kernels. Our findings emphasize the capacity of support vector machines (SVMs) and machine learning as a whole to augment diagnostic accuracy when distinguishing between adnexal torsion and acute appendicitis. Nevertheless, it is imperative to validate these results through more extensive investigations and explore alternative machine learning models for a comprehensive understanding of their diagnostic capabilities. [ABSTRACT FROM AUTHOR]
- Subjects :
- C-reactive protein
SUPPORT vector machines
PAIN measurement
ULTRASONIC imaging
RESEARCH evaluation
TORSION abnormality (Anatomy)
APPENDICITIS
MACHINE learning
RETROSPECTIVE studies
OVARIAN diseases
LEUKOCYTE count
DESCRIPTIVE statistics
RESEARCH funding
PREDICTION models
ABDOMINAL pain
CHILDREN
Subjects
Details
- Language :
- English
- ISSN :
- 22279067
- Volume :
- 10
- Issue :
- 10
- Database :
- Complementary Index
- Journal :
- Children
- Publication Type :
- Academic Journal
- Accession number :
- 173265062
- Full Text :
- https://doi.org/10.3390/children10101612