Functional MRI-based machine learning strategy for prediction of postoperative delirium in cardiac surgery patients: A secondary analysis of a prospective observational study.

Journal: Journal of clinical anesthesia
PMID: 39951939

Abstract

STUDY OBJECTIVE: Delirium is a common complication after cardiac surgery and is associated with poor prognosis. An effective delirium prediction model could identify high-risk patients who might benefit from targeted prevention strategies. We introduce machine learning models that employ resting-state functional MRI datasets obtained before surgery to predict postoperative delirium.

Authors

  • Mei-Yan Zhou
    Department of Anesthesiology, Xuzhou Clinical College of Xuzhou Medical University, Xuzhou, Jiangsu 221009, China; Department of Anesthesiology, Xuzhou Central Hospital, Xuzhou, Jiangsu 221009, China.
  • Yi-Bing Shi
    Department of Medical Imaging, Xuzhou Central Hospital, Xuzhou, Jiangsu 221009, China.
  • Sheng-Jie Bai
    Department of Medical Imaging, Xuzhou Central Hospital, Xuzhou, Jiangsu 221009, China.
  • Yao Lu
    Department of Laboratory Medicine, The First Affiliated Hospital of Ningbo University, Ningbo First Hospital, Ningbo, China.
  • Yan Zhang
    Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, Shenyang, 110032, China.
  • Wei Zhang
    The First Affiliated Hospital of Nanchang University, Nanchang, China.
  • Wei Wang
    State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau, Macau 999078, China.
  • Yang-Zi Zhu
    Department of Anesthesiology, Xuzhou Central Hospital, Xuzhou, Jiangsu 221009, China; Jiangsu Province Key Laboratory of Anesthesiology, Xuzhou Medical University, Xuzhou, Jiangsu 221004, China. Electronic address: zhuyz@xzhmu.edu.cn.
  • Jun-Li Cao
    Jiangsu Province Key Laboratory of Anesthesiology, Xuzhou Medical University, Xuzhou, Jiangsu 221004, China; Department of Anesthesiology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou Medical University, Xuzhou, Jiangsu 221006, China. Electronic address: caojl0310@aliyun.com.
  • Li-Wei Wang
    Department of Anesthesiology, Xuzhou Clinical College of Xuzhou Medical University, Xuzhou, Jiangsu 221009, China; Department of Anesthesiology, Xuzhou Central Hospital, Xuzhou, Jiangsu 221009, China. Electronic address: doctorlww@sina.com.

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