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Prediction of Postoperative Speech Dysfunctions in Neurosurgery Based on Cortico-Cortical Evoked Potentials and Machine Learning Technology.
Ishankulov, T A; Danilov, G V; Pitskhelauri, D I; Titov, O Yu; Ogurtsova, A A; Buklina, S B; Gulaev, E V; Konakova, T A; Bykanov, A E.
Afiliación
  • Ishankulov TA; Engineer, Laboratory of Biomedical Informatics and Artificial Intelligence; N.N. Burdenko National Medical Research Center for Neurosurgery, Ministry of Health of the Russian Federation, 16, 4 Tverskaya-Yamskaya St., Moscow, 125047, Russia.
  • Danilov GV; Scientific Secretary, Head of the Laboratory of Biomedical Informatics and Artificial Intelligence; N.N. Burdenko National Medical Research Center for Neurosurgery, Ministry of Health of the Russian Federation, 16, 4 Tverskaya-Yamskaya St., Moscow, 125047, Russia.
  • Pitskhelauri DI; Professor, Head of the Department of Neurosurgery No.7; N.N. Burdenko National Medical Research Center for Neurosurgery, Ministry of Health of the Russian Federation, 16, 4 Tverskaya-Yamskaya St., Moscow, 125047, Russia.
  • Titov OY; Clinical Resident, Department of Neurosurgery No.7; N.N. Burdenko National Medical Research Center for Neurosurgery, Ministry of Health of the Russian Federation, 16, 4 Tverskaya-Yamskaya St., Moscow, 125047, Russia.
  • Ogurtsova AA; Neurophysiologist; N.N. Burdenko National Medical Research Center for Neurosurgery, Ministry of Health of the Russian Federation, 16, 4 Tverskaya-Yamskaya St., Moscow, 125047, Russia.
  • Buklina SB; Professor, Neuropsychologist; N.N. Burdenko National Medical Research Center for Neurosurgery, Ministry of Health of the Russian Federation, 16, 4 Tverskaya-Yamskaya St., Moscow, 125047, Russia.
  • Gulaev EV; Neurophysiologist; National Medical Research Center for Traumatology and Orthopedics named after N.N. Priorov, Ministry of Health of the Russian Federation, 10 Priorova St., Moscow, 127299, Russia.
  • Konakova TA; PhD Student, Department of Radiology; N.N. Burdenko National Medical Research Center for Neurosurgery, Ministry of Health of the Russian Federation, 16, 4 Tverskaya-Yamskaya St., Moscow, 125047, Russia.
  • Bykanov AE; Neurosurgeon, Researcher; N.N. Burdenko National Medical Research Center for Neurosurgery, Ministry of Health of the Russian Federation, 16, 4 Tverskaya-Yamskaya St., Moscow, 125047, Russia.
Sovrem Tekhnologii Med ; 14(1): 25-32, 2022.
Article en En | MEDLINE | ID: mdl-35992997
Intraoperative recording of cortico-cortical evoked potentials (CCEPs) enables studying effective connections between various functional areas of the cerebral cortex. The fundamental possibility of postoperative speech dysfunction prediction in neurosurgery based on CCEP signal variations could serve as a basis to develop the criteria for the physiological permissibility of intracerebral tumors removal for maximum preservation of the patients' quality of life. The aim of the study was to test the possibility of predicting postoperative speech disorders in patients with glial brain tumors by using the CCEP data recorded intraoperatively before the stage of tumor resection. Materials and Methods: CCEP data were reported for 26 patients. To predict the deterioration of speech functions in the postoperative period, we used four options for presenting CCEP data and several machine learning models: a random forest of decision trees, logistic regression, and support vector machine method with different types of kernels: linear, radial, and polynomial. Twenty variants of models were trained: each in 300 experiments with resampling. A total of 6000 tests were performed in the study. Results: The prediction quality metrics for each model trained in 300 tests with resampling were averaged to eliminate the influence of "successful" and "unsuccessful" data grouping. The best result with F1-score = 0.638 was obtained by the support vector machine with a polynomial kernel. In most tests, a high sensitivity score was observed, and in the best model, it reached a value of 0.993; the specificity of the best model was 0.370. Conclusion: This pilot study demonstrated the possibility of predicting speech dysfunctions based on CCEP data taken before the main stage of glial tumors resection; the data were processed using traditional machine learning methods. The best model with high sensitivity turned out to be insufficiently specific. Further studies will be aimed at assessing the changes in CCEP during the operation and their relationship with the development of postoperative speech deficit.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias / Neurocirugia Tipo de estudio: Prognostic_studies / Risk_factors_studies Aspecto: Patient_preference Límite: Humans Idioma: En Revista: Sovrem Tekhnologii Med Año: 2022 Tipo del documento: Article País de afiliación: Rusia Pais de publicación: Rusia

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias / Neurocirugia Tipo de estudio: Prognostic_studies / Risk_factors_studies Aspecto: Patient_preference Límite: Humans Idioma: En Revista: Sovrem Tekhnologii Med Año: 2022 Tipo del documento: Article País de afiliación: Rusia Pais de publicación: Rusia