Introduction: Artificial intelligence is widely used in medical field, and machine learning has been increasingly used in health care, prediction, and diagnosis and as a method of determining priority. Machine learning methods have been features of several tools in the fields of obstetrics and childcare. This present review aims to summarize the machine learning techniques to predict perinatal complications.Objective: To identify the applicability and performance of machine learning methods used to identify pregnancy complications.Methods: A total of 98 articles were obtained with the keywords “machine learning,” “deep learning,” “artificial intelligence,” and accordingly as they related to perinatal complications (“complications in pregnancy,” “pregnancy complications”) from three scientific databases: PubMed, Scopus, and Web of Science. These were managed on the Mendeley platform and classified using the PRISMA method.Results: A total of 31 articles were selected after elimination according to inclusion and exclusion criteria. The features used to predict perinatal complications were primarily electronic medical records (48%), medical images (29%), and biological markers (19%), while 4% were based on other types of features, such as sensors and fetal heart rate. The main perinatal complications considered in the application of machine learning thus far are pre-eclampsia and prematurity. In the 31 studies, a total of sixteen complications were predicted. The main precision metric used is the AUC. The machine learning methods with the best results were the prediction of prematurity from medical images using the support vector machine technique, with an accuracy of 95.7%, and the prediction of neonatal mortality with the XGBoost technique, with 99.7% accuracy.Conclusion: It is important to continue promoting this area of research and promote solutions with multicenter clinical applicability through machine learning to reduce perinatal complications. This systematic review contributes significantly to the specialized literature on artificial intelligence and women’s health.
Introduction: In Chile, 1 in 8 pregnant women of middle socioeconomic level has gestational diabetes mellitus (GDM), and in general, 5–10% of women with GDM develop type 2 diabetes after giving birth. Recently, various technological tools have emerged to assist patients with GDM to meet glycemic goals and facilitate constant glucose monitoring, making these tasks more straightforward and comfortable.Objective: To evaluate the impact of remote monitoring technologies in assisting patients with GDM to achieve glycemic goals, and know the respective advantages and disadvantages when it comes to reducing risk during pregnancy, both for the mother and her child.Methods: A total of 188 articles were obtained with the keywords “gestational diabetes mellitus,” “GDM,” “gestational diabetes,” added to the evaluation levels associated with “glucose level,” “glycemia,” “glycemic index,” “blood sugar,” and the technological proposal to evaluate with “glucometerm” “mobile application,” “mobile applications,” “technological tools,” “telemedicine,” “technovigilance,” “wearable” published during the period 2016–2021, excluding postpartum studies, from three scientific databases: PUBMED, Scopus and Web of Science. These were managed in the Mendeley platform and classified using the PRISMA method.Results: A total of 28 articles were selected after elimination according to inclusion and exclusion criteria. The main measurement was glycemia and 4 medical devices were found (glucometer: conventional, with an infrared port, with Bluetooth, Smart type and continuous glucose monitor), which together with digital technology allow specific functions through 2 identified digital platforms (mobile applications and online systems). In four articles, the postprandial glucose was lower in the Tele-GDM groups than in the control group. Benefits such as improved glycemic control, increased satisfaction and acceptability, maternal confidence, decreased gestational weight gain, knowledge of GDM, and other relevant aspects were observed. There were also positive comments regarding the optimization of the medical team’s time.Conclusion: The present review offers the opportunity to know about the respective advantages and disadvantages of remote monitoring technologies when it comes to reducing risk during pregnancy. GDM centered technology may help to evaluate outcomes and tailor personalized solutions to contribute to women’s health. More studies are needed to know the impact on a healthcare system.
To determine the mean two-hour postprandial (2hPP) blood glucose level and to analyze the maternal variables that can predict macrosomic or large for gestational age (LGA) newborns in diabetic mothers such as the type of diabetes mellitus, pre-gestational body mass index (BMI), previous macrosomic newborn, and parity. Materials and Methods: A prospective, longitudinal study was conducted with 200 pregnant women who had either gestational (103) or pre-gestational (97) diabetes. The mean 2hPP blood glucose levels, which were obtained by capillary glycemia, were calculated for all pregnant women >24 weeks gestation and divided into three groups: group 1 ≤100 mg/dl, group 2 100-120 mg/dl, and group 3 ≥120 mg/dl. The analysis of variance (ANOVA) was used to investigate the differences between groups for the occurrence of macrosomia or LGA. The receiver operator characteristics (ROC) curve was used to identify the significant cutoff point for the mean level of 2hPP blood glucose. Results: Pre-gestational BMI and previous macrosomia were associated with the occurrence of newborns with weight alterations of 32.8% and 35.7%, respectively (p <0.001). However, other independent variables such as multiparity, lipid profile (total cholesterol and triglycerides, both isolated and associated), and type of diabetes were assessed both isolated and grouped. The best cutoff point for 2hPP blood glucose was >109 mg/dl, with a sensitivity of 81%, specificity of 40%, positive predictive value of 27.8%, and negative predictive value of 88.1%. Conclusion: Macrosomic and LGA were associated with maternal 2hPP blood glucose values > 109 mg/dl between 24 and 34 weeks gestation.
Cardiovascular diseases represent the leading cause of death worldwide. Thus, cardiovascular rehabilitation programs are crucial to mitigate the deaths caused by this condition each year, mainly in patients with coronary artery disease. COVID-19 was not only a challenge in this area but also an opportunity to open remote or hybrid versions of these programs, potentially reducing the number of patients who leave rehabilitation programs due to geographical/time barriers. This paper presents a method for building a cardiovascular rehabilitation prediction model using retrospective and prospective data with different features using stacked machine learning, transfer feature learning, and the joint distribution adaptation tool to address this problem. We illustrate the method over a Chilean rehabilitation center, where the prediction performance results obtained for 10-fold cross-validation achieved error levels with an NMSE of 0.03±0.013 and an R2 of 63%±19%, where the best-achieved performance was an error level with a normalized mean squared error of 0.008 and an R2 up to 92%. The results are encouraging for remote cardiovascular rehabilitation programs because these models could support the prioritization of remote patients needing more help to succeed in the current rehabilitation phase.
Detecting and extracting findings in a radiological report is crucial for text mining tasks in several applications. In this case, a labeled process for the image associated with the radiological report in mammography and Spanish context for a computer vision model is required. This paper shows the methodology and process generated for this goal. This paper presents a Named Entity Recognition (NER) approach based on a transformer deep learning model, using a labeled corpus and fine-tuning process to find three concepts that compose a typical finding in a mammographic radiological report: laterality, location, and the finding. We add another concept in the labeled process, the negation, necessary to identify falses positive inside the text that writes the radiologist. Our model achieves an F1 score of 88.24% classifying the three principal concepts for a finding, product of the labeled and fine-tuning process. The results presented here will be used as input for future training work on a computer vision model.
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