多模态超声及人工智能用于足月妊娠引产效果的预测价值

Predictive value of multimodal ultrasound and artificial intelligence in predicting the effect of induction of labor in full term pregnancy

  • 摘要: 足月引产是产科处理高危妊娠的常用手段,主要通过药物或球囊等其他方法,通过人为干预启动产程,减少母儿不良妊娠结局的发生。引产过程中,宫颈条件不成熟是导致引产失败的主要原因之一。传统的Bishop评分虽广泛应用于宫颈成熟度的评估,但其主观性强,难以提供准确的预测。二维、三维超声测量显示出较高的预测价值。此外,机器学习和深度学习技术在超声图像分析中的应用,进一步提升了宫颈成熟度和引产结局的预测准确性。随着超声技术的快速发展,多模态超声技术逐渐成为评估宫颈成熟状态和预测引产成功率的重要工具。文章系统总结了多模态超声技术和人工智能技术在预测足月引产分娩结局、分娩时间等方面的研究进展,为临床诊断提供了更为可靠的理论依据和实践参考。

     

    Abstract: Induction of labor at full term (IOL) is a commonly used clinical intervention in obstetrics for managing high-risk pregnancies. It primarily involves pharmacological or mechanical methods, such as balloon catheters, to artificially initiate labor, aiming to reduce adverse maternal and neonatal outcomes. One of the primary reasons for IOL failure is the immaturity of the cervix. Although traditional Bishop score has been widely used for assessing cervical maturity, its subjective nature limits its ability to provide accurate predictions. In contrast, two-dimensional and three-dimensional ultrasound measurements have demonstrated higher predictive value. Furthermore, the application of machine learning and deep learning techniques in ultrasound image analysis has significantly enhanced the accuracy of predicting cervical maturity and IOL outcomes. With the rapid advancement of ultrasound technology, multimodal ultrasound techniques have become essential tools for evaluating cervical status and predicting the success of IOL. This review systematically summarizes recent progress in the application of multimodal ultrasound and artificial intelligence techniques for predicting delivery outcomes and timing in IOL at full term, providing a more reliable theoretical foundation and practical reference for clinical diagnosis.

     

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