annotation

注释
  • 文章类型: Journal Article
    由于先进的成像技术,肾细胞癌(RCC)的患病率正在增加。手术切除是标准的治疗方法,涉及复杂的根治性和部分性肾切除术,需要广泛的培训和计划。此外,人工智能(AI)可以潜在地帮助肾癌领域的训练过程。这篇综述探讨了人工智能(AI)如何为肾癌手术创建一个框架来解决训练困难。按照PRISMA2020标准,我们对PubMed和SCOPUS数据库进行了详尽搜索,没有任何过滤器或限制.纳入标准包括原始的英文文章,重点是AI在肾癌手术训练中的作用。另一方面,所有非原创文章和以英语以外的任何语言发表的文章均被排除.两名独立审稿人评估了这些文章,与第三方解决任何分歧。研究细节,AI工具,方法论,端点,结果由同一作者提取。牛津循证医学中心的证据水平被用来评估这些研究。在468条确定的记录中,选择了14项符合条件的研究。AI在肾癌手术培训中的潜在应用包括分析手术工作流程,注释仪器,识别组织,和三维重建。人工智能能够评估手术技能,包括程序步骤和仪器跟踪的识别。虽然AI和增强现实(AR)增强了训练,在实时跟踪和注册方面仍然存在挑战。利用AI驱动的3D重建被证明有利于术中指导和术前准备。人工智能(AI)显示出通过提供公正的评估来推进手术训练的潜力。个性化反馈,加强学习过程。然而,诸如一致的度量度量、伦理问题,必须解决数据隐私问题。将AI整合到肾癌手术培训中,为培训困难提供了解决方案,并促进了手术教育。然而,为了充分利用它的潜力,更多的研究势在必行。
    The prevalence of renal cell carcinoma (RCC) is increasing due to advanced imaging techniques. Surgical resection is the standard treatment, involving complex radical and partial nephrectomy procedures that demand extensive training and planning. Furthermore, artificial intelligence (AI) can potentially aid the training process in the field of kidney cancer. This review explores how artificial intelligence (AI) can create a framework for kidney cancer surgery to address training difficulties. Following PRISMA 2020 criteria, an exhaustive search of PubMed and SCOPUS databases was conducted without any filters or restrictions. Inclusion criteria encompassed original English articles focusing on AI\'s role in kidney cancer surgical training. On the other hand, all non-original articles and articles published in any language other than English were excluded. Two independent reviewers assessed the articles, with a third party settling any disagreement. Study specifics, AI tools, methodologies, endpoints, and outcomes were extracted by the same authors. The Oxford Center for Evidence-Based Medicine\'s evidence levels were employed to assess the studies. Out of 468 identified records, 14 eligible studies were selected. Potential AI applications in kidney cancer surgical training include analyzing surgical workflow, annotating instruments, identifying tissues, and 3D reconstruction. AI is capable of appraising surgical skills, including the identification of procedural steps and instrument tracking. While AI and augmented reality (AR) enhance training, challenges persist in real-time tracking and registration. The utilization of AI-driven 3D reconstruction proves beneficial for intraoperative guidance and preoperative preparation. Artificial intelligence (AI) shows potential for advancing surgical training by providing unbiased evaluations, personalized feedback, and enhanced learning processes. Yet challenges such as consistent metric measurement, ethical concerns, and data privacy must be addressed. The integration of AI into kidney cancer surgical training offers solutions to training difficulties and a boost to surgical education. However, to fully harness its potential, additional studies are imperative.
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  • 文章类型: Systematic Review
    背景:带注释的数据是有监督的机器学习应用的基础。然而,外科数据科学领域似乎缺乏通用语言。这项研究的目的是回顾用于微创手术视频的SPM创建中的注释和语义过程。
    方法:对于本系统综述,我们回顾了从2000年1月至2022年3月在MEDLINE数据库中索引的文章.我们选择了使用手术视频注释的文章来描述微创手术领域的手术过程模型。我们排除了仅关注仪器检测或解剖区域识别的研究。使用纽卡斯尔渥太华质量评估工具评估偏倚风险。使用SPIDER工具将来自研究的数据直观地呈现在表中。
    结果:在确定的2806篇文章中,选择34人进行审查。22人在消化外科领域,6只眼科手术,一个是神经外科,三个在妇科手术中,和两个混合领域。31项研究(88.2%)致力于阶段,步,或动作识别,主要依靠非常简单的形式化(29,85.2%)。数据集中的临床信息对于使用可用的公共数据集的研究是缺乏的。手术过程模型的注释过程缺乏且描述不力,对外科手术的描述在研究之间差异很大.
    结论:手术视频注释缺乏严格且可重复的框架。由于使用的语言不同,这导致在机构和医院之间共享视频的困难。需要开发和使用通用本体来改进带注释的手术视频的库。
    Annotated data are foundational to applications of supervised machine learning. However, there seems to be a lack of common language used in the field of surgical data science. The aim of this study is to review the process of annotation and semantics used in the creation of SPM for minimally invasive surgery videos.
    For this systematic review, we reviewed articles indexed in the MEDLINE database from January 2000 until March 2022. We selected articles using surgical video annotations to describe a surgical process model in the field of minimally invasive surgery. We excluded studies focusing on instrument detection or recognition of anatomical areas only. The risk of bias was evaluated with the Newcastle Ottawa Quality assessment tool. Data from the studies were visually presented in table using the SPIDER tool.
    Of the 2806 articles identified, 34 were selected for review. Twenty-two were in the field of digestive surgery, six in ophthalmologic surgery only, one in neurosurgery, three in gynecologic surgery, and two in mixed fields. Thirty-one studies (88.2%) were dedicated to phase, step, or action recognition and mainly relied on a very simple formalization (29, 85.2%). Clinical information in the datasets was lacking for studies using available public datasets. The process of annotation for surgical process model was lacking and poorly described, and description of the surgical procedures was highly variable between studies.
    Surgical video annotation lacks a rigorous and reproducible framework. This leads to difficulties in sharing videos between institutions and hospitals because of the different languages used. There is a need to develop and use common ontology to improve libraries of annotated surgical videos.
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  • 文章类型: Journal Article
    电子健康记录(EHR)中的自由文本描述可能对临床研究和护理优化感兴趣。然而,自由文本不容易被计算机解释,因此,价值有限。自然语言处理(NLP)算法可以通过向其附加本体概念来使自由文本机器可解释。然而,NLP算法的实现并没有得到一致的评估。因此,本研究的目的是回顾当前用于开发和评估将临床文本片段映射到本体概念的NLP算法的方法.为了规范算法的评估,减少研究之间的异质性,我们提出了一份建议清单。
    两位审稿人检查了Scopus索引的出版物,IEEE,MEDLINE,EMBASE,ACM数字图书馆,和ACL选集。包括有关NLP的出版物,用于将临床文本从EHR映射到本体论概念。Year,国家,设置,目标,评估和验证方法,NLP算法,术语系统,数据集大小和语言,绩效指标,参考标准,概括性,操作使用,并提取了源代码可用性。这些研究的目标是通过归纳的方式进行分类的。这些结果用于定义建议。
    确定了两千三百五十五个独特的研究。256项研究报告了将自由文本映射到本体概念的NLP算法的开发。77项描述了发展和评价。22项研究未对未知数据进行验证,68项研究未进行外部验证。在23项声称他们的算法是可推广的研究中,5通过外部验证对此进行了测试。关于使用NLP系统和算法的16项建议列表,数据的使用,评估和验证,结果的介绍,并开发了结果的普适性。
    我们发现了许多异构方法来报告NLP算法的开发和评估,这些算法将临床文本映射到本体概念。超过四分之一的已确定出版物没有进行评估。此外,超过四分之一的纳入研究没有进行验证,88%未进行外部验证。我们认为,我们的建议,除了现有的报告标准之外,将增加未来研究和NLP算法在医学中的可重复性和可重用性。
    Free-text descriptions in electronic health records (EHRs) can be of interest for clinical research and care optimization. However, free text cannot be readily interpreted by a computer and, therefore, has limited value. Natural Language Processing (NLP) algorithms can make free text machine-interpretable by attaching ontology concepts to it. However, implementations of NLP algorithms are not evaluated consistently. Therefore, the objective of this study was to review the current methods used for developing and evaluating NLP algorithms that map clinical text fragments onto ontology concepts. To standardize the evaluation of algorithms and reduce heterogeneity between studies, we propose a list of recommendations.
    Two reviewers examined publications indexed by Scopus, IEEE, MEDLINE, EMBASE, the ACM Digital Library, and the ACL Anthology. Publications reporting on NLP for mapping clinical text from EHRs to ontology concepts were included. Year, country, setting, objective, evaluation and validation methods, NLP algorithms, terminology systems, dataset size and language, performance measures, reference standard, generalizability, operational use, and source code availability were extracted. The studies\' objectives were categorized by way of induction. These results were used to define recommendations.
    Two thousand three hundred fifty five unique studies were identified. Two hundred fifty six studies reported on the development of NLP algorithms for mapping free text to ontology concepts. Seventy-seven described development and evaluation. Twenty-two studies did not perform a validation on unseen data and 68 studies did not perform external validation. Of 23 studies that claimed that their algorithm was generalizable, 5 tested this by external validation. A list of sixteen recommendations regarding the usage of NLP systems and algorithms, usage of data, evaluation and validation, presentation of results, and generalizability of results was developed.
    We found many heterogeneous approaches to the reporting on the development and evaluation of NLP algorithms that map clinical text to ontology concepts. Over one-fourth of the identified publications did not perform an evaluation. In addition, over one-fourth of the included studies did not perform a validation, and 88% did not perform external validation. We believe that our recommendations, alongside an existing reporting standard, will increase the reproducibility and reusability of future studies and NLP algorithms in medicine.
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  • 文章类型: Journal Article
    Tick唾液含有复杂的肽和非肽的混合物,可以抵消其宿主的止血作用,豁免权,和组织修复反应。最近的转录组学研究已经揭示了在单个蜱物种中编码分泌多肽的一千多个不同转录本。这些基因产物不仅属于许多扩展家族,如脂质运载蛋白,金属蛋白酶,抗原-5,胱抑素,和三磷酸双磷酸酶,但也有只在蜱中发现的家庭,比如evasins,Isac,DAP36和其他许多人。推导的蛋白质序列的系统发育分析表明,由于较低的进化约束和/或正向选择,唾液基因表现出增加的进化速率。允许蜱唾液蛋白质的大量多样性。因此,对于每个新的蜱物种,其唾液转录组测序和组装,一个艰巨的任务的注释这些成绩单等待。目前,截至2019年11月,美国国家生物技术信息中心(NCBI)保藏了超过287,000个编码序列,这些序列来自蜱唾液腺mRNA。这里,从这些287千序列中,我们鉴定了45,264种潜在的分泌蛋白,它们具有信号肽,并且在成熟肽上没有跨膜结构域。通过使用psiblast工具,构建位置特异性矩阵并组装到TickSialoFam(TSF)数据库中。TSF是一个rpsblastable数据库,可以帮助您注释ticksialotranscriptomes。TSA数据库确定了136个蜱唾液分泌蛋白家族,以及80个与内体相关的产品家族,主要具有蛋白质修饰功能。随着序列数量的增加,并且新的注释详细信息可用,新版本的TSF数据库可能可用。
    Tick saliva contains a complex mixture of peptides and non-peptides that counteract their hosts\' hemostasis, immunity, and tissue-repair reactions. Recent transcriptomic studies have revealed over one thousand different transcripts coding for secreted polypeptides in a single tick species. Not only do these gene products belong to many expanded families, such as the lipocalins, metalloproteases, Antigen-5, cystatins, and apyrases, but also families that are found exclusively in ticks, such as the evasins, Isac, DAP36, and many others. Phylogenetic analysis of the deduced protein sequences indicate that the salivary genes exhibit an increased rate of evolution due to a lower evolutionary constraint and/or positive selection, allowing for a large diversity of tick salivary proteins. Thus, for each new tick species that has its salivary transcriptome sequenced and assembled, a formidable task of annotation of these transcripts awaits. Currently, as of November 2019, there are over 287 thousand coding sequences deposited at the National Center for Biotechnology Information (NCBI) that are derived from tick salivary gland mRNA. Here, from these 287 thousand sequences we identified 45,264 potential secretory proteins which possess a signal peptide and no transmembrane domains on the mature peptide. By using the psiblast tools, position-specific matrices were constructed and assembled into the TickSialoFam (TSF) database. The TSF is a rpsblastable database that can help with the annotation of tick sialotranscriptomes. The TSA database identified 136 tick salivary secreted protein families, as well as 80 families of endosomal-related products, mostly having a protein modification function. As the number of sequences increases, and new annotation details become available, new releases of the TSF database may become available.
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  • 文章类型: Journal Article
    We aimed to summarize the results of genetic association studies for obesity and provide a comprehensive annotation of all susceptibility single nucleotide polymorphisms (SNPs). A total of 72 studies were summarized, resulting in 90,361 susceptibility SNPs (738 index SNPs and 89,623 linkage disequilibrium SNPs). Over 90% of the susceptibility SNPs are located in non-coding regions, and it is challenging to understand their functional significance. Therefore, we annotated these SNPs by using various functional databases. We identified 24,623 functional SNPs, including 4 nonsense SNPs, 479 missense SNPs, 399 untranslated region SNPs which might affect microRNA binding, 262 promoter and 5,492 enhancer SNPs which might affect transcription factor binding, 7 splicing sites, 76 SNPs which might affect gene methylation levels, 1,839 SNPs under natural selection and 17,351 SNPs which might modify histone binding. Expression quantitative trait loci analyses for functional SNPs identified 98 target genes, including 69 protein coding genes, 27 long non-coding RNAs and 3 processed transcripts. The percentage of protein coding genes that could be correlated with obesity-related pathways directly or through gene-gene interaction is 75.36 (52/69). Our results may serve as an encyclopaedia of obesity susceptibility SNPs and offer guide for functional experiments.
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  • 文章类型: Journal Article
    OBJECTIVE: To explore undergraduate students\' expectations and teachers\' views of written feedback.
    METHODS: Narrative literature review.
    METHODS: Seven electronic databases were searched for primary research published in English with additional manual searches and reference tracking.
    METHODS: Systematic approach to search strategy, selection and appraisal of papers, data extraction and synthesis following Hawker et al.\'s (2002) guidelines.
    RESULTS: 21 studies met the inclusion criteria. Four student themes were identified concerning written feedback: quality, quantity and location of feedback, feed-forward and timeliness. Teachers reported that time pressures, institutional policies, and administrative issues affect feedback provision.
    CONCLUSIONS: Rigorous research is needed to gain a better understanding of students\' expectations of written feedback. Strategies need to be adopted to meet students\' expectations and educate students to take an active role and reflect on the feedback received.
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