人工智能在研究生腰椎穿刺术考核中的应用  

Application of artificial intelligence technology in assisting lumbar puncture examination for postgraduate students

作　　者：王雪梅[1] 陈仲略 蒋莹 柳竹[1] 冯涛[1] Wang Xuemei;Chen Zhonglue;Jiang Ying;Liu Zhu;Feng Tao(Center for Movement Disorders,Department of Neurology,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China;GYENNO SCIENCE CO.,LTD.Shenzhen 518000,China)

机构地区：[1]首都医科大学附属北京天坛医院神经病学中心运动障碍性疾病科,北京100070 [2]深圳市臻络科技有限公司,深圳518000

出　　处：《医学教育管理》2024年第5期545-550,共6页Medical Education Management

基　　金：首都医科大学2022教育教学改革研究课题项目:人工智能技术在神经病学研究生腰椎穿刺考核中的探索(2022JYY229);国家自然科学基金项目:通过外周神经调控对PD震颤脑能量活动的体感反馈机制研究(82271459);国家自然科学基金项目:帕金森病姿势性震颤的神经振荡机制研究(82071422)。

摘　　要：目的探讨人工智能(artificial intelligence,AI)在神经病学研究生腰椎穿刺术考核中的应用。方法将腰椎穿刺评分细化归类为机器可深入学习的语音类、场景监控类及动作评估类评分,在既往研究工作的基础上建立音频算法模块、监控算法模块以及动作评估算法模块,并对79名神经病学三年级专业型硕士研究生的腰椎穿刺术考核分别进行AI评分和考官评分,比较AI评分与考官评分的差异。结果在语音类评分上AI评分明显低于考官评分[(52.86±3.25)分vs.(54.32±2.65)分,P<0.05],在场景监控类以及动作评估类评分上AI评分与考官评分差异无统计学意义[(11.24±0.55)分vs.(11.15±0.62)分,P>0.05;(28.09±11.37)分vs.(28.34±1.21)分,P>0.05]。结论AI技术在研究生腰椎穿刺术操作考核中的应用具有客观性、可行性,但仍需逐渐迭代优化机器AI评分系统的性能。Objective To explore the application of artificial intelligence(AI)in the examination of lumbar puncture for postgraduate students in neurology.Methods The lumbar puncture scores were further classified into speech,scene monitoring and motion evaluation,and they would be learned by the machine.Based on previous research,audio algorithm module,monitoring algorithm module and motion evaluation algorithm module are established.AI scores of lumbar puncture examination were compared with examiners'scores for 79 postgraduate students in neurology.Results AI scores were significantly lower than examiners'scores in speech score(52.86±3.25 points vs.54.32±2.65 points,P<0.05),while there was no significant difference between AI and examiners'scores in scene monitoring and motion evaluation(11.24±0.55 points vs.11.15±0.62 points,P>0.05;28.09±11.37 points vs.28.34±1.21 points,P>0.05).Conclusion The application of AI technology in the evaluation of lumbar puncture operation of postgraduate students is objective and feasible,but the performance of the machine AI scoring system needs to be gradually iteratively optimized.

关 键 词：人工智能 医学教育 课程考核 

分 类 号：R4[医药卫生—临床医学] G643[文化科学—高等教育学]