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Use of an artificial intelligence‐based rule extraction approach to predict an emergency cesarean section

OBJECTIVE: One of the major problems with artificial intelligence (AI) is that it is generally known as a “black box”. Therefore, the present study aimed to construct an emergency cesarean section (CS) prediction system using an AI‐based rule extraction approach as a “white box” to detect the cause...

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Autores principales: Nagayasu, Yoko, Fujita, Daisuke, Ohmichi, Masahide, Hayashi, Yoichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9290872/
https://www.ncbi.nlm.nih.gov/pubmed/34416018
http://dx.doi.org/10.1002/ijgo.13888
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author Nagayasu, Yoko
Fujita, Daisuke
Ohmichi, Masahide
Hayashi, Yoichi
author_facet Nagayasu, Yoko
Fujita, Daisuke
Ohmichi, Masahide
Hayashi, Yoichi
author_sort Nagayasu, Yoko
collection PubMed
description OBJECTIVE: One of the major problems with artificial intelligence (AI) is that it is generally known as a “black box”. Therefore, the present study aimed to construct an emergency cesarean section (CS) prediction system using an AI‐based rule extraction approach as a “white box” to detect the cause for the emergency CS. METHODS: Data were collected from all perinatal records of all delivery outcomes at Osaka Medical College between December 2014 and July 2019. We identified the delivery method for all deliveries after 36 gestational weeks as either (1) vaginal delivery or scheduled CS, or (2) emergency CS. From among these, we selected 52 risk factors to feed into an AI‐based rule extraction algorithm to extract rules to predict an emergency CS. RESULTS: We identified 1513 singleton deliveries (1285 [84.9%] vaginal deliveries, 228 emergency CS [15.1%]) and extracted 15 rules. We achieved an average accuracy of 81.90% using five‐fold cross‐validation and an area under the receiving operating characteristic curve of 71.46%. CONCLUSION: To our knowledge, this is the first study to use interpretable AI‐based rule extraction technology to predict an emergency CS. This system appears to be useful for identifying hidden factors for emergency CS.
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spelling pubmed-92908722022-07-20 Use of an artificial intelligence‐based rule extraction approach to predict an emergency cesarean section Nagayasu, Yoko Fujita, Daisuke Ohmichi, Masahide Hayashi, Yoichi Int J Gynaecol Obstet Clinical Articles OBJECTIVE: One of the major problems with artificial intelligence (AI) is that it is generally known as a “black box”. Therefore, the present study aimed to construct an emergency cesarean section (CS) prediction system using an AI‐based rule extraction approach as a “white box” to detect the cause for the emergency CS. METHODS: Data were collected from all perinatal records of all delivery outcomes at Osaka Medical College between December 2014 and July 2019. We identified the delivery method for all deliveries after 36 gestational weeks as either (1) vaginal delivery or scheduled CS, or (2) emergency CS. From among these, we selected 52 risk factors to feed into an AI‐based rule extraction algorithm to extract rules to predict an emergency CS. RESULTS: We identified 1513 singleton deliveries (1285 [84.9%] vaginal deliveries, 228 emergency CS [15.1%]) and extracted 15 rules. We achieved an average accuracy of 81.90% using five‐fold cross‐validation and an area under the receiving operating characteristic curve of 71.46%. CONCLUSION: To our knowledge, this is the first study to use interpretable AI‐based rule extraction technology to predict an emergency CS. This system appears to be useful for identifying hidden factors for emergency CS. John Wiley and Sons Inc. 2021-09-06 2022-06 /pmc/articles/PMC9290872/ /pubmed/34416018 http://dx.doi.org/10.1002/ijgo.13888 Text en © 2021 The Authors. International Journal of Gynecology & Obstetrics published by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Articles
Nagayasu, Yoko
Fujita, Daisuke
Ohmichi, Masahide
Hayashi, Yoichi
Use of an artificial intelligence‐based rule extraction approach to predict an emergency cesarean section
title Use of an artificial intelligence‐based rule extraction approach to predict an emergency cesarean section
title_full Use of an artificial intelligence‐based rule extraction approach to predict an emergency cesarean section
title_fullStr Use of an artificial intelligence‐based rule extraction approach to predict an emergency cesarean section
title_full_unstemmed Use of an artificial intelligence‐based rule extraction approach to predict an emergency cesarean section
title_short Use of an artificial intelligence‐based rule extraction approach to predict an emergency cesarean section
title_sort use of an artificial intelligence‐based rule extraction approach to predict an emergency cesarean section
topic Clinical Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9290872/
https://www.ncbi.nlm.nih.gov/pubmed/34416018
http://dx.doi.org/10.1002/ijgo.13888
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