Which offers the best expertise in managing acute abdomen: an experienced clinician or AI-assisted medical imaging?
The debate between traditional methods and modern technology in gastrointestinal emergency medicine can be seen in two recent publications. One, a review article by American surgeons Selwyn O. Rogers and Orlando C. Kirton,, advocated for the surgeon’s pivotal role in abdominal emergencies, supported by imaging, just like in the early 20th century. The other,Acute abdominal pain accounts for 4%-10% of emergency department visits, with hospitalization admission rates ranging from 18% to 42%.
Teleradiology is a valuable tool for improving access to rapid and specialized diagnostics in emergency rooms, but it must be well supervised to avoid technical, communication, and legal problems. The number of CT scans performed on patients presenting with new, nontraumatic acute abdominal pain has steadily increased over the past few decades. However, abdominal imaging may not reveal all intra-abdominal diseases, and in one study, 20% of exams wereby third-party radiologists.
In French regional hospitals, the current trend for nonimmediate surgical acute abdomen cases is to integrate"gastroenterology beds" within digestive surgery departments or in general medicine or geriatric units. Gastroenterologists are then asked to act as specialized consultants, provided they have the technical resources, such as echo-endoscopy and endoscopic surgery. Otherwise, the patient may be transferred to a tertiary center, although availability can be problematic.
Nevertheless, only a limited number of software programs are directly linked to tasks involving acute abdominopelvic imaging. This may be attributed to the heterogeneity of images, which vary by the data used to train these algorithms.
Additional studies have shown that AI can reduce human error by providing a secondary review of scans, particularly in high-stress emergency settings. These integrated models can offer individualized data beyond the current computational capabilities of emergency departments.
Acute Pain Healthcare And Medical Technology Health And Medical Tech Health And Med Tech Health And Medical Technology Healthcare Technology Medical Technology Abdominal Abdominal Pain Artificial Intelligence Deep Learning AI NPL Machine Learning ML Natural Language Processing Artificial Neural Networks Abdominal Imaging Study Abdominal Trauma Trauma To The Abdomen
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