{"id":2528,"date":"2024-01-24T08:56:56","date_gmt":"2024-01-23T23:56:56","guid":{"rendered":"https:\/\/www.hcfm.jp\/journal\/?p=2528"},"modified":"2024-01-24T08:56:56","modified_gmt":"2024-01-23T23:56:56","slug":"ai%e3%81%ab%e3%82%88%e3%82%8b%e5%91%bc%e5%90%b8%e5%99%a8%e7%97%87%e7%8a%b6%e3%82%92%e5%91%88%e3%81%99%e3%82%8b%e6%82%a3%e8%80%85%e3%81%ae%e3%83%88%e3%83%aa%e3%82%a2%e3%83%bc%e3%82%b8%e3%81%af%e6%82%a3","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=2528","title":{"rendered":"AI\u306b\u3088\u308b\u547c\u5438\u5668\u75c7\u72b6\u3092\u5448\u3059\u308b\u60a3\u8005\u306e\u30c8\u30ea\u30a2\u30fc\u30b8\u306f\u60a3\u8005\u306e\u30a2\u30a6\u30c8\u30ab\u30e0\u3092\u6539\u5584\u3059\u308b"},"content":{"rendered":"

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\nSteindor E, et al. Triaging Patients With Artificial Intelligence for Respiratory Symptoms in Primary Care to Improve Patient Outcomes: A Retrospective Diagnostic Accuracy Study. The Annals of Family Medicine. 2023; 21(3): 240-248.<\/p>\n

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\n\u672c\u7814\u7a76\u306e\u76ee\u7684\u306f\u3001\u547c\u5438\u5668\u75c7\u72b6\u3092\u6301\u3064\u60a3\u8005\u306e\u75c7\u72b6\u3084\u5fb4\u5019\uff08\u81e8\u5e8a\u7684\u7279\u5fb4\uff09\u306b\u3064\u3044\u3066\u3001\u6765\u9662\u524d\u306e\u30c8\u30ea\u30a2\u30fc\u30b8\u3092\u6a21\u5023\u3059\u308b\u305f\u3081\u60a3\u8005\u306b\u8cea\u554f\u53ef\u80fd\u306a\u8981\u7d20\u306e\u307f\u3092\u4f7f\u7528\u3059\u308b\u3053\u3068\u306b\u3088\u308a\u60a3\u8005\u30c8\u30ea\u30a2\u30fc\u30b8MLM\u3092\u8a13\u7df4\u3059\u308b\u3053\u3068\u3067\u3042\u308b\u3002
\n\u3053\u306eMLM\u306f\u3001\u547c\u5438\u5668\u75c7\u72b6\u30c8\u30ea\u30a2\u30fc\u30b8\u30e2\u30c7\u30eb\uff08RSTM\uff09\u3068\u547c\u3070\u308c\u3001\u30b9\u30b3\u30a2\u306b\u57fa\u3065\u3044\u3066\u60a3\u8005\u309210\u306e\u30ea\u30b9\u30af\u30b0\u30eb\u30fc\u30d7\uff08\u30b0\u30eb\u30fc\u30d71\u304b\u308910\u307e\u3067\u30ea\u30b9\u30af\u304c\u9ad8\u304f\u306a\u308b\uff09\u306b\u5206\u985e\u3059\u308b\u3002\u533b\u7642\u73fe\u5834\u306b\u304a\u3051\u308bMLM\u306e\u30d1\u30d5\u30a9\u30fc\u30de\u30f3\u30b9\u8a55\u4fa1\u306f\u8907\u96d1\u3067\u3042\u308a\u3001\u3069\u306e\u30d9\u30f3\u30c1\u30de\u30fc\u30af\u3092\u4f7f\u7528\u3059\u3079\u304d\u304b\u306f\u3057\u3070\u3057\u3070\u4e0d\u660e\u78ba\u3067\u3042\u308b\u3002\u591a\u304f\u306e\u5831\u544a\u3067\u306f\u3001\u4eba\u9593\u306e\u504f\u898b\u3084\u30a8\u30e9\u30fc\u306e\u5f71\u97ff\u3092\u53d7\u3051\u308b\u533b\u5e2b\u306e\u8a3a\u65ad\u3092\u30d9\u30f3\u30c1\u30de\u30fc\u30af\u3068\u3057\u3066MLM\u3092\u8a55\u4fa1\u3057\u3066\u3044\u308b\u3002RSTM\u3092\u8907\u6570\u306e\u60a3\u8005\u306e\u30a2\u30a6\u30c8\u30ab\u30e0\u3092\u30d9\u30f3\u30c1\u30de\u30fc\u30af\u3068\u3057\u3066\u8a55\u4fa1\u3059\u308b\u3053\u3068\u306f\u3088\u308a\u826f\u3044\u30d1\u30d5\u30a9\u30fc\u30de\u30f3\u30b9\u6307\u6a19\u3068\u306a\u308b\u53ef\u80fd\u6027\u304c\u9ad8\u3044\u304c\u3001\u3053\u306e\u65b9\u6cd5\u3067MLM\u30c8\u30ea\u30a2\u30fc\u30b8\u306e\u30d1\u30d5\u30a9\u30fc\u30de\u30f3\u30b9\u3092\u691c\u8a3c\u3057\u305f\u5831\u544a\u306f\u306a\u3044\u3002
\n\u3010\u65b9\u6cd5\u3011
\n\u30a2\u30a4\u30b9\u30e9\u30f3\u30c9\u30fb\u30ec\u30a4\u30ad\u30e3\u30d3\u30af\u5730\u57df\u306e\u3059\u3079\u3066\u306e\u30d7\u30e9\u30a4\u30de\u30ea\u30b1\u30a2\u30af\u30ea\u30cb\u30c3\u30af\u3092\u5bfe\u8c61\u3068\u3057\u305f\u30027\u3064\u306eICD10\u30b3\u30fc\u30c9\uff08J00\u3001J10\u3001JII\u3001J15\u3001J20\u3001J44\u3001J45\uff09\u306e\u3046\u30611\u3064\u306e\u8a3a\u65ad\u3092\u53d7\u3051\u305f\u60a3\u8005\u306e\u30ab\u30eb\u30c6\u304b\u3089\u81e8\u5e8a\u30c6\u30ad\u30b9\u30c8\u30ce\u30fc\u30c8\uff08CTN\uff09\u203b\u3092\u62bd\u51fa\u3057\u305f\u300223819\u540d\u306e\u60a3\u8005\u306e44007\u306e\u30ab\u30eb\u30c6\u8a18\u9332\u3092\u6761\u4ef6\u306b\u5408\u81f4\u3057\u305f2000\u306eCTN\u306b\u7d5e\u308a\u8fbc\u307f1500CTN\u3092MLM\u306e\u8a13\u7df4\u306b\u3001500\u306eCTN\uff08testing set1\uff09\u3068\u3053\u308c\u3089\u306e\u8a18\u9332\u306b\u542b\u307e\u308c\u3066\u3044\u306a\u304b\u3063\u305f664\u306e\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u306eCTN\uff08testing set2
\n\uff09\u3092\u30a2\u30a6\u30c8\u30ab\u30e0\u306e\u8a08\u6e2c\u306b\u7528\u3044\u305f\u3002\u7d9a\u3044\u3066\u3001\u4e0b\u6c17\u9053\u611f\u67d3\u75c7\u306e\u6709\u7121\u3092\u4e88\u6e2c\u3057\u30c8\u30ea\u30a2\u30fc\u30b8\u3059\u308b\u3053\u3068\u3092\u76ee\u7684\u306b\u60a3\u8005\u304c\u307f\u305a\u304b\u3089\u5fdc\u3048\u3089\u308c\u308b\u53d7\u8a3a\u524d\u306e\u81e8\u5e8a\u60c5\u5831\u306e\u307f\u3092\u7528\u3044\u3066\u3001MLM\u3092\u8a13\u7df4\u3057\u305f\u3002\u3053\u306eMLM\u306f\u60a3\u8005\u3092\u30b9\u30b3\u30a2\u30ea\u30f3\u30b0\u305710\u500b\u306e\u30ea\u30b9\u30af\u30b0\u30eb\u30fc\u30d7\uff08\u5024\u304c\u9ad8\u3044\u307b\u3069\u30ea\u30b9\u30af\u304c\u9ad8\u3044\uff09\u306b\u5206\u985e\u3057\u3001\u5404\u30b0\u30eb\u30fc\u30d7\u306e\u30a2\u30a6\u30c8\u30ab\u30e0\u3092\u5206\u6790\u3057\u305f\uff08\u30b9\u30b3\u30a21\u301c5\u3092low risk\u30016\u301c10\u3092high risk\u30b0\u30eb\u30fc\u30d7\u3068\u3057\u305f\uff09\u3002
\n\u81e8\u5e8a\u30c6\u30ad\u30b9\u30c8\u30ce\u30fc\u30c8\uff08CTN\uff09\u3068\u306f\u3001\u60a3\u8005\u306e\u75c7\u72b6\u3084\u5fb4\u5019\u306b\u5bfe\u3059\u308b\u533b\u5e2b\u306e\u89e3\u91c8\u3001\u8a3a\u5bdf\u4e2d\u306b\u884c\u308f\u308c\u305f\u81e8\u5e8a\u6c7a\u5b9a\u306e\u7406\u7531\u3001\u53d6\u3089\u308c\u305f\u884c\u52d5\uff08\u753b\u50cf\u7d39\u4ecb\u3001\u51e6\u65b9\u7b8b\u306e\u4f5c\u6210\u306a\u3069\uff09\u3092\u8a18\u9332\u3057\u305f\u6587\u66f8\u3067\u3042\u308b\u3002\uff09
\n\u5404\u30ea\u30b9\u30af\u30b0\u30eb\u30fc\u30d7\u306b\u3064\u3044\u3066\u3001C\u53cd\u5fdc\u6027\u30bf\u30f3\u30d1\u30af\u8cea\uff08CRP\uff09\u306e\u5e73\u5747\u5024\u3001ICD-10\u30b3\u30fc\u30c9\u306e\u5206\u5e03\u30017\u65e5\u4ee5\u5185\u306b\u30d7\u30e9\u30a4\u30de\u30ea\u30b1\u30a2\u3068\u6551\u6025\u3067\u518d\u8a55\u4fa1\u3055\u308c\u305f\u60a3\u8005\u306e\u5272\u5408\u3001\u80f8\u90e8\u30ec\u30f3\u30c8\u30b2\u30f3\u64ae\u5f71\u3068\u306a\u3063\u305f\u60a3\u8005\u306e\u5272\u5408\u3001\u80f8\u90e8\u30ec\u30f3\u30c8\u30b2\u30f3\u306b\u304a\u3051\u308b\u80ba\u708e\u306e\u5146\u5019\u3068\u5076\u767a\u816b\u760d\u6240\u898b\u3001\u6297\u751f\u7269\u8cea\u306e\u51e6\u65b9\u3092\u53d7\u3051\u305f\u60a3\u8005\u306e\u5272\u5408\u3092\u30a2\u30a6\u30c8\u30ab\u30e0\u3068\u3057\u3066\u691c\u8a0e\u3057\u305f\u3002
\n95%CI\u306f\u3001\u5404\u30a2\u30a6\u30c8\u30ab\u30e0\u306e\u5024\u3092\u30bd\u30fc\u30c8\u30572.5%\u304a\u3088\u307397.5%\u306e\u30d1\u30fc\u30bb\u30f3\u30bf\u30a4\u30eb\u3092\u8a08\u7b97\u3059\u308b\u3053\u3068\u3067\u7b97\u51fa\u3057\u305f\u3002\u4e8c\u5024\u5909\u6570\u306eP\u5024\u306e\u7b97\u51fa\u306b\u306f\u4e21\u5074\u30d5\u30a3\u30c3\u30b7\u30e3\u30fc\u306e\u6b63\u78ba\u691c\u5b9a\u3092\u3001\u9023\u7d9a\u5909\u6570\u306eP\u5024\u306e\u7b97\u51fa\u306b\u306f\u4e21\u5074\u30de\u30f3\u30fb\u30db\u30a4\u30c3\u30c8\u30cb\u30fc\u306eU\u691c\u5b9a\u3092\u4f7f\u7528\u3057\u305f\u3002P\uff1c.05\u3092\u6709\u610f\u3068\u307f\u306a\u3057\u305f\u3002
\n\u3010\u7d50\u679c\u3011
\n\u305d\u308c\u305e\u308c\u306etest set\u306e\u7279\u6027\u306fTable1\u3002
\n\u30ea\u30b9\u30af\u30b0\u30eb\u30fc\u30d71\uff5e5\u306f6\uff5e10\u3068\u6bd4\u8f03\u3057\u3066\u82e5\u5e74\u8005\u304c\u591a\u304f\uff08\u672c\u6587\u4e2dFigure2-4\uff09\u3001CRP\u5024\u3001\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u304a\u3088\u3073\u6551\u6025\u533b\u7642\u306e\u53d7\u8a3a\u7387\u3001\u6297\u751f\u7269\u8cea\u306e\u51e6\u65b9\u7387\u3001\u80f8\u90e8X\u7dda\uff08CXR\uff09\u306e\u5b9f\u65bd\u3001\u5b9f\u65bd\u3055\u308c\u305fCXR\u3067\u80ba\u708e\u306e\u6240\u898b\u3092\u8a8d\u3081\u305f\u3082\u306e\u304c\u5c11\u306a\u304b\u3063\u305f\u3002\u30ea\u30b9\u30af\u30b0\u30eb\u30fc\u30d7\uff11\u301c\uff15\u3067\u306fCXR\u4e0a\u306e\u80ba\u708e\u306e\u6240\u898b\u3082\u533b\u5e2b\u306b\u3088\u308b\u80ba\u708e\u306e\u8a3a\u65ad\u30820\u4ef6\u3067\u3042\u3063\u305f\uff08Table\uff12\uff09\u3002
\n\u3010\u30c7\u30a3\u30b9\u30ab\u30c3\u30b7\u30e7\u30f3\u3011
\n\u3053\u306e\u5927\u898f\u6a21\u306a\u5f8c\u65b9\u8996\u7684\u7814\u7a76\u306b\u3088\u308a\u533b\u7642\u6a5f\u95a2\u53d7\u8a3a\u524d\u306e\u30c7\u30fc\u30bf\uff08\u75c7\u72b6\u7b49\uff09\u3092\u7528\u3044\u305f\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u306b\u304a\u3051\u308bMLM\u306b\u3088\u308b\u6025\u6027\u306e\u547c\u5438\u5668\u75c7\u72b6\u3092\u8a34\u3048\u308b\u60a3\u8005\u306e\u30c8\u30ea\u30a2\u30fc\u30b8\u306e\u7d50\u679c\u304c\u793a\u3055\u308c\u305f\u3002MLM\u306b\u3088\u308alow risk\u3068\u3055\u308c\u305f5\u30b0\u30eb\u30fc\u30d7\u3067\u306f\u30ec\u30f3\u30c8\u30b2\u30f3\u4e0a\u306e\u80ba\u708e\u306e\u6240\u898b\u3092\u793a\u3057\u305f\u3082\u306e\u3082\u3001\u80ba\u708e\u306e\u8a3a\u65ad\u3068\u306a\u3063\u305f\u3082\u306e\u3082\u3044\u306a\u304b\u3063\u305f\u3053\u3068\u306f\u7279\u7b46\u3059\u3079\u304d\u70b9\u3067\u3042\u308b\u3002\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u60a3\u8005\u306e\u307f\u3092\u96c6\u3081\u305f\uff08training set\u3068\u306f\u7570\u306a\u308b\u60a3\u8005\u5c64\u3067\u3042\u3063\u305f\uff09test set2\u306b\u304a\u3044\u3066\u3082\u540c\u69d8\u306e\u7d50\u679c\u304c\u5f97\u3089\u308c\u305f\u3002
\nRSTM\u304c\u5b9f\u81e8\u5e8a\u306e\u73fe\u5834\u3067\u540c\u69d8\u306e\u30d1\u30d5\u30a9\u30fc\u30de\u30f3\u30b9\u3092\u793a\u3059\u3053\u3068\u304c\u3067\u304d\u308c\u3070\u3001\u533b\u7642\u6a5f\u95a2\u3092\u53d7\u8a3a\u3059\u308b\u524d\u306e\u6bb5\u968e\u3067\u60a3\u8005\u3092\u30c8\u30ea\u30a2\u30fc\u30b8\u3059\u308b\u305f\u3081\u306eWeb\u30d9\u30fc\u30b9\u306e\u30c4\u30fc\u30eb\u3068\u306a\u308a\u3046\u308b\u3002\u80ba\u708e\u3092\u898b\u9003\u3059\u3053\u3068\u306a\u304f\u4e0d\u8981\u306a\u30ec\u30f3\u30c8\u30b2\u30f3\u64ae\u5f71\u3092\u6e1b\u3089\u3059\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002\u4eca\u56de\u306e\u30c7\u30fc\u30bf\u3067\u306flow risk\u60a3\u8005\u306b\u3082\u6297\u83cc\u85ac\u304c\u51e6\u65b9\u3055\u308c\u3066\u3044\u305f\u304c\u3001\u3053\u3046\u3044\u3063\u305flow risk group\u3067\u306f\u30c8\u30ea\u30a2\u30fc\u30b8\u306b\u3088\u308a\u6297\u83cc\u85ac\u306e\u51e6\u65b9\u3092\u63a7\u3048\u308b\u3053\u3068\u3067\u51e6\u65b9\u306e\u8cea\u304c\u5411\u4e0a\u3059\u308b\u53ef\u80fd\u6027\u3082\u3042\u308b\u3002
\n\u672c\u7814\u7a76\u306f\u5f8c\u65b9\u8996\u7684\u7814\u7a76\u624b\u6cd5\u306e\u9650\u754c\u3084\u30d0\u30a4\u30a2\u30b9\u304c\u3042\u308a\u3001\u524d\u65b9\u8996\u7684\u306b\u59a5\u5f53\u6027\u304c\u691c\u8a3c\u3055\u308c\u308b\u3079\u304d\u3067\u3042\u308b\u3002\u4eca\u56de\u30c8\u30ec\u30fc\u30cb\u30f3\u30b0\u3068\u89e3\u6790\u306b\u7528\u3044\u305fCTN\u306f\u533b\u5e2b\u304c\u60a3\u8005\u306e\u75c7\u72b6\u3084\u6240\u898b\u3092\u8a18\u9332\u3057\u305f\u3082\u306e\u3067\u3042\u308a\u3001\u30d2\u30e5\u30fc\u30de\u30f3\u30a8\u30e9\u30fc\u3084\u30d0\u30a4\u30a2\u30b9\u304c\u542b\u307e\u308c\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002\u76f4\u63a5\u60a3\u8005\u304b\u3089\u30c7\u30fc\u30bf\u3092\u5f97\u308b\u3053\u3068\u3067\u3088\u308a\u8cea\u306e\u9ad8\u3044\u8a13\u7df4\u3092\u884c\u3044\u3046\u308b\u3002
\n\"\"<\/a><\/p>\n

\"\"<\/a><\/p>\n

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\uff0d\u6587\u732e\u540d\uff0d Steindor E, et al. Triaging Patients With Artificial Intelligence for Respiratory Symptoms in Primary Ca … \u7d9a\u304d\u3092\u8aad\u3080 AI\u306b\u3088\u308b\u547c\u5438\u5668\u75c7\u72b6\u3092\u5448\u3059\u308b\u60a3\u8005\u306e\u30c8\u30ea\u30a2\u30fc\u30b8\u306f\u60a3\u8005\u306e\u30a2\u30a6\u30c8\u30ab\u30e0\u3092\u6539\u5584\u3059\u308b<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[23,17],"tags":[],"class_list":["post-2528","post","type-post","status-publish","format-standard","hentry","category-23","category-17"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2528","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2528"}],"version-history":[{"count":2,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2528\/revisions"}],"predecessor-version":[{"id":2532,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2528\/revisions\/2532"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2528"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2528"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2528"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}