{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,21]],"date-time":"2023-10-21T22:25:24Z","timestamp":1697927124882},"reference-count":24,"publisher":"Pan American Health Organization","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,3,23]]},"abstract":"<p><bold>Objetivo.<\/bold> Estudiar la factibilidad de utilizaci\u00f3n de la inteligencia artificial como m\u00e9todo sensible y espec\u00edfico para el cribado de COVID-19 en pacientes con afecciones respiratorias empleando im\u00e1genes de t\u00f3rax obtenidas con tom\u00f3grafo y una plataforma de telemedicina.<\/p>\n<p><bold>M\u00e9todos.<\/bold> Entre marzo del 2020 y junio del 2021 se realiz\u00f3 un estudio observacional descriptivo multic\u00e9ntrico de factibilidad basada en inteligencia artificial (IA) para el cribado de COVID-19 en im\u00e1genes de t\u00f3rax de pacientes con afecciones respiratorias que acudieron a hospitales p\u00fablicos. El diagn\u00f3stico de las im\u00e1genes tomogr\u00e1ficas de t\u00f3rax se realiz\u00f3 a trav\u00e9s de la plataforma de IA; luego, se compar\u00f3 con el diagn\u00f3stico molecular (RT-PCR) para determinar la concordancia entre ambos y analizar su factibilidad para el cribado de pacientes con sospecha de COVID-19. Las im\u00e1genes y los resultados diagn\u00f3stico se enviaron a trav\u00e9s de una plataforma de telemedicina.<\/p>\n<p><bold>Resultados.<\/bold> Se realiz\u00f3 el cribado de 3 514 pacientes con sospecha diagn\u00f3stica de COVID-19, en 14 hospitales a nivel nacional. La mayor\u00eda de los pacientes ten\u00edan entre 27 y 59 a\u00f1os, seguidos por los mayores de 60 a\u00f1os. La edad promedio fue de 48,6 a\u00f1os; el 52,8% eran de sexo masculino. Los hallazgos m\u00e1s frecuentes fueron neumon\u00eda grave, neumon\u00eda bilateral con derrame pleural, enfisema pulmonar bilateral y opacidad difusa en vidrio esmerilado, entre otros. Se determin\u00f3 un promedio de 93% de concordancia y 7% de discordancia entre las im\u00e1genes analizadas mediante IA y la RT-PCR. La sensibilidad y especificidad del sistema de IA, obtenidas comparando el resultado del cribado obtenido por IA con la RT-PCR, fueron de 93% y 80% respectivamente.<\/p>\n<p><bold>Conclusiones.<\/bold> Es viable la utilizaci\u00f3n de IA sensible y espec\u00edfica para la detecci\u00f3n r\u00e1pida estratificada de COVID-19 en pacientes con afecciones respiratorias utilizando im\u00e1genes obtenidas mediante tomograf\u00eda de t\u00f3rax y una plataforma de telemedicina en los hospitales p\u00fablicos de Paraguay.<\/p>","DOI":"10.26633\/rpsp.2022.20","type":"journal-article","created":{"date-parts":[[2022,3,23]],"date-time":"2022-03-23T17:21:07Z","timestamp":1648056067000},"page":"1","source":"Crossref","is-referenced-by-count":3,"title":["Factibilidad de la utilizaci\u00f3n de la inteligencia artificial para el cribado de pacientes con COVID-19 en Paraguay"],"prefix":"10.26633","volume":"46","author":[{"given":"Pedro","family":"Galv\u00e1n","sequence":"first","affiliation":[{"name":"Departamento de Ingenier\u00eda Biom\u00e9dica e Im\u00e1genes, Instituto de Investigaciones en Ciencias de la Salud, Universidad Nacional de Asunci\u00f3n, Paraguay."},{"name":"ibiomedica@iics.una.py"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9","family":"Fusillo","sequence":"additional","affiliation":[{"name":"Ministerio de Salud P\u00fablica y Bienestar Social, Asunci\u00f3n, Paraguay."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felipe","family":"Gonz\u00e1lez","sequence":"additional","affiliation":[{"name":"Ministerio de Salud P\u00fablica y Bienestar Social, Asunci\u00f3n, Paraguay."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oraldo","family":"Vukujevic","sequence":"additional","affiliation":[{"name":"Ministerio de Salud P\u00fablica y Bienestar Social, Asunci\u00f3n, Paraguay."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luciano","family":"Recalde","sequence":"additional","affiliation":[{"name":"Departamento de Ingenier\u00eda Biom\u00e9dica e Im\u00e1genes, Instituto de Investigaciones en Ciencias de la Salud, Universidad Nacional de Asunci\u00f3n, Paraguay."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ronald","family":"Rivas","sequence":"additional","affiliation":[{"name":"Departamento de Ingenier\u00eda Biom\u00e9dica e Im\u00e1genes, Instituto de Investigaciones en Ciencias de la Salud, Universidad Nacional de Asunci\u00f3n, Paraguay."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9","family":"Ortellado","sequence":"additional","affiliation":[{"name":"Ministerio de Salud P\u00fablica y Bienestar Social, Asunci\u00f3n, Paraguay."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan","family":"Portillo","sequence":"additional","affiliation":[{"name":"Ministerio de Salud P\u00fablica y Bienestar Social, Asunci\u00f3n, Paraguay."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julio","family":"Borba","sequence":"additional","affiliation":[{"name":"Ministerio de Salud P\u00fablica y Bienestar Social, Asunci\u00f3n, Paraguay."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Enrique","family":"Hilario","sequence":"additional","affiliation":[{"name":"Facultad de Medicina, Universidad del Pa\u00eds Vasco, Bilbao, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"11167","reference":[{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Wu Z, McGoogan JM. 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