Publications by authors named "Alexandra Kosyrkova"

In the present study, various combinations of dimensionality reduction methods with data clustering methods for the analysis of biopsy samples of intracranial tumors were investigated. Fresh biopsies of intracranial tumors were studied in the Laboratory of Neurosurgical Anatomy and Preservation of Biological Materials of N.N.

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The neurosurgery of intracranial tumors is often complicated by the difficulty of distinguishing tumor center, infiltration area, and normal tissue. The current standard for intraoperative navigation is fluorescent diagnostics with a fluorescent agent. This approach can be further enhanced by measuring the Raman spectrum of the tissue, which would provide additional information on its composition even in the absence of fluorescence.

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In this study, we tested the quality of the information extraction algorithm proposed by our group to detect pulmonary embolism (PE) in medical cases through sentence labeling. Having shown a comparable result (F1 = 0.921) to the best machine learning method (random forest, F1 = 0.

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Introduction: The prediction of the fluorescent effect of 5-aminolevulinic acid (5-ALA) in patients with diffuse gliomas can improve the selection of patients. The degree of enhancement of gliomas has been reported to predict 5-ALA fluorescence, while, at the same time, rarer cases of fluorescence have been described in non-enhancing gliomas. Perfusion studies, in particular arterial spin labeling perfusion, have demonstrated high efficiency in determining the degree of malignancy of brain gliomas and may be better for predicting fluorescence than contrast enhancement.

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Unstructured medical text labeling technologies are expected to be highly demanded since the interest in artificial intelligence and natural language processing arises in the medical domain. Our study aimed to assess the agreement between experts who judged on the fact of pulmonary embolism (PE) in neurosurgical cases retrospectively based on electronic health records and assess the utility of the machine learning approach to automate this process. We observed a moderate agreement between 3 independent raters on PE detection (Light's kappa = 0.

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The automated detection of adverse events in medical records might be a cost-effective solution for patient safety management or pharmacovigilance. Our group proposed an information extraction algorithm (IEA) for detecting adverse events in neurosurgery using documents written in a natural rich-in-morphology language. In this paper, we challenge to optimize and evaluate its performance for the detection of any extremity muscle weakness in clinical texts.

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Article Synopsis
  • Identifying adverse events in clinical documents is crucial for both retrospective research and monitoring treatment safety and cost-effectiveness.
  • The study proposed semi-automated methods for detecting muscle weakness in preoperative clinical notes, aiming to improve predictions of paresis through images.
  • The combined approach using semi-expert and machine learning methods achieved high sensitivity, specificity, and AUC scores, indicating its effectiveness for creating reliable training datasets for supervised machine learning.
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We applied terahertz (THz)-pulsed spectroscopy to study ex vivo the refractive index and absorption coefficient of human brain gliomas featuring different grades, as well as perifocal regions containing both intact and edematous tissues. Glioma samples from 26 patients were considered and analyzed according to further histological examination. In order to fix tissues for the THz measurements, we applied gelatin embedding, which allows for sustaining their THz response unaltered, as compared to that of the freshly excised tissues.

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