Expanding the value of artificial intelligence in concussion management — from concussion subtyp...
Title Talk: Expanding the value of artificial intelligence in concussion management — from concussion subtyping to treatment planning
Author:
Dr. Cirelle K. Rosenblatt
Advance Concussion Clinic & University of British Columbia
Canada
Email ID: albraaakram94@gmail.com
Volume: Brain Health_2023_CN34_AA01
Description:
Background and aims: Interdisciplinary assessment, the gold standard for assessment of concussion and identification of rehabilitation targets, is a barrier for many due to geographical or financial limitations. This study aimed to explore the opportunity of leveraging AI beyond subtyping concussion to its application and accuracy in generating AI-driven treatment plans.
Methods: We conducted a blinded chart review of 25 randomly selected de-identified subjects from the original algorithm sample based upon a machine learning approach that identified five distinct concussion subtypes along a complexity continuum. All subjects had attended concussion assessment and rehabilitation at Advance Concussion Clinic (ACC), an interdisciplinary clinic in Vancouver, Canada.
Results: Assessment 'prescriptions' as generated by the AI model yielded system-specific recommendations including physiotherapy query of cervical, oculomotor, vestibular, and/or autonomic dysfunction, neuropsychology query of cognitive dysfunction, counselling query of emotional/mood dysfunction, and occupational therapy query of ADL dysfunctions at school, work, or home. Comparison of clinical assessment recommendations to AI-driven assessment queries matched at 99.2%, with the one discrepancy associated with human error not replicated by the AI model. A permutation test to evaluate the accuracy of our AI model yielded a P-value ≈ 0, demonstrating the efficacy of AI-driven support in clinical decision-making and prescription of targeted assessment and rehabilitation/treatment planning.
Conclusions: AI-driven treatment planning supports a comprehensive view of concussion, a complex, multi-system injury, potentially offering recovery opportunities otherwise unavailable to those for whom best practice interdisciplinary assessment may not be accessible or available.
Biography:
Dr. Cirelle K. Rosenblatt, R.Psych, PhD Albert Einstein College of Medicine/Ferkauf Graduate School of Psychology--Yeshiva University - Doctor of Philosophy (PhD), Health Psychology (Specialization in Neuropsychology)
Dr. Rosenblatt has been working in the field of neuropsychology for more than 25 years, and has trained and worked in leading Rehabilitation Medicine hospitals in the United States. Dr. Rosenblatt has worked on both inpatient and outpatient rehabilitation and neuropsychology services. Dr. Rosenblatt's work in the spectrum of rehabilitation medicine settings, including closed head injury units, has honed her skills in the areas of neuropsychological evaluation, individual and group cognitive rehabilitation, individual psychotherapy, family interventions, group counseling, and interdisciplinary team management. Dr. Rosenblatt also maintained a successful private practice in New York City where she treated neuropsychology patients and their families. After her move to BC with her family in 2003, Dr. Rosenblatt worked in private practice and provided medico-legal evaluations, before founding the Brain Health service and working as VP and Corporate Director for Copeman Healthcare Centers.
Dr. Rosenblatt founded Advance Concussion Clinic, Inc. in 2013, establishing the province’s first and only dedicated concussion clinic. To date, ACC has supported over 3500 successful outcomes and continues to meet and exceed international, national and provincial best-practice standards with its evidence-based interdisciplinary team approach.
Dr. Rosenblatt has applied her expertise in concussion as neuropsychologist and consultant to National and Olympic snow athletes and teams, NFL, NHL and CHL, National Lacrosse and other professional and competitive athletes. She has been an invited speaker to physician groups, hospitals and medical institutions, schools, sports academies, athletic organizations, as well as print, radio, and television news outlets.
