Artificial intelligence

人工智能
  • 文章类型: Journal Article
    背景:在体外受精(IVF)领域,人工智能(AI)模型是临床医生的宝贵工具,提供对卵巢刺激结果的预测性见解。预测和了解患者对卵巢刺激的反应有助于个性化药物剂量,预防不良后果(例如,过度刺激),并提高成功受精和怀孕的可能性。鉴于准确预测在IVF程序中的关键作用,研究用于预测卵巢刺激结果的AI模型的前景变得很重要。
    目的:本综述的目的是全面审查文献,以探索在IVF背景下用于预测卵巢刺激结果的AI模型的特征。
    方法:总共搜索了6个电子数据库,以查找2023年8月之前发表的同行评审文献,使用IVF和AI的概念,以及他们的相关术语。记录由2名评审员根据资格标准独立筛选。然后将提取的数据合并并通过叙事综合呈现。
    结果:在查看1348篇文章时,30符合预定的纳入标准。文献主要集中在作为主要预测结果的卵母细胞的数量上。显微镜图像是主要的地面实况参考。审查的研究还强调,最常用的刺激方案是促性腺激素释放激素(GnRH)拮抗剂。在使用触发药物方面,人绒毛膜促性腺激素(hCG)是最常见的选择。在机器学习技术中,最受欢迎的选择是支持向量机。至于AI算法的验证,坚持交叉验证方法是最普遍的.曲线下的面积被突出显示为主要评估度量。文献显示,用于AI算法开发的特征数量存在很大差异,范围从2到28,054个功能。数据主要来自患者的人口统计,其次是实验室数据,特别是荷尔蒙水平。值得注意的是,绝大多数研究仅限于一家不孕症诊所,并且完全依赖于非公开数据集.
    结论:这些见解强调迫切需要使数据源多样化,并探索各种AI技术,以提高AI模型的预测准确性和普适性,从而预测卵巢刺激结局。未来的研究应该优先考虑多诊所合作,并考虑利用公共数据集,旨在实现更精确的AI驱动预测,最终提高患者护理和IVF成功率。
    BACKGROUND: In the realm of in vitro fertilization (IVF), artificial intelligence (AI) models serve as invaluable tools for clinicians, offering predictive insights into ovarian stimulation outcomes. Predicting and understanding a patient\'s response to ovarian stimulation can help in personalizing doses of drugs, preventing adverse outcomes (eg, hyperstimulation), and improving the likelihood of successful fertilization and pregnancy. Given the pivotal role of accurate predictions in IVF procedures, it becomes important to investigate the landscape of AI models that are being used to predict the outcomes of ovarian stimulation.
    OBJECTIVE: The objective of this review is to comprehensively examine the literature to explore the characteristics of AI models used for predicting ovarian stimulation outcomes in the context of IVF.
    METHODS: A total of 6 electronic databases were searched for peer-reviewed literature published before August 2023, using the concepts of IVF and AI, along with their related terms. Records were independently screened by 2 reviewers against the eligibility criteria. The extracted data were then consolidated and presented through narrative synthesis.
    RESULTS: Upon reviewing 1348 articles, 30 met the predetermined inclusion criteria. The literature primarily focused on the number of oocytes retrieved as the main predicted outcome. Microscopy images stood out as the primary ground truth reference. The reviewed studies also highlighted that the most frequently adopted stimulation protocol was the gonadotropin-releasing hormone (GnRH) antagonist. In terms of using trigger medication, human chorionic gonadotropin (hCG) was the most commonly selected option. Among the machine learning techniques, the favored choice was the support vector machine. As for the validation of AI algorithms, the hold-out cross-validation method was the most prevalent. The area under the curve was highlighted as the primary evaluation metric. The literature exhibited a wide variation in the number of features used for AI algorithm development, ranging from 2 to 28,054 features. Data were mostly sourced from patient demographics, followed by laboratory data, specifically hormonal levels. Notably, the vast majority of studies were restricted to a single infertility clinic and exclusively relied on nonpublic data sets.
    CONCLUSIONS: These insights highlight an urgent need to diversify data sources and explore varied AI techniques for improved prediction accuracy and generalizability of AI models for the prediction of ovarian stimulation outcomes. Future research should prioritize multiclinic collaborations and consider leveraging public data sets, aiming for more precise AI-driven predictions that ultimately boost patient care and IVF success rates.
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  • 文章类型: Journal Article
    背景:人工智能(AI)跨不同部门的集成,尤其是医疗保健,正在上升。然而,对人工智能融入护理研究的彻底探索,以及它的优势和障碍,仍然缺乏。
    目的:这次范围审查的目的是绘制角色图,好处,挑战,以及在护理研究背景下人工智能未来发展和使用的潜力。
    方法:在七个数据库中进行了详尽的搜索:MEDLINE,PsycINFO,Scopus,WebofScience,CINAHL,谷歌学者,和ProQuest。通过人工检查研究中包含的文章的参考列表,还确定了文章。搜索标准仅限于2010年至2023年之间以英文发表的文章。JoannaBriggsInstitute(JBI)用于范围审查的方法和PRISMA-ScR指南指导了来源选择的过程,数据提取,和数据呈现。
    结果:20篇文章符合纳入标准,涵盖从道德考虑到方法论问题以及AI在数据分析和预测建模方面的能力等主题。
    结论:该综述确定了将AI纳入护理研究的潜力和复杂性。道德和法律考虑需要多个利益相关者采取协调一致的方法。
    结论:研究结果强调了AI在革新护理研究方面的潜力,强调道德准则的必要性,公平准入,和人工智能扫盲培训,以确保其负责任和包容性的使用。
    BACKGROUND: The integration of artificial intelligence (AI) across different sectors, notably healthcare, is on the rise. However, a thorough exploration of AI\'s incorporation into nursing research, as well as its advantages and obstacles, is still lacking.
    OBJECTIVE: The aim of this scoping review was to map the roles, benefits, challenges, and potentials for the future development and use of AI in the context of nursing research.
    METHODS: An exhaustive search was conducted across seven databases: MEDLINE, PsycINFO, SCOPUS, Web of Science, CINAHL, Google Scholar, and ProQuest. Articles were additionally identified through manual examination of reference lists of the articles that were included in the study. The search criteria were restricted to articles published in English between 2010 and 2023. The Joanna Briggs Institute (JBI) approach for scoping reviews and the PRISMA-ScR guidelines guided the processes of source selection, data extraction, and data presentation.
    RESULTS: Twenty articles met the inclusion criteria, covering topics from ethical considerations to methodological issues and AI\'s capabilities in data analysis and predictive modeling.
    CONCLUSIONS: The review identified both the potentials and complexities of integrating AI into nursing research. Ethical and legal considerations warrant a coordinated approach from multiple stakeholders.
    CONCLUSIONS: The findings emphasized AI\'s potential to revolutionize nursing research, underscoring the need for ethical guidelines, equitable access, and AI literacy training to ensure its responsible and inclusive use.
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  • 文章类型: Journal Article
    人工智能(AI)正在改变我们社会中的多个部门,包括教育。在这种情况下,情绪在教学过程中起着根本性的作用,因为它们会影响学习成绩,动机,信息保留,和学生的福祉。因此,人工智能在教育环境中的情感评估中的整合提供了几个优势,可以改变我们理解和解决学生社会情感发展的方式。然而,仍然缺乏将进步系统化的全面方法,挑战,和这个领域的机会。
    这篇系统的文献综述旨在探讨如何在教育环境中使用人工智能(AI)来评估情绪。我们全面概述了研究的现状,专注于进步,挑战,以及教育环境中人工智能驱动的情感评估领域的机会。
    该评论涉及在以下学术数据库中进行搜索:Pubmed,WebofScience,PsycINFO和Scopus。选择了符合既定纳入标准的41篇文章。对这些文章进行了分析,以提取与教育环境中AI和情感评估的集成相关的关键见解。
    这些发现揭示了各种人工智能驱动的方法,这些方法被开发用于捕捉和分析学生在学习活动中的情绪状态。研究结果总结为四个基本主题:(1)教育中的情感识别,(2)技术整合和学习成果,(3)特殊教育和辅助技术,(4)情感盘算。采用的关键AI技术包括机器学习和面部识别,用来评估情绪。这些方法在增强教学策略和创建满足个人情感需求的适应性学习环境方面显示出很有希望的潜力。审查确定了新出现的因素,虽然重要,需要进一步调查,以充分了解他们的关系和影响。这些元素可以显着增强AI在教育环境中评估情绪的使用。具体来说,我们指的是:(1)联合学习,(2)卷积神经网络(CNN),(3)递归神经网络(RNN),(4)面部表情数据库,(5)智能系统发展中的伦理。
    这篇系统的文献综述展示了人工智能在通过情绪评估彻底改变教育实践中的意义。虽然进步是显而易见的,与准确性相关的挑战,隐私,并确定了跨文化有效性。现有研究的综合强调了需要进一步研究改进用于情感识别的AI模型,并强调了在教育环境中实施AI技术的伦理考虑的重要性。
    UNASSIGNED: Artificial Intelligence (AI) is transforming multiple sectors within our society, including education. In this context, emotions play a fundamental role in the teaching-learning process given that they influence academic performance, motivation, information retention, and student well-being. Thus, the integration of AI in emotional assessment within educational environments offers several advantages that can transform how we understand and address the socio-emotional development of students. However, there remains a lack of comprehensive approach that systematizes advancements, challenges, and opportunities in this field.
    UNASSIGNED: This systematic literature review aims to explore how artificial intelligence (AI) is used to evaluate emotions within educational settings. We provide a comprehensive overview of the current state of research, focusing on advancements, challenges, and opportunities in the domain of AI-driven emotional assessment within educational settings.
    UNASSIGNED: The review involved a search across the following academic databases: Pubmed, Web of Science, PsycINFO and Scopus. Forty-one articles were selected that meet the established inclusion criteria. These articles were analyzed to extract key insights related to the integration of AI and emotional assessment within educational environments.
    UNASSIGNED: The findings reveal a variety of AI-driven approaches that were developed to capture and analyze students\' emotional states during learning activities. The findings are summarized in four fundamental topics: (1) emotion recognition in education, (2) technology integration and learning outcomes, (3) special education and assistive technology, (4) affective computing. Among the key AI techniques employed are machine learning and facial recognition, which are used to assess emotions. These approaches demonstrate promising potential in enhancing pedagogical strategies and creating adaptive learning environments that cater to individual emotional needs. The review identified emerging factors that, while important, require further investigation to understand their relationships and implications fully. These elements could significantly enhance the use of AI in assessing emotions within educational settings. Specifically, we are referring to: (1) federated learning, (2) convolutional neural network (CNN), (3) recurrent neural network (RNN), (4) facial expression databases, and (5) ethics in the development of intelligent systems.
    UNASSIGNED: This systematic literature review showcases the significance of AI in revolutionizing educational practices through emotion assessment. While advancements are evident, challenges related to accuracy, privacy, and cross-cultural validity were also identified. The synthesis of existing research highlights the need for further research into refining AI models for emotion recognition and emphasizes the importance of ethical considerations in implementing AI technologies within educational contexts.
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  • 文章类型: Journal Article
    背景:人工智能(AI)具有增强身体活动(PA)干预的潜力。然而,人为因素(HF)在将AI成功集成到移动健康(mHealth)解决方案中以促进PA的发展中发挥着关键作用。理解和优化个人与AI驱动的mHealth应用程序之间的交互对于实现预期结果至关重要。
    目的:本研究旨在回顾和描述AI驱动的数字解决方案中用于增加PA的HF的当前证据。
    方法:我们通过搜索包含与PA相关的术语的出版物进行了范围审查,HFs,和AI在3个数据库中的标题和摘要-PubMed,Embase,和IEEEXplore-和谷歌学者。如果这些研究是描述基于AI的解决方案旨在提高PA的主要研究,并报告了测试溶液的结果。不符合这些标准的研究被排除在外。此外,我们在收录的文章中检索了相关研究的参考文献。从纳入的研究中提取以下数据,并将其纳入定性综合:书目信息,研究特点,人口,干预,比较,结果,与AI相关的信息。纳入研究的证据的确定性采用GRADE(建议评估分级,发展,和评估)。
    结果:2015年至2023年共发表了15项研究,涉及899名年龄在19至84岁之间的参与者。60.7%(546/899)是女性参与者,包括在这次审查中。在纳入的研究中,干预持续了2到26周。推荐系统是PA数字解决方案中最常用的AI技术(10/15研究),其次是对话代理(4/15研究)。用户可接受性和满意度是最频繁评估的HF(每个研究有5/15),其次是可用性(4/15研究)。关于个性化和推荐的自动数据收集,大多数系统涉及健身追踪器(5/15研究)。证据分析的确定性表明AI驱动的数字技术在增加PA方面的有效性具有中等的确定性(例如,步数,远距离行走,或在PA上花费的时间)。此外,人工智能驱动的技术,特别是推荐系统,似乎对PA行为的变化产生积极影响,尽管证据的确定性很低。
    结论:当前的研究强调了AI驱动技术增强PA的潜力,但证据仍然有限。需要进行更长期的研究来评估人工智能驱动的技术对行为改变和习惯形成的持续影响。虽然AI驱动的PA数字解决方案具有重要的前景,进一步探索优化AI对PA的影响并有效整合AI和HF对于更广泛的利益至关重要。因此,对创新管理的影响涉及进行长期研究,优先考虑多样性,确保研究质量,专注于用户体验,并了解AI在PA推广中不断发展的作用。
    BACKGROUND: Artificial intelligence (AI) has the potential to enhance physical activity (PA) interventions. However, human factors (HFs) play a pivotal role in the successful integration of AI into mobile health (mHealth) solutions for promoting PA. Understanding and optimizing the interaction between individuals and AI-driven mHealth apps is essential for achieving the desired outcomes.
    OBJECTIVE: This study aims to review and describe the current evidence on the HFs in AI-driven digital solutions for increasing PA.
    METHODS: We conducted a scoping review by searching for publications containing terms related to PA, HFs, and AI in the titles and abstracts across 3 databases-PubMed, Embase, and IEEE Xplore-and Google Scholar. Studies were included if they were primary studies describing an AI-based solution aimed at increasing PA, and results from testing the solution were reported. Studies that did not meet these criteria were excluded. Additionally, we searched the references in the included articles for relevant research. The following data were extracted from included studies and incorporated into a qualitative synthesis: bibliographic information, study characteristics, population, intervention, comparison, outcomes, and AI-related information. The certainty of the evidence in the included studies was evaluated using GRADE (Grading of Recommendations Assessment, Development, and Evaluation).
    RESULTS: A total of 15 studies published between 2015 and 2023 involving 899 participants aged approximately between 19 and 84 years, 60.7% (546/899) of whom were female participants, were included in this review. The interventions lasted between 2 and 26 weeks in the included studies. Recommender systems were the most commonly used AI technology in digital solutions for PA (10/15 studies), followed by conversational agents (4/15 studies). User acceptability and satisfaction were the HFs most frequently evaluated (5/15 studies each), followed by usability (4/15 studies). Regarding automated data collection for personalization and recommendation, most systems involved fitness trackers (5/15 studies). The certainty of the evidence analysis indicates moderate certainty of the effectiveness of AI-driven digital technologies in increasing PA (eg, number of steps, distance walked, or time spent on PA). Furthermore, AI-driven technology, particularly recommender systems, seems to positively influence changes in PA behavior, although with very low certainty evidence.
    CONCLUSIONS: Current research highlights the potential of AI-driven technologies to enhance PA, though the evidence remains limited. Longer-term studies are necessary to assess the sustained impact of AI-driven technologies on behavior change and habit formation. While AI-driven digital solutions for PA hold significant promise, further exploration into optimizing AI\'s impact on PA and effectively integrating AI and HFs is crucial for broader benefits. Thus, the implications for innovation management involve conducting long-term studies, prioritizing diversity, ensuring research quality, focusing on user experience, and understanding the evolving role of AI in PA promotion.
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  • 文章类型: Journal Article
    背景:颅内动脉瘤(IA)的检测和管理对于预防蛛网膜下腔出血(SAH)等危及生命的并发症至关重要。人工智能(AI)可以分析医学图像,比如CTA或MRA,发现人类可能忽视的细微差别。早期发现有助于及时干预和改善结果。此外,人工智能算法提供动脉瘤属性的定量数据,帮助长期监测和评估破裂风险。
    方法:我们筛选了四个数据库(PubMed,WebofScience,IEEE和Scopus)用于使用人工智能算法识别IA的研究。基于算法方法,我们把它们分类,分割,检测和组合,然后比较了它们的优点和缺点。随后,我们阐明了当代算法在现实世界的临床诊断环境中可能遇到的潜在挑战.然后,我们概述了前瞻性研究轨迹,并强调了这一不断发展的领域中的关键问题。
    结果:根据搜索和筛选标准,纳入了47项基于AI的IA识别研究。回顾性结果表明,当前的研究可以在不同的模态图像中识别IA,并预测其破裂和阻塞的风险。在临床诊断中,AI可有效提高IA的诊断准确率,减少漏检和假阳性。
    结论:AI算法可以更准确地检测交通动脉和海绵窦动脉中的非突发性IA,以避免进一步扩张。此外,术前和术后分析动脉瘤破裂和阻塞可以帮助医生制定治疗方案,减少治疗过程中的不确定性。
    BACKGROUND: The detection and management of intracranial aneurysms (IAs) are vital to prevent life-threatening complications like subarachnoid hemorrhage (SAH). Artificial Intelligence (AI) can analyze medical images, like CTA or MRA, spotting nuances possibly overlooked by humans. Early detection facilitates timely interventions and improved outcomes. Moreover, AI algorithms offer quantitative data on aneurysm attributes, aiding in long-term monitoring and assessing rupture risks.
    METHODS: We screened four databases (PubMed, Web of Science, IEEE and Scopus) for studies using artificial intelligence algorithms to identify IA. Based on algorithmic methodologies, we categorized them into classification, segmentation, detection and combined, and then their merits and shortcomings are compared. Subsequently, we elucidate potential challenges that contemporary algorithms might encounter within real-world clinical diagnostic contexts. Then we outline prospective research trajectories and underscore key concerns in this evolving field.
    RESULTS: Forty-seven studies of IA recognition based on AI were included based on search and screening criteria. The retrospective results represent that current studies can identify IA in different modal images and predict their risk of rupture and blockage. In clinical diagnosis, AI can effectively improve the diagnostic accuracy of IA and reduce missed detection and false positives.
    CONCLUSIONS: The AI algorithm can detect unobtrusive IA more accurately in communicating arteries and cavernous sinus arteries to avoid further expansion. In addition, analyzing aneurysm rupture and blockage before and after surgery can help doctors plan treatment and reduce the uncertainties in the treatment process.
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  • 文章类型: Journal Article
    尽管人工智能(AI)被认为是一种有前途的工具,AI支持的临床实践在现实世界中降低血压(BP)的有效性的证据很少.我们进行了系统评价,以阐明AI支持的临床护理是否可以改善BP控制。我们在文献检索中确定了两项随机对照试验(RCT)。结果显示,在RCT的随机效应模型荟萃分析中,AI支持的护理和常规护理之间没有显着差异(AI与常规护理:收缩压/舒张压血压差:-2.13[95%置信区间:-4.72至0.46]/-1.03[-2.52至0.46])。在这次审查中,我们无法明确AI支持的临床实践是否比常规治疗改善了BP控制.需要进一步的研究为AI支持的护理在临床环境中的有效性提供有力的证据。
    Although artificial intelligence (AI) is considered to be a promising tool, evidence for the effectiveness of AI-supported clinical practice for lowering blood pressure (BP) in the real world is scarce. We conducted a systematic review to elucidate whether AI-supported clinical care improves BP control. We identified two randomized control trials (RCTs) in a literature search. The results revealed no significant difference between AI-supported care and usual care in a random-effects model meta-analysis of RCTs (AI vs. usual care: systolic/diastolic BP difference: -2.13 [95% confidence interval: -4.72 to 0.46] / -1.03 [-2.52 to 0.46]). In this review, we were unable to clarify whether AI-supported clinical practice improved BP control compared with usual care. Further studies will be needed to provide robust evidence for the effectiveness of AI-supported care in clinical settings.
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  • 文章类型: Journal Article
    背景:人工智能(AI)具有令人兴奋的潜力,可以彻底改变美国的医疗保健服务。然而,人们担心它有可能使历史上被边缘化的人口之间的差距长期存在。
    目的:遵循系统评价和荟萃分析的首选报告项目指南,我们对美国人工智能和健康差异的现有文献进行了叙述性回顾。我们旨在回答这个问题,AI是否有可能减少或消除健康差异,
    方法:我们搜索了OvidMEDLINE电子数据库,以识别和检索讨论AI及其对种族/族裔健康差异的影响的出版物。如果他们讨论了AI作为减轻种族健康差异的工具,无论在开发和使用AI时是否存在偏见,都包括在内。
    结果:这篇综述包括65篇文章。我们确定了人工智能中影响健康公平的六个限制主题:(1)人工智能中的偏见可能会延续并加剧种族和族裔不平等;(2)算法的公平性应该是优先事项;(3)人工智能领域缺乏多样性;(4)需要监管和测试算法的准确性;(5)需要人工智能在医疗保健中的道德标准;(6)促进透明度和问责制的重要性。
    结论:虽然AI承诺改善医疗保健结果并解决公平问题,风险和挑战与它的实施有关。为了最大限度地利用人工智能,在发展的所有阶段都必须以公平的视角来对待它。
    BACKGROUND: Artificial intelligence (AI) holds exciting potential to revolutionize healthcare delivery in the United States. However, there are concerns about its potential to perpetuate disparities among historically marginalized populations.
    OBJECTIVE: Following the guidelines of Preferred Reporting Items for Systematic Reviews and Meta-Analyses, we conducted a narrative review of current literature on AI and health disparities in the United States. We aimed to answer the question, Does AI have the potential to reduce or eliminate health disparities, or will its use further exacerbate these disparities?
    METHODS: We searched the Ovid MEDLINE electronic database to identify and retrieve publications discussing AI and its impact on racial/ethnic health disparities. Articles were included if they discussed AI as a tool to mitigate racial health disparities with or without bias in developing and using AI.
    RESULTS: This review included 65 articles. We identified six themes of limitations in AI that impact health equity: (1) biases in AI can perpetuate and exacerbate racial and ethnic inequities; (2) equity in algorithms should be a priority; (3) lack of diversity in the field of AI is concerning; (4) the need for regulation and testing algorithms for accuracy; (5) ethical standards for AI in health care are needed; and (6) the importance of promoting transparency and accountability.
    CONCLUSIONS: While AI promises to enhance healthcare outcomes and address equity concerns, risks and challenges are associated with its implementation. To maximize the use of AI, it must be approached with an equity lens during all phases of development.
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  • 文章类型: Journal Article
    人工智能(AI)正在通过自动分析和增强决策来改变脊柱成像和患者护理。这篇综述提出了一种基于临床任务的评估,强调人工智能技术对脊柱成像和患者护理不同方面的具体影响。我们首先讨论AI如何通过去噪或伪影减少等技术来提高图像质量。然后,我们探索AI如何实现解剖测量的有效量化,脊柱曲率参数,椎骨分割,和光盘分级。这有助于客观,准确的解释和诊断。AI模型现在可以可靠地检测关键的脊柱病变,在识别裂缝等任务中实现专家级的表现,狭窄,感染,和肿瘤。除了诊断,AI还通过合成计算机断层扫描生成来协助手术计划,增强现实系统,和机器人引导。此外,AI图像分析与临床数据相结合,可实现个性化预测,以指导治疗决策,例如预测脊柱手术结果。然而,在临床上实施人工智能仍然需要解决挑战,包括模型可解释性,概括性,和数据限制。多中心协作使用大型,不同的数据集对进一步推进该领域至关重要。虽然采用障碍仍然存在,AI为脊柱成像工作流程带来了革命性的变革机会,使临床医生能够将数据转化为可操作的见解,以改善患者护理。
    Artificial intelligence (AI) is transforming spinal imaging and patient care through automated analysis and enhanced decision-making. This review presents a clinical task-based evaluation, highlighting the specific impact of AI techniques on different aspects of spinal imaging and patient care. We first discuss how AI can potentially improve image quality through techniques like denoising or artifact reduction. We then explore how AI enables efficient quantification of anatomical measurements, spinal curvature parameters, vertebral segmentation, and disc grading. This facilitates objective, accurate interpretation and diagnosis. AI models now reliably detect key spinal pathologies, achieving expert-level performance in tasks like identifying fractures, stenosis, infections, and tumors. Beyond diagnosis, AI also assists surgical planning via synthetic computed tomography generation, augmented reality systems, and robotic guidance. Furthermore, AI image analysis combined with clinical data enables personalized predictions to guide treatment decisions, such as forecasting spine surgery outcomes. However, challenges still need to be addressed in implementing AI clinically, including model interpretability, generalizability, and data limitations. Multicenter collaboration using large, diverse datasets is critical to advance the field further. While adoption barriers persist, AI presents a transformative opportunity to revolutionize spinal imaging workflows, empowering clinicians to translate data into actionable insights for improved patient care.
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  • 文章类型: Journal Article
    心脏淀粉样变性,以淀粉样蛋白原纤维在心肌中沉积为特征,导致限制性心肌病和心力衰竭。这篇综述探讨了诊断和治疗心脏淀粉样变性的影像学技术的最新进展。突出它们的临床应用,优势,和限制。超声心动图仍然是主要的,非侵入性成像模式,但缺乏特异性。心脏MRI(CMR),使用晚钆增强(LGE)和T1映射,提供优越的组织表征,虽然成本较高,可用性有限。Tc-99m-PYP闪烁显像可靠地诊断甲状腺素运载蛋白(TTR)淀粉样变性,但对轻链(AL)淀粉样变性效果较差,需要补充诊断。淀粉样蛋白特异性PET示踪剂,如florbetapir和flutemetamol,为TTR和AL淀粉样变提供精确的成像和定量评估。挑战包括区分TTR和AL淀粉样变性,早期疾病检测,和标准化成像协议。未来的研究应该集中在开发新的示踪剂上,集成多模态成像,并利用人工智能来提高诊断准确性和个性化治疗。影像学的进步改善了心脏淀粉样变性的管理。多模式方法,结合超声心动图,CMR,闪烁显像,和PET示踪剂,提供全面的评估。示踪剂和人工智能应用的持续创新有望进一步增强诊断能力,早期发现,和患者结果。
    Cardiac amyloidosis, characterized by amyloid fibril deposition in the myocardium, leads to restrictive cardiomyopathy and heart failure. This review explores recent advancements in imaging techniques for diagnosing and managing cardiac amyloidosis, highlighting their clinical applications, strengths, and limitations. Echocardiography remains a primary, non-invasive imaging modality but lacks specificity. Cardiac MRI (CMR), with Late Gadolinium Enhancement (LGE) and T1 mapping, offers superior tissue characterization, though at higher costs and limited availability. Scintigraphy with Tc-99m-PYP reliably diagnoses transthyretin (TTR) amyloidosis but is less effective for light chain (AL) amyloidosis, necessitating complementary diagnostics. Amyloid-specific PET tracers, such as florbetapir and flutemetamol, provide precise imaging and quantitative assessment for both TTR and AL amyloidosis. Challenges include differentiating between TTR and AL amyloidosis, early disease detection, and standardizing imaging protocols. Future research should focus on developing novel tracers, integrating multimodality imaging, and leveraging AI to enhance diagnostic accuracy and personalized treatment. Advancements in imaging have improved cardiac amyloidosis management. A multimodal approach, incorporating echocardiography, CMR, scintigraphy, and PET tracers, offers comprehensive assessment. Continued innovation in tracers and AI applications promises further enhancements in diagnosis, early detection, and patient outcomes.
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  • 文章类型: Journal Article
    目的:在眼科实践中,使用电子健康记录(EHR)收集的数据量迅速增加。人工智能(AI)提供了一种集中数据收集和分析的有前途的手段,但迄今为止,大多数人工智能算法仅应用于眼科实践中的图像数据分析。在这篇综述中,我们旨在描述人工智能在EHR分析中的应用,并严格评估每个纳入研究对CONSORT-AI报告指南的依从性。
    方法:对三个相关数据库(MEDLINE,EMBASE,和Cochrane图书馆)于2010年1月至2023年2月进行。根据CONSORT-AI报告指南中的AI特定项目,对纳入研究的报告质量进行了评估。
    结果:在我们搜索的4,968篇文章中,89项研究符合所有纳入标准,被纳入本综述。大多数研究利用人工智能进行眼部疾病预测(n=41,46.1%),糖尿病性视网膜病变是研究最多的眼部病理(n=19,21.3%)。14个测量项目的总体平均CONSORT-AI评分为12.1(范围8-14,中位数12)。依从率最低的类别是:描述处理质量差的数据(48.3%),指定参与者纳入和排除标准(56.2%),并详细说明对AI干预或其代码的访问,包括任何限制(62.9%)。
    结论:结论:我们已经发现人工智能在眼科诊所中被显著地用于疾病预测,然而,这些算法由于缺乏通用性和跨中心可重复性而受到限制。应制定AI报告的标准化框架,改善人工智能在眼科疾病管理和眼科决策中的应用。
    OBJECTIVE: In the context of ophthalmologic practice, there has been a rapid increase in the amount of data collected using electronic health records (EHR). Artificial intelligence (AI) offers a promising means of centralizing data collection and analysis, but to date, most AI algorithms have only been applied to analyzing image data in ophthalmologic practice. In this review we aimed to characterize the use of AI in the analysis of EHR, and to critically appraise the adherence of each included study to the CONSORT-AI reporting guideline.
    METHODS: A comprehensive search of three relevant databases (MEDLINE, EMBASE, and Cochrane Library) from January 2010 to February 2023 was conducted. The included studies were evaluated for reporting quality based on the AI-specific items from the CONSORT-AI reporting guideline.
    RESULTS: Of the 4,968 articles identified by our search, 89 studies met all inclusion criteria and were included in this review. Most of the studies utilized AI for ocular disease prediction (n = 41, 46.1%), and diabetic retinopathy was the most studied ocular pathology (n = 19, 21.3%). The overall mean CONSORT-AI score across the 14 measured items was 12.1 (range 8-14, median 12). Categories with the lowest adherence rates were: describing handling of poor quality data (48.3%), specifying participant inclusion and exclusion criteria (56.2%), and detailing access to the AI intervention or its code, including any restrictions (62.9%).
    CONCLUSIONS: In conclusion, we have identified that AI is prominently being used for disease prediction in ophthalmology clinics, however these algorithms are limited by their lack of generalizability and cross-center reproducibility. A standardized framework for AI reporting should be developed, to improve AI applications in the management of ocular disease and ophthalmology decision making.
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