Convolutional neural network

卷积神经网络
  • 文章类型: Journal Article
    估计认知工作量水平是认知神经科学领域的一个新兴研究课题,因为参与者的表现受到认知过载或欠载结果的高度影响。不同的生理措施,如脑电图(EEG),功能磁共振成像,功能近红外光谱,呼吸活动,和眼睛活动被有效地用于在机器学习或深度学习技术的帮助下估计工作负载水平。一些评论仅关注使用机器学习分类器或用于工作量估计的不同生理度量的多模态融合的基于EEG的工作量估计。然而,仍然需要对估计认知工作量水平的所有生理指标进行详细分析。因此,这项调查强调了对评估认知工作量的所有生理指标的深入分析.这项调查强调了认知工作量的基础知识,开放存取数据集,认知任务的实验范式,以及估算工作量水平的不同衡量标准。最后,我们强调这次审查的重要结果,并确定了悬而未决的挑战。此外,我们还指定了研究人员克服这些挑战的未来范围。
    Estimating cognitive workload levels is an emerging research topic in the cognitive neuroscience domain, as participants\' performance is highly influenced by cognitive overload or underload results. Different physiological measures such as Electroencephalography (EEG), Functional Magnetic Resonance Imaging, Functional near-infrared spectroscopy, respiratory activity, and eye activity are efficiently used to estimate workload levels with the help of machine learning or deep learning techniques. Some reviews focus only on EEG-based workload estimation using machine learning classifiers or multimodal fusion of different physiological measures for workload estimation. However, a detailed analysis of all physiological measures for estimating cognitive workload levels still needs to be discovered. Thus, this survey highlights the in-depth analysis of all the physiological measures for assessing cognitive workload. This survey emphasizes the basics of cognitive workload, open-access datasets, the experimental paradigm of cognitive tasks, and different measures for estimating workload levels. Lastly, we emphasize the significant findings from this review and identify the open challenges. In addition, we also specify future scopes for researchers to overcome those challenges.
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  • 文章类型: Journal Article
    背景:随着深度学习网络技术的飞速发展,面部识别技术在医疗领域的应用日益受到重视。
    目的:本研究旨在系统回顾近十年来基于深度学习网络的面部识别技术在罕见畸形和面瘫诊断中的文献,除其他条件外,确定该技术在疾病识别中的有效性和适用性。
    方法:本研究遵循系统评价和荟萃分析的首选报告项目进行文献检索,并从多个数据库中检索相关文献。包括PubMed,2023年12月31日搜索关键词包括深度学习卷积神经网络,面部识别,疾病识别。共筛选了近10年来基于深度学习网络的人脸识别技术在疾病诊断中的相关文章208篇,选择22篇文章进行分析。Meta分析采用Stata14.0软件进行。
    结果:该研究收集了22篇文章,总样本量为57539例,其中43301个是患有各种疾病的样本。荟萃分析结果表明,深度学习在面部识别中用于疾病诊断的准确率为91.0%[95%CI(87.0%,95.0%)]。
    结论:研究结果表明,基于深度学习网络的面部识别技术在疾病诊断中具有较高的准确性,为该技术的进一步发展和应用提供参考。
    BACKGROUND: With the rapid advancement of deep learning network technology, the application of facial recognition technology in the medical field has received increasing attention.
    OBJECTIVE: This study aims to systematically review the literature of the past decade on facial recognition technology based on deep learning networks in the diagnosis of rare dysmorphic diseases and facial paralysis, among other conditions, to determine the effectiveness and applicability of this technology in disease identification.
    METHODS: This study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for literature search and retrieved relevant literature from multiple databases, including PubMed, on 31 December 2023. The search keywords included deep learning convolutional neural networks, facial recognition, and disease recognition. A total of 208 articles on facial recognition technology based on deep learning networks in disease diagnosis over the past 10 years were screened, and 22 articles were selected for analysis. The meta-analysis was conducted using Stata 14.0 software.
    RESULTS: The study collected 22 articles with a total sample size of 57 539 cases, of which 43 301 were samples with various diseases. The meta-analysis results indicated that the accuracy of deep learning in facial recognition for disease diagnosis was 91.0% [95% CI (87.0%, 95.0%)].
    CONCLUSIONS: The study results suggested that facial recognition technology based on deep learning networks has high accuracy in disease diagnosis, providing a reference for further development and application of this technology.
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  • 文章类型: Journal Article
    时间序列预测仍在等待像计算机视觉和自然语言处理那样的变革性突破。缺乏广泛的,与领域无关的基准数据集和标准化的性能度量单位对其构成了重大挑战,特别是光伏预测应用。此外,因为它通常是时域驱动的,产生了大量高度独特和特定领域的数据集。已发布的模型之间缺乏统一性,在不同的环境下开发,用于不同的预测范围,并使用非标准化指标进行评估,仍然是整个领域进展的重大障碍。为了解决这些问题,对预测任务的最新文献进行了系统回顾,从WebofScience和Scopus数据库中收集,于2022年和2023年发布,并使用“光伏”等关键字进行过滤,\"\"深度学习,\“\”预测,\"和\"时间序列。“最后,选择了36个案例研究。比较之前,介绍了该主题中关键要素的最新演示,例如模型类型,超参数,和评估指标。然后,在统计分析方面对这36篇文章进行了比较,包括顶级出版国家,数据源,变量,输入,和输出范围,然后是一个整体模型比较,展示了每一个被分类为模型类型的模型(人工神经网络单元,经常性单位,卷积单位,和变压器单元)。由于主要利用在目标位置测量的特定私人数据集,拥有通用的误差度量对于明确的全球基准测试至关重要。均方根误差和平均绝对误差是最常用的指标,尽管他们特别证明了相对于各自网站的准确性。然而,33%使用通用指标,例如平均绝对百分比误差,归一化均方根误差,和确定系数。最后,趋势,挑战,并强调了未来的研究,以突出相关主题并绕过当前的挑战。
    Time series forecasting still awaits a transformative breakthrough like that happened in computer vision and natural language processing. The absence of extensive, domain-independent benchmark datasets and standardized performance measurement units poses a significant challenge for it, especially for photovoltaic forecasting applications. Additionally, since it is often time domain-driven, a plethora of highly unique and domain-specific datasets were produced. The lack of uniformity among published models, developed under diverse settings for varying forecasting horizons, and assessed using non-standardized metrics, remains a significant obstacle to the progress of the field as a whole. To address these issues, a systematic review of the state-of-the-art literature on prediction tasks is presented, collected from the Web of Science and Scopus databases, published in 2022 and 2023, and filtered using keywords such as \"photovoltaic,\" \"deep learning,\" \"forecasting,\" and \"time series.\" Finally, 36 case studies were selected. Before comparing, a state-of-the-art demonstration of key elements in the topic was presented, such as model type, hyperparameters, and evaluation metrics. Then, the 36 articles were compared in terms of statistical analysis, including top publishing countries, data sources, variables, input, and output horizon, followed by an overall model comparison demonstrating every proposed model categorized into model type (artificial neural network units, recurrent units, convolutional units, and transformer units). Due to the mostly utilization of specific private datasets measured at the targeted location, having universal error metrics is crucial for clear global benchmarking. Root Mean Squared Error and Mean Absolute Error were the most utilized metrics, although they specifically demonstrate the accuracy relative to their respective sites. However, 33% utilized universal metrics, such as Mean Absolute Percentage Error, Normalized Root Mean Squared Error, and the Coefficient of Determination. Finally, trends, challenges, and future research were highlighted for the relevant topic to spotlight and bypass the current challenges.
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  • 文章类型: Journal Article
    在过去的十年里,人工智能(AI)对眼科产生了重大影响,特别是在管理角膜疾病方面,失明的主要可逆原因。这篇综述探讨了人工智能在角膜亚专业中的转化作用,它采用了先进的技术来获得卓越的临床判断,早期诊断,个性化治疗。虽然与青光眼和视网膜病变相比,AI在眼前段疾病中的作用记录较少,这篇综述强调了它通过像裂隙灯生物显微镜这样的成像技术整合到角膜诊断中,眼前节光学相干断层扫描(AS-OCT),和体内共聚焦生物显微镜。人工智能在完善圆锥角膜等疾病的决策和预后方面发挥了关键作用,感染性角膜炎,和营养不良。多疾病深度学习神经网络(MDDN)已显示出使用AS-OCT图像对角膜疾病进行分类的诊断能力。实现显著的指标,如AUC为0.910。人工智能在过去20年中的进展显著提高了诊断圆锥角膜和微生物性角膜炎等疾病的准确性。例如,AI在对细菌性和真菌性角膜炎进行分类方面的准确率为90.7%,在区分各种角膜疾病方面的AUC为0.910。卷积神经网络(CNN)增强了对彩色编码角膜图的分析,对圆锥角膜的诊断准确率高达99.3%。深度学习算法在体内共聚焦显微镜上检测真菌菌丝方面也显示出强大的性能,与菌丝密度的精确量化。根据Amsler-Krumeich分类,结合断层扫描和视力的AI模型在圆锥角膜分期中显示出高达97%的准确性。然而,审查承认当前人工智能模型的局限性,包括他们对二元分类的依赖,这可能无法捕捉到多种并存疾病的真实世界临床表现的复杂性。挑战还包括对数据质量的依赖,不同的成像协议,并集成多模态图像以进行广义AI诊断。强调AI模型对可解释性的需求,以促进临床环境中的信任和适用性。展望未来,人工智能有可能解开角膜病理背后的复杂机制,减少医疗保健的碳足迹,并彻底改变诊断和管理范式。道德和监管考虑将伴随AI的临床采用,标志着人工智能不仅有助于而且增强眼科护理的时代。
    In the last decade, artificial intelligence (AI) has significantly impacted ophthalmology, particularly in managing corneal diseases, a major reversible cause of blindness. This review explores AI\'s transformative role in the corneal subspecialty, which has adopted advanced technology for superior clinical judgment, early diagnosis, and personalized therapy. While AI\'s role in anterior segment diseases is less documented compared to glaucoma and retinal pathologies, this review highlights its integration into corneal diagnostics through imaging techniques like slit-lamp biomicroscopy, anterior segment optical coherence tomography (AS-OCT), and in vivo confocal biomicroscopy. AI has been pivotal in refining decision-making and prognosis for conditions such as keratoconus, infectious keratitis, and dystrophies. Multi-disease deep learning neural networks (MDDNs) have shown diagnostic ability in classifying corneal diseases using AS-OCT images, achieving notable metrics like an AUC of 0.910. AI\'s progress over two decades has significantly improved the accuracy of diagnosing conditions like keratoconus and microbial keratitis. For instance, AI has achieved a 90.7% accuracy rate in classifying bacterial and fungal keratitis and an AUC of 0.910 in differentiating various corneal diseases. Convolutional neural networks (CNNs) have enhanced the analysis of color-coded corneal maps, yielding up to 99.3% diagnostic accuracy for keratoconus. Deep learning algorithms have also shown robust performance in detecting fungal hyphae on in vivo confocal microscopy, with precise quantification of hyphal density. AI models combining tomography scans and visual acuity have demonstrated up to 97% accuracy in keratoconus staging according to the Amsler-Krumeich classification. However, the review acknowledges the limitations of current AI models, including their reliance on binary classification, which may not capture the complexity of real-world clinical presentations with multiple coexisting disorders. Challenges also include dependency on data quality, diverse imaging protocols, and integrating multimodal images for a generalized AI diagnosis. The need for interpretability in AI models is emphasized to foster trust and applicability in clinical settings. Looking ahead, AI has the potential to unravel the intricate mechanisms behind corneal pathologies, reduce healthcare\'s carbon footprint, and revolutionize diagnostic and management paradigms. Ethical and regulatory considerations will accompany AI\'s clinical adoption, marking an era where AI not only assists but augments ophthalmic care.
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  • 文章类型: Journal Article
    目的:在主动治疗(放疗或前列腺切除术)之前,评估人工智能(AI)在前列腺特异性膜抗原正电子发射断层扫描(PSMAPET)上评估前列腺内前列腺癌(PCa)的能力。
    方法:该系统评价已在国际前瞻性系统评价注册(PROSPERO标识符:CRD42023438706)上注册。在Medline上进行了搜索,Embase,WebofScience,和工程村,使用以下术语:“人工智能”,\'前列腺癌\',和“PSMAPET”。截至2024年2月发表的所有文章都被考虑在内。如果患者在积极治疗之前接受PSMAPET扫描以评估前列腺内病变,则纳入研究。两位作者独立评估了标题,摘要,和全文。使用预测模型偏差风险评估工具(PROBAST)。
    结果:我们的搜索结果为948篇文章,其中14人符合入选条件。八项研究达到了区分高级PCa的主要终点。区分国际泌尿外科病理学会(ISUP)分级组(GG)≥3PCa的准确性在0.671至0.992之间,敏感性为0.91,特异性为0.35。鉴别ISUPGG≥4PCa的准确性在0.83~0.88之间,敏感性为0.89,特异性为0.87。AI可以以0.87的准确性,0.85的特异性和0.89的特异性识别非PSMA-aid病变。三项研究表明,AI能够检测前列腺外延伸,曲线下面积在0.70和0.77之间。最后,AI可以自动分割前列腺内病变和测量总肿瘤体积。
    结论:尽管AI区分高级PCa的当前状态很有希望,它仍然是实验性的,还没有准备好进行常规的临床应用。使用AI在PSMAPET扫描中评估前列腺内病变的好处包括:局部分期,识别放射学隐匿性病变,PSMAPET扫描的标准化和加速报告。较大,prospective,需要进行多中心研究。
    OBJECTIVE: To assess artificial intelligence (AI) ability to evaluate intraprostatic prostate cancer (PCa) on prostate-specific membrane antigen positron emission tomography (PSMA PET) scans prior to active treatment (radiotherapy or prostatectomy).
    METHODS: This systematic review was registered on the International Prospective Register of Systematic Reviews (PROSPERO identifier: CRD42023438706). A search was performed on Medline, Embase, Web of Science, and Engineering Village with the following terms: \'artificial intelligence\', \'prostate cancer\', and \'PSMA PET\'. All articles published up to February 2024 were considered. Studies were included if patients underwent PSMA PET scan to evaluate intraprostatic lesions prior to active treatment. The two authors independently evaluated titles, abstracts, and full text. The Prediction model Risk Of Bias Assessment Tool (PROBAST) was used.
    RESULTS: Our search yield 948 articles, of which 14 were eligible for inclusion. Eight studies met the primary endpoint of differentiating high-grade PCa. Differentiating between International Society of Urological Pathology (ISUP) Grade Group (GG) ≥3 PCa had an accuracy between 0.671 to 0.992, sensitivity of 0.91, specificity of 0.35. Differentiating ISUP GG ≥4 PCa had an accuracy between 0.83 and 0.88, sensitivity was 0.89, specificity was 0.87. AI could identify non-PSMA-avid lesions with an accuracy of 0.87, specificity of 0.85, and specificity of 0.89. Three studies demonstrated ability of AI to detect extraprostatic extensions with an area under curve between 0.70 and 0.77. Lastly, AI can automate segmentation of intraprostatic lesion and measurement of gross tumour volume.
    CONCLUSIONS: Although the current state of AI differentiating high-grade PCa is promising, it remains experimental and not ready for routine clinical application. Benefits of using AI to assess intraprostatic lesions on PSMA PET scans include: local staging, identifying otherwise radiologically occult lesions, standardisation and expedite reporting of PSMA PET scans. Larger, prospective, multicentre studies are needed.
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  • 文章类型: Journal Article
    背景:紧急头部CT成像和人工智能(AI)进步的激增,特别是深度学习(DL)和卷积神经网络(CNN),加速了用于紧急成像的计算机辅助诊断(CADx)的发展。外部验证评估模型的可泛化性,提供临床潜力的初步证据。
    目的:本研究系统地回顾了用于急诊头部CT扫描的外部验证的CNN-CADx模型,严格评估诊断测试准确性(DTA),并评估对报告指南的遵守情况。
    方法:将CNN-CADx模型性能与参考标准进行比较的研究合格。该审查已在PROSPERO(CRD42023411641)中注册,并在Medline上进行。Embase,EBM评论和WebofScience遵循PRISMA-DTA指南。DTA报告是使用标准化清单系统地提取和评估的(STARD,CHARMS,CLAIM,TRIPOD,PROBAST,QUADAS-2).
    结果:5636项确定的研究中有6项符合条件。常见的目标条件是颅内出血(ICH),和辅助专家的预期工作流角色。由于方法学和临床研究之间的差异,荟萃分析是不合适的。在5/6研究中,扫描水平灵敏度超过90%,而特异性范围为58,0-97,7%。SROC95%预测区域明显比置信区域宽,灵敏度超过50%,特异性超过20%。所有研究都有不明确或高风险的偏倚和对适用性的关注(QUADAS-2,PROBAST),在32个TRIPOD项目中,有20个报告的依从性低于50%。
    结论:0.01%的研究符合资格标准。CNN-CADx模型用于紧急头部CT扫描的DTA证据在本综述范围内仍然有限,由于审查的研究很少,不适合进行荟萃分析,并因方法学行为和报告不足而受到损害。进行得当,外部验证对于评估AI-CADx模型的临床潜力仍然是初步的,但比较试验中的前瞻性和实用性临床验证仍然是最关键的.总之,未来的AI-CADx研究过程应该在方法学上标准化,并以有临床意义的方式报告,以避免研究浪费。
    BACKGROUND: The surge in emergency head CT imaging and artificial intelligence (AI) advancements, especially deep learning (DL) and convolutional neural networks (CNN), have accelerated the development of computer-aided diagnosis (CADx) for emergency imaging. External validation assesses model generalizability, providing preliminary evidence of clinical potential.
    OBJECTIVE: This study systematically reviews externally validated CNN-CADx models for emergency head CT scans, critically appraises diagnostic test accuracy (DTA), and assesses adherence to reporting guidelines.
    METHODS: Studies comparing CNN-CADx model performance to reference standard were eligible. The review was registered in PROSPERO (CRD42023411641) and conducted on Medline, Embase, EBM-Reviews and Web of Science following PRISMA-DTA guideline. DTA reporting were systematically extracted and appraised using standardised checklists (STARD, CHARMS, CLAIM, TRIPOD, PROBAST, QUADAS-2).
    RESULTS: Six of 5636 identified studies were eligible. The common target condition was intracranial haemorrhage (ICH), and intended workflow roles auxiliary to experts. Due to methodological and clinical between-study variation, meta-analysis was inappropriate. The scan-level sensitivity exceeded 90 % in 5/6 studies, while specificities ranged from 58,0-97,7 %. The SROC 95 % predictive region was markedly broader than the confidence region, ranging above 50 % sensitivity and 20 % specificity. All studies had unclear or high risk of bias and concern for applicability (QUADAS-2, PROBAST), and reporting adherence was below 50 % in 20 of 32 TRIPOD items.
    CONCLUSIONS: 0.01 % of identified studies met the eligibility criteria. The evidence on the DTA of CNN-CADx models for emergency head CT scans remains limited in the scope of this review, as the reviewed studies were scarce, inapt for meta-analysis and undermined by inadequate methodological conduct and reporting. Properly conducted, external validation remains preliminary for evaluating the clinical potential of AI-CADx models, but prospective and pragmatic clinical validation in comparative trials remains most crucial. In conclusion, future AI-CADx research processes should be methodologically standardized and reported in a clinically meaningful way to avoid research waste.
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  • 文章类型: Journal Article
    遥感(RS)中的变压器研究,2021年后开始增加,面临着相对缺乏审查的问题。为了了解RS变压器的发展趋势,我们通过将变压器的应用分为八个领域,对变压器的主要研究进行了定量分析:土地利用/土地覆盖(LULC)分类,分割,聚变,变化检测,物体检测,物体识别,注册,和其他人。定量结果表明,变压器在LULC分类和融合中获得了更高的准确性,在分割和目标检测方面具有更稳定的性能。结合LULC分类和分割的分析结果,我们发现变压器比卷积神经网络(CNN)需要更多的参数。此外,还需要进一步研究推理速度,以提高变压器的性能。确定我们数据库中变压器最常见的应用场景是城市,农田,和水体。我们还发现,变压器用于自然科学,如农业和环境保护,而不是人文或经济学。最后,这项工作总结了在研究过程中获得的遥感变压器的分析结果,并为未来的发展方向提供了展望。
    Research on transformers in remote sensing (RS), which started to increase after 2021, is facing the problem of a relative lack of review. To understand the trends of transformers in RS, we undertook a quantitative analysis of the major research on transformers over the past two years by dividing the application of transformers into eight domains: land use/land cover (LULC) classification, segmentation, fusion, change detection, object detection, object recognition, registration, and others. Quantitative results show that transformers achieve a higher accuracy in LULC classification and fusion, with more stable performance in segmentation and object detection. Combining the analysis results on LULC classification and segmentation, we have found that transformers need more parameters than convolutional neural networks (CNNs). Additionally, further research is also needed regarding inference speed to improve transformers\' performance. It was determined that the most common application scenes for transformers in our database are urban, farmland, and water bodies. We also found that transformers are employed in the natural sciences such as agriculture and environmental protection rather than the humanities or economics. Finally, this work summarizes the analysis results of transformers in remote sensing obtained during the research process and provides a perspective on future directions of development.
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  • 文章类型: Journal Article
    近年来,使用人工智能算法对色素性皮肤病变进行分类的准确性有了显著提高。智能分析和分类系统明显优于皮肤科医生和肿瘤学家使用的视觉诊断方法。然而,由于缺乏通用性和潜在错误分类的风险,此类系统在临床实践中的应用受到严重限制。在临床病理实践中成功实施基于人工智能的工具需要对现有模型的有效性和性能进行全面研究,以及潜在研究发展的进一步有希望的领域。本系统综述的目的是调查和评估人工智能技术用于检测色素性皮肤病变的恶性形式的准确性。对于这项研究,从电子科学出版商中选择了10,589篇科学研究和评论文章,其中171篇文章被纳入本系统综述。所有选定的科学文章都根据所提出的神经网络算法从机器学习到多模态智能架构进行分发,并在手稿的相应部分进行了描述。这项研究旨在探索自动皮肤癌识别系统,从简单的机器学习算法到基于高级编码器-解码器模型的多模态集成系统,视觉变压器(ViT),以及生成和尖峰神经网络。此外,作为分析的结果,未来的研究方向,前景,并讨论了进一步开发用于对色素性皮肤病变进行分类的自动神经网络系统的潜力。
    In recent years, there has been a significant improvement in the accuracy of the classification of pigmented skin lesions using artificial intelligence algorithms. Intelligent analysis and classification systems are significantly superior to visual diagnostic methods used by dermatologists and oncologists. However, the application of such systems in clinical practice is severely limited due to a lack of generalizability and risks of potential misclassification. Successful implementation of artificial intelligence-based tools into clinicopathological practice requires a comprehensive study of the effectiveness and performance of existing models, as well as further promising areas for potential research development. The purpose of this systematic review is to investigate and evaluate the accuracy of artificial intelligence technologies for detecting malignant forms of pigmented skin lesions. For the study, 10,589 scientific research and review articles were selected from electronic scientific publishers, of which 171 articles were included in the presented systematic review. All selected scientific articles are distributed according to the proposed neural network algorithms from machine learning to multimodal intelligent architectures and are described in the corresponding sections of the manuscript. This research aims to explore automated skin cancer recognition systems, from simple machine learning algorithms to multimodal ensemble systems based on advanced encoder-decoder models, visual transformers (ViT), and generative and spiking neural networks. In addition, as a result of the analysis, future directions of research, prospects, and potential for further development of automated neural network systems for classifying pigmented skin lesions are discussed.
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  • 文章类型: Systematic Review
    背景:本系统综述(SR)的目的是收集有关使用机器学习(ML)模型诊断颌骨骨内病变的证据,并分析其可靠性,影响,以及这些模型的有用性。该SR根据PRISMA2022指南进行,并在PROSPERO数据库(CRD42022379298)中注册。
    方法:使用首字母缩写PICOS来构造以查询为重点的综述问题“人工智能对于颌骨骨内病变的诊断是否可靠?”在各种电子数据库中进行了文献检索,包括PubMed,Embase,Scopus,科克伦图书馆,WebofScience,丁香花,IEEEXplore,和灰色文学(谷歌学者和ProQuest)。使用PROBAST进行偏倚风险评估,并考虑数据集的任务和采样策略对结果进行了综合。
    结果:纳入了26项研究(21146张射线照相图像)。成釉细胞瘤,牙源性角化囊肿,牙质囊肿,根尖周囊肿是最常见的病变。根据TRIPOD,大多数研究被分类为2型(随机分组).F1评分仅在13项研究中提出,提供了20次试验的指标,平均值为0.71(±0.25)。
    结论:没有确凿的证据支持基于ML的模型在检测中的有用性,分割,颌骨骨内病变的分类和临床常规应用。缺乏关于数据抽样的细节,缺乏一套全面的培训和验证指标,以及缺乏外部测试极限实验,阻碍了对模型性能的正确评估。
    BACKGROUND: The purpose of this systematic review (SR) is to gather evidence on the use of machine learning (ML) models in the diagnosis of intraosseous lesions in gnathic bones and to analyze the reliability, impact, and usefulness of such models. This SR was performed in accordance with the PRISMA 2022 guidelines and was registered in the PROSPERO database (CRD42022379298).
    METHODS: The acronym PICOS was used to structure the inquiry-focused review question \"Is Artificial Intelligence reliable for the diagnosis of intraosseous lesions in gnathic bones?\" The literature search was conducted in various electronic databases, including PubMed, Embase, Scopus, Cochrane Library, Web of Science, Lilacs, IEEE Xplore, and Gray Literature (Google Scholar and ProQuest). Risk of bias assessment was performed using PROBAST, and the results were synthesized by considering the task and sampling strategy of the dataset.
    RESULTS: Twenty-six studies were included (21 146 radiographic images). Ameloblastomas, odontogenic keratocysts, dentigerous cysts, and periapical cysts were the most frequently investigated lesions. According to TRIPOD, most studies were classified as type 2 (randomly divided). The F1 score was presented in only 13 studies, which provided the metrics for 20 trials, with a mean of 0.71 (±0.25).
    CONCLUSIONS: There is no conclusive evidence to support the usefulness of ML-based models in the detection, segmentation, and classification of intraosseous lesions in gnathic bones for routine clinical application. The lack of detail about data sampling, the lack of a comprehensive set of metrics for training and validation, and the absence of external testing limit experiments and hinder proper evaluation of model performance.
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  • 文章类型: Journal Article
    背景和目的:多种牙科植入物系统的可用性使治疗牙医难以在无法接近或丢失先前记录的情况下识别和分类植入物。据报道,人工智能(AI)在医学图像分类中具有很高的成功率,并在该领域得到了有效的应用。研究报告说,当AI与训练有素的牙科专业人员一起使用时,植入物分类和识别准确性得到了提高。本系统综述旨在分析各种研究,讨论AI工具在植入物识别和分类中的准确性。方法:遵循系统评价和荟萃分析(PRISMA)指南的首选报告项目,该研究已在国际前瞻性系统审查登记册(PROSPERO)注册。当前研究的焦点PICO问题是“人工智能工具(干预)在使用X射线图像检测和/或分类牙科植入物类型(参与者/人群)方面的准确性(结果)是什么?”Scopus,MEDLINE-PubMed,和Cochrane进行了系统的搜索,以收集相关的已发表文献。搜索字符串基于公式化的PICO问题。文章搜索是在2024年1月使用布尔运算符和截断进行的。搜索仅限于过去15年(2008年1月至2023年12月)以英文发表的文章。使用质量评估和诊断准确性工具(QUADAS-2)对所有选定文章的质量进行了严格分析。结果:根据预定的选择标准,选择21篇文章进行定性分析。研究特征在自行设计的表格中列出。在评估的21项研究中,14人被发现有偏见的风险,在一个或多个领域具有高风险或不明确的风险。其余七项研究,然而,偏见的风险很低。AI模型在植入物检测和识别中的总体准确性从67%的低到98.5%。大多数纳入的研究报告平均准确率超过90%。结论:本综述中的文章提供了大量证据来验证AI工具在使用二维X射线图像识别和分类牙科植入物系统方面具有很高的准确性。这些结果对于训练有素的牙科专业人员的临床诊断和治疗计划至关重要,以提高患者的治疗结果。
    Background and Objectives: The availability of multiple dental implant systems makes it difficult for the treating dentist to identify and classify the implant in case of inaccessibility or loss of previous records. Artificial intelligence (AI) is reported to have a high success rate in medical image classification and is effectively used in this area. Studies have reported improved implant classification and identification accuracy when AI is used with trained dental professionals. This systematic review aims to analyze various studies discussing the accuracy of AI tools in implant identification and classification. Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed, and the study was registered with the International Prospective Register of Systematic Reviews (PROSPERO). The focused PICO question for the current study was \"What is the accuracy (outcome) of artificial intelligence tools (Intervention) in detecting and/or classifying the type of dental implant (Participant/population) using X-ray images?\" Web of Science, Scopus, MEDLINE-PubMed, and Cochrane were searched systematically to collect the relevant published literature. The search strings were based on the formulated PICO question. The article search was conducted in January 2024 using the Boolean operators and truncation. The search was limited to articles published in English in the last 15 years (January 2008 to December 2023). The quality of all the selected articles was critically analyzed using the Quality Assessment and Diagnostic Accuracy Tool (QUADAS-2). Results: Twenty-one articles were selected for qualitative analysis based on predetermined selection criteria. Study characteristics were tabulated in a self-designed table. Out of the 21 studies evaluated, 14 were found to be at risk of bias, with high or unclear risk in one or more domains. The remaining seven studies, however, had a low risk of bias. The overall accuracy of AI models in implant detection and identification ranged from a low of 67% to as high as 98.5%. Most included studies reported mean accuracy levels above 90%. Conclusions: The articles in the present review provide considerable evidence to validate that AI tools have high accuracy in identifying and classifying dental implant systems using 2-dimensional X-ray images. These outcomes are vital for clinical diagnosis and treatment planning by trained dental professionals to enhance patient treatment outcomes.
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