artificial intelligence in health

  • 文章类型: Journal Article
    成功的人工智能(AI)实施基于临床医生和患者的信任,通过负责任的使用文化来实现,注重法规,标准,和教育。耳鼻喉科医生可以通过专业协会促进数据标准化来克服人工智能实施中的障碍,参与整合人工智能的机构努力,并为学员和从业者开发耳鼻喉科特定的人工智能教育。
    Successful artificial intelligence (AI) implementation is predicated on the trust of clinicians and patients, and is achieved through a culture of responsible use, focusing on regulations, standards, and education. Otolaryngologists can overcome barriers in AI implementation by promoting data standardization through professional societies, engaging in institutional efforts to integrate AI, and developing otolaryngology-specific AI education for both trainees and practitioners.
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  • 文章类型: Journal Article
    人工智能(AI)的发展彻底改变了医疗系统,使医疗保健专业人员能够分析复杂的非线性大数据并识别隐藏的模式,促进明智的决策。在过去的十年里,人工智能的研究有一个显著的趋势,机器学习(ML)以及它们在健康和医疗系统中的相关算法。这些方法改变了医疗保健系统,提高效率,准确度,个性化治疗,和决策。认识到主题领域研究的重要性和发展趋势,本文对健康和医疗系统中的人工智能进行了文献计量分析。本文利用了WebofScience(WoS)核心收藏数据库,考虑过去四十年在主题领域发表的文件。从1983年到2022年,共确认了64,063篇论文。本文从不同角度对文献计量数据进行了评价,例如发表的年度论文,年度引文,被高度引用的论文,和大多数生产性机构,和国家。本文通过呈现作者关键词的书目耦合和共同出现,将各种科学行为者之间的关系可视化。分析表明,该领域在1970年代末和1980年代初开始了显着的增长,2019年以来大幅增长。最有影响力的机构在美国和中国。该研究还表明,科学界的热门关键词包括“ML”,\'深度学习\',和“人工智能”。
    The development of artificial intelligence (AI) has revolutionised the medical system, empowering healthcare professionals to analyse complex nonlinear big data and identify hidden patterns, facilitating well-informed decisions. Over the last decade, there has been a notable trend of research in AI, machine learning (ML), and their associated algorithms in health and medical systems. These approaches have transformed the healthcare system, enhancing efficiency, accuracy, personalised treatment, and decision-making. Recognising the importance and growing trend of research in the topic area, this paper presents a bibliometric analysis of AI in health and medical systems. The paper utilises the Web of Science (WoS) Core Collection database, considering documents published in the topic area for the last four decades. A total of 64,063 papers were identified from 1983 to 2022. The paper evaluates the bibliometric data from various perspectives, such as annual papers published, annual citations, highly cited papers, and most productive institutions, and countries. The paper visualises the relationship among various scientific actors by presenting bibliographic coupling and co-occurrences of the author\'s keywords. The analysis indicates that the field began its significant growth in the late 1970s and early 1980s, with significant growth since 2019. The most influential institutions are in the USA and China. The study also reveals that the scientific community\'s top keywords include \'ML\', \'Deep Learning\', and \'Artificial Intelligence\'.
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  • 文章类型: Journal Article
    认知障碍是获得性脑损伤的普遍后果,痴呆症,和年龄相关的认知能力下降,妨碍个人的日常运作和独立性,具有重大的社会和经济影响。虽然神经康复是解决这些缺陷的一个有希望的途径,传统的康复方法面临着明显的局限性。首先,他们缺乏适应能力,提供一刀切的解决方案,可能无法有效满足每个患者的独特需求。此外,这些干预措施的资源密集型性质,通常局限于临床环境,对广泛的,成本效益高,和持续执行,导致干预适应性方面的次优结果,强度,和持续时间。为了应对这些挑战,本文介绍了NeuroAIreh@b,一种创新的认知分析和训练方法,使用AI驱动的框架来优化神经康复处方。NeuroAIreh@b有效地弥合了神经心理学评估和计算建模之间的差距,从而提供高度个性化和自适应的神经康复课程。这种方法还利用基于虚拟现实的日常生活活动模拟来增强生态有效性和有效性。NeuroAIreh@b的可行性已经通过对中风患者采用基于片剂的干预的临床研究得到证明。NeuroAIreh@b方法学具有在未来大型随机对照试验中进行疗效研究的潜力。
    Cognitive impairments are a prevalent consequence of acquired brain injury, dementia, and age-related cognitive decline, hampering individuals\' daily functioning and independence, with significant societal and economic implications. While neurorehabilitation represents a promising avenue for addressing these deficits, traditional rehabilitation approaches face notable limitations. First, they lack adaptability, offering one-size-fits-all solutions that may not effectively meet each patient\'s unique needs. Furthermore, the resource-intensive nature of these interventions, often confined to clinical settings, poses barriers to widespread, cost-effective, and sustained implementation, resulting in suboptimal outcomes in terms of intervention adaptability, intensity, and duration. In response to these challenges, this paper introduces NeuroAIreh@b, an innovative cognitive profiling and training methodology that uses an AI-driven framework to optimize neurorehabilitation prescription. NeuroAIreh@b effectively bridges the gap between neuropsychological assessment and computational modeling, thereby affording highly personalized and adaptive neurorehabilitation sessions. This approach also leverages virtual reality-based simulations of daily living activities to enhance ecological validity and efficacy. The feasibility of NeuroAIreh@b has already been demonstrated through a clinical study with stroke patients employing a tablet-based intervention. The NeuroAIreh@b methodology holds the potential for efficacy studies in large randomized controlled trials in the future.
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  • 文章类型: Journal Article
    机器学习模型的黑箱特性阻碍了一些高精度医疗诊断算法的部署。把一个人的生命交到医学研究人员不完全理解或信任的模型手中是有风险的。然而,通过模型解释,黑盒模型可以及时揭示重要的生物标志物,这些生物标志物可能是医疗人员由于COVID-19大流行中感染患者的激增而忽略的。这项研究利用了在2020年1月18日至2020年3月5日期间在珠海进行的92名确诊SARS-CoV-2实验室检查的患者的数据库。中国,确定指示感染严重程度预测的生物标志物。通过对四种机器学习模型的解读,决策树,随机森林,梯度增强树,和使用置换特征重要性的神经网络,部分依赖图,个人条件期望,累积的局部效应,本地可解释的模型-不可知的解释,和Shapley加法解释,我们发现N末端脑钠肽前体增加,C反应蛋白,和乳酸脱氢酶,淋巴细胞减少与严重感染和死亡风险增加有关,这与最近关于COVID-19的医学研究和其他使用专用模型的研究是一致的。我们在一个大型开放数据集上进一步验证了我们的方法,其中5644名来自以色列医院阿尔伯特·爱因斯坦的确诊患者,在圣保罗,来自Kaggle的巴西,揭开白细胞的面纱,嗜酸性粒细胞,和血小板作为COVID-19的三种指示性生物标志物。
    The black-box nature of machine learning models hinders the deployment of some high-accuracy medical diagnosis algorithms. It is risky to put one\'s life in the hands of models that medical researchers do not fully understand or trust. However, through model interpretation, black-box models can promptly reveal significant biomarkers that medical practitioners may have overlooked due to the surge of infected patients in the COVID-19 pandemic. This research leverages a database of 92 patients with confirmed SARS-CoV-2 laboratory tests between 18th January 2020 and 5th March 2020, in Zhuhai, China, to identify biomarkers indicative of infection severity prediction. Through the interpretation of four machine learning models, decision tree, random forests, gradient boosted trees, and neural networks using permutation feature importance, partial dependence plot, individual conditional expectation, accumulated local effects, local interpretable model-agnostic explanations, and Shapley additive explanation, we identify an increase in N-terminal pro-brain natriuretic peptide, C-reaction protein, and lactic dehydrogenase, a decrease in lymphocyte is associated with severe infection and an increased risk of death, which is consistent with recent medical research on COVID-19 and other research using dedicated models. We further validate our methods on a large open dataset with 5644 confirmed patients from the Hospital Israelita Albert Einstein, at São Paulo, Brazil from Kaggle, and unveil leukocytes, eosinophils, and platelets as three indicative biomarkers for COVID-19.
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  • 文章类型: Journal Article
    该研究的目的是评估基于CNN的拟议模型的性能,以预测患者对NAC治疗的反应以及病理区域的疾病发展过程。本研究旨在确定在训练过程中影响模型成功的主要标准,例如卷积层的数量,数据集质量和因变量。
    该研究使用医疗保健行业中经常使用的病理数据来评估拟议的基于CNN的模型。研究人员分析了模型的分类性能,并在训练过程中评估了它们的成功。
    研究表明,使用深度学习方法,特别是CNN模型,可以提供强大的特征表示,并导致患者对NAC治疗的反应和病理区域的疾病发展过程的准确预测。预测“米勒系数”的模型,'肿瘤淋巴结值',“肿瘤和腋下的完全反应”值具有很高的准确性,这被认为是有效实现对治疗的完全反应,已经创建。估计性能指标为87%,77%和91%,分别。
    该研究得出结论,用深度学习方法解释病理检查结果是确定正确诊断和治疗方法的有效方法,以及患者的预后随访。它在很大程度上为临床医生提供了解决方案,特别是在大型的情况下,异构数据集,使用传统方法管理可能具有挑战性。该研究表明,使用机器学习和深度学习方法可以显着提高解释和管理医疗保健数据的性能。
    UNASSIGNED: The objective of the study is to evaluate the performance of CNN-based proposed models for predicting patients\' response to NAC treatment and the disease development process in the pathological area. The study aims to determine the main criteria that affect the model\'s success during training, such as the number of convolutional layers, dataset quality and depended variable.
    UNASSIGNED: The study uses pathological data frequently used in the healthcare industry to evaluate the proposed CNN-based models. The researchers analyze the classification performances of the models and evaluate their success during training.
    UNASSIGNED: The study shows that using deep learning methods, particularly CNN models, can offer strong feature representation and lead to accurate predictions of patients\' response to NAC treatment and the disease development process in the pathological area. A model that predicts \'miller coefficient\', \'tumor lymph node value\', \'complete response in both tumor and axilla\' values with high accuracy, which is considered to be effective in achieving complete response to treatment, has been created. Estimation performance metrics have been obtained as 87%, 77% and 91%, respectively.
    UNASSIGNED: The study concludes that interpreting pathological test results with deep learning methods is an effective way of determining the correct diagnosis and treatment method, as well as the prognosis follow-up of the patient. It provides clinicians with a solution to a large extent, particularly in the case of large, heterogeneous datasets that can be challenging to manage with traditional methods. The study suggests that using machine learning and deep learning methods can significantly improve the performance of interpreting and managing healthcare data.
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