Artificial intelligence to revolutionize IBD clinical trials: a comprehensive review.

IF 3.9 3区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY
Therapeutic Advances in Gastroenterology Pub Date : 2025-02-23 eCollection Date: 2025-01-01 DOI:10.1177/17562848251321915
Rocio Sedano, Virginia Solitano, Sudheer K Vuyyuru, Yuhong Yuan, Jurij Hanžel, Christopher Ma, Olga Maria Nardone, Vipul Jairath
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Abstract

Integrating artificial intelligence (AI) into clinical trials for inflammatory bowel disease (IBD) has potential to be transformative to the field. This article explores how AI-driven technologies, including machine learning (ML), natural language processing, and predictive analytics, have the potential to enhance important aspects of IBD trials-from patient recruitment and trial design to data analysis and personalized treatment strategies. As AI advances, it has potential to improve long-standing challenges in trial efficiency, accuracy, and personalization with the goal of accelerating the discovery of novel therapies and improve outcomes for people living with IBD. AI can streamline multiple trial phases, from target identification and patient recruitment to data analysis and monitoring. By integrating multi-omics data, electronic health records, and imaging repositories, AI can uncover molecular targets and personalize trial strategies, ultimately expediting drug development. However, the adoption of AI in IBD clinical trials encounters significant challenges. These include technical barriers in data integration, ethical concerns regarding patient privacy, and regulatory issues related to AI validation standards. Additionally, AI models risk producing biased outcomes if training datasets lack diversity, potentially impacting underrepresented populations in clinical trials. Addressing these limitations requires standardized data formats, interdisciplinary collaboration, and robust ethical frameworks to ensure inclusivity and accuracy. Continued partnerships among clinicians, researchers, data scientists, and regulators will be essential to establish transparent, patient-centered AI frameworks. By overcoming these obstacles, AI has the potential to enhance the efficiency, equity, and efficacy of IBD clinical trials, ultimately benefiting patient care.

人工智能将彻底改变IBD临床试验:全面回顾。
将人工智能(AI)整合到炎症性肠病(IBD)的临床试验中,可能会给该领域带来变革。本文探讨了包括机器学习(ML)、自然语言处理和预测分析在内的人工智能驱动技术如何有潜力增强IBD试验的重要方面——从患者招募和试验设计到数据分析和个性化治疗策略。随着人工智能的进步,它有可能改善试验效率、准确性和个性化方面长期存在的挑战,目标是加速发现新疗法并改善IBD患者的预后。人工智能可以简化多个试验阶段,从目标识别和患者招募到数据分析和监测。通过整合多组学数据、电子健康记录和成像存储库,人工智能可以发现分子靶点并个性化试验策略,最终加快药物开发。然而,人工智能在IBD临床试验中的应用面临着重大挑战。其中包括数据整合方面的技术障碍、患者隐私方面的伦理问题以及与人工智能验证标准相关的监管问题。此外,如果训练数据集缺乏多样性,人工智能模型可能会产生有偏见的结果,从而可能影响临床试验中代表性不足的人群。解决这些限制需要标准化的数据格式、跨学科合作和健全的道德框架,以确保包容性和准确性。临床医生、研究人员、数据科学家和监管机构之间的持续合作对于建立透明的、以患者为中心的人工智能框架至关重要。通过克服这些障碍,人工智能有可能提高IBD临床试验的效率、公平性和疗效,最终使患者护理受益。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Therapeutic Advances in Gastroenterology
Therapeutic Advances in Gastroenterology GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
6.70
自引率
2.40%
发文量
103
审稿时长
15 weeks
期刊介绍: Therapeutic Advances in Gastroenterology is an open access journal which delivers the highest quality peer-reviewed original research articles, reviews, and scholarly comment on pioneering efforts and innovative studies in the medical treatment of gastrointestinal and hepatic disorders. The journal has a strong clinical and pharmacological focus and is aimed at an international audience of clinicians and researchers in gastroenterology and related disciplines, providing an online forum for rapid dissemination of recent research and perspectives in this area. The editors welcome original research articles across all areas of gastroenterology and hepatology. The journal publishes original research articles and review articles primarily. Original research manuscripts may include laboratory, animal or human/clinical studies – all phases. Letters to the Editor and Case Reports will also be considered.
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