[用于计算机辅助白血病诊断的人工智能]。

IF 0.6 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Deutsche Medizinische Wochenschrift Pub Date : 2023-09-01 Epub Date: 2023-08-23 DOI:10.1055/a-1965-7044
Christian Matek, Carsten Marr, Michael von Bergwelt-Baildon, Karsten Spiekermann
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引用次数: 0

摘要

白血病患者的血液和骨髓标本的手动检查是耗时的,并且受到观察者内部和观察者之间差异的限制。白血病诊断人工智能算法的开发需要高质量的样本数字化和大数据集的可靠注释。使用这些数据集的基于深度学习的算法在一些定义明确的临床相关问题(如细胞的爆炸特性)上达到了人类水平的性能。像多实例学习这样的方法可以从白细胞的集合中预测诊断,但数据更密集。使用“可解释的人工智能”方法可以使预测过程更加透明,并允许用户验证算法的预测。稳定性和稳健性分析对于这些算法的日常应用是必要的,监管机构正在为此制定标准。集成诊断将不同的诊断模式联系起来,有望提供更高的准确性,但需要更广泛和多样化的数据集。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Artificial Intelligence for computer-aided leukemia diagnostics].

The manual examination of blood and bone marrow specimens for leukemia patients is time-consuming and limited by intra- and inter-observer variance. The development of AI algorithms for leukemia diagnostics requires high-quality sample digitization and reliable annotation of large datasets. Deep learning-based algorithms using these datasets attain human-level performance for some well-defined, clinically relevant questions such as the blast character of cells. Methods such as multiple - instance - learning allow predicting diagnoses from a collection of leukocytes, but are more data-intensive. Using "explainable AI" methods can make the prediction process more transparent and allow users to verify the algorithm's predictions. Stability and robustness analyses are necessary for routine application of these algorithms, and regulatory institutions are developing standards for this purpose. Integrated diagnostics, which link different diagnostic modalities, offer the promise of even greater accuracy but require more extensive and diverse datasets.

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来源期刊
Deutsche Medizinische Wochenschrift
Deutsche Medizinische Wochenschrift 医学-医学:内科
CiteScore
0.80
自引率
0.00%
发文量
432
审稿时长
3-6 weeks
期刊介绍: Ein Schwerpunktthema - verschiedene Perspektiven Mit vielen praktischen Tipps und konkreten Handlungsanweisungen. Kurz und prägnant: Aktuell informiert Interessante Nachrichten für Sie zusammengefasst und von Experten kommentiert. Fundiertes Fachwissen - für Einsteiger und Profis Ein bunter Mix aus Übersichten, Fallbeispielen, Kasuistiken und Schritt-für-Schritt-Anleitungen. Blick über den Tellerrand Erweitern Sie Ihren Fokus über das reine Fachwissen hinaus mit "Medizin im Kontext".
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