人工智能用于临床预测:探索关键领域和基本功能

Mohamed Khalifa , Mona Albadawy
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引用次数: 0

摘要

背景临床预测是现代医疗保健不可或缺的一部分,它利用当前和历史医疗数据来预测健康结果。人工智能(AI)与这一领域的结合大大提高了诊断准确性、治疗计划、疾病预防和个性化护理,从而改善了患者的治疗效果,提高了医疗效率。方法本系统性综述采用了结构化的四步方法,包括在学术数据库(PubMed、Embase、Google Scholar)中进行广泛的文献检索,应用特定的纳入和排除标准,以人工智能技术及其在临床预测中的应用为重点进行数据提取,并对所收集的信息进行全面分析,以了解人工智能在增强临床预测中的作用。结果通过对 74 项实验研究的分析,确定了人工智能可显著增强临床预测的八个关键领域:(1) 疾病的诊断和早期检测;(2) 病程和结果的预后;(3) 未来疾病的风险评估;(4) 个性化医疗的治疗反应;(5) 疾病进展;(6) 再入院风险;(7) 并发症风险;以及 (8) 死亡率预测。肿瘤学和放射学在临床预测中受益于人工智能的专科中名列前茅。人工智能驱动的工具大大提高了医疗服务的效率和有效性。建议包括提高数据质量和可访问性、促进跨学科合作、关注人工智能伦理实践、投资人工智能教育、扩大临床试验、发展监管监督、让患者参与人工智能整合过程,以及持续监控和改进人工智能系统。
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 Clinical Prediction: Exploring Key Domains and Essential Functions

Background

Clinical prediction is integral to modern healthcare, leveraging current and historical medical data to forecast health outcomes. The integration of Artificial Intelligence (AI) in this field significantly enhances diagnostic accuracy, treatment planning, disease prevention, and personalised care leading to better patient outcomes and healthcare efficiency.

Methods

This systematic review implemented a structured four-step methodology, including an extensive literature search in academic databases (PubMed, Embase, Google Scholar), applying specific inclusion and exclusion criteria, data extraction focusing on AI techniques and their applications in clinical prediction, and a thorough analysis of the collected information to understand AI's roles in enhancing clinical prediction.

Results

Through the analysis of 74 experimental studies, eight key domains, where AI significantly enhances clinical prediction, were identified: (1) Diagnosis and early detection of disease; (2) Prognosis of disease course and outcomes; (3) Risk assessment of future disease; (4) Treatment response for personalised medicine; (5) Disease progression; (6) Readmission risks; (7) Complication risks; and (8) Mortality prediction. Oncology and radiology come on top of the specialties benefiting from AI in clinical prediction.

Discussion

The review highlights AI's transformative impact across various clinical prediction domains, including its role in revolutionising diagnostics, improving prognosis accuracy, aiding in personalised medicine, and enhancing patient safety. AI-driven tools contribute significantly to the efficiency and effectiveness of healthcare delivery.

Conclusion and recommendations

AI's integration in clinical prediction marks a substantial advancement in healthcare. Recommendations include enhancing data quality and accessibility, promoting interdisciplinary collaboration, focusing on ethical AI practices, investing in AI education, expanding clinical trials, developing regulatory oversight, involving patients in the AI integration process, and continuous monitoring and improvement of AI systems.

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CiteScore
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