Department of Urology, University of Miami Miller School of Medicine, 1120 NW 14th Street, 15th floor, Miami, FL, 33136, USA.
Department of Urology, Lenox Hill Hospital, Zucker School of Medicine at Hofstra/Northwell, New York, NY, USA.
Curr Urol Rep. 2019 Jul 29;20(9):52. doi: 10.1007/s11934-019-0914-4.
The promise of artificial intelligence (AI) in medicine has been widely theorized over the past couple of decades. It has only been with technological advances over the past few years that physicians and computer scientists have started discovering its true clinical potential. Reproductive urology is a sub-discipline that AI could be of great contribution, as current predictive models and subjectivity within the field have several limitations. We review the literature to summarize recent AI applications in reproductive urology.
Early AI applications in reproductive urology focused on predicting semen parameters based on questionnaires that identify potential environmental factors and/or lifestyle habits impacting male fertility. AI has shown success in predicting the patient subpopulation most likely to need a genetic workup for azoospermia. With recent advances in image processing, automated sperm detection is a reality. Semen analyses, once a laboratory-only diagnostic test, have moved into health consumer homes with the advent of AI. AI's prospects in medicine are considerable and there is strong potential for AI within reproductive urology. Research in identifying the factors that can affect reproductive success either naturally or with assisted reproduction is of paramount importance to move the field forward.
在过去的几十年里,人工智能(AI)在医学领域的应用前景被广泛讨论。直到近几年,随着技术的进步,医生和计算机科学家才开始发现它真正的临床潜力。生殖泌尿科是 AI 可能做出巨大贡献的一个亚专业领域,因为目前的预测模型和该领域的主观性存在一些局限性。我们回顾了文献,总结了 AI 在生殖泌尿科的最新应用。
早期 AI 在生殖泌尿科的应用主要集中在根据问卷预测精液参数上,这些问卷可以识别潜在的环境因素和/或影响男性生育能力的生活方式习惯。AI 已经成功地预测出最有可能需要进行基因检查的无精子症患者亚群。随着图像处理技术的最新进展,自动化精子检测成为现实。曾经是实验室专用的诊断测试的精液分析,随着 AI 的出现已经进入了家庭健康消费者领域。AI 在医学领域的前景非常广阔,在生殖泌尿科领域也有很强的应用潜力。识别自然或辅助生殖中影响生殖成功的因素的研究对推动该领域的发展至关重要。