人工智能在肾脏病学中的应用:核心概念、临床应用及展望。
Artificial Intelligence in Nephrology: Core Concepts, Clinical Applications, and Perspectives.
机构信息
Pediatric Nephrology Department, Robert Debré Hospital, Paris, France.
Pediatric Nephrology Department, Robert Debré Hospital, Paris, France.
出版信息
Am J Kidney Dis. 2019 Dec;74(6):803-810. doi: 10.1053/j.ajkd.2019.05.020. Epub 2019 Aug 23.
Artificial intelligence is playing an increasingly important role in many fields of medicine, assisting physicians in most steps of patient management. In nephrology, artificial intelligence can already be used to improve clinical care, hemodialysis prescriptions, and follow-up of transplant recipients. However, many nephrologists are still unfamiliar with the basic principles of medical artificial intelligence. This review seeks to provide an overview of medical artificial intelligence relevant to the practicing nephrologist, in all fields of nephrology. We define the core concepts of artificial intelligence and machine learning and cover the basics of the functioning of neural networks and deep learning. We also discuss the most recent clinical applications of artificial intelligence in nephrology and medicine; as an example, we describe how artificial intelligence can predict the occurrence of progressive immunoglobulin A nephropathy. Finally, we consider the future of artificial intelligence in clinical nephrology and its impact on medical practice, and conclude with a discussion of the ethical issues that the use of artificial intelligence raises in terms of clinical decision making, physician-patient relationship, patient privacy, and data collection.
人工智能在医学的许多领域发挥着越来越重要的作用,辅助医生完成患者管理的大部分步骤。在肾脏病学中,人工智能已经可以用于改善临床护理、血液透析处方和移植受者的随访。然而,许多肾脏病医生对医学人工智能的基本原理仍不熟悉。这篇综述旨在为肾脏病医生提供肾脏病学各领域相关的医学人工智能概述。我们定义了人工智能和机器学习的核心概念,涵盖了神经网络和深度学习的基本原理。我们还讨论了人工智能在肾脏病学和医学中的最新临床应用;例如,我们描述了人工智能如何预测进行性免疫球蛋白 A 肾病的发生。最后,我们考虑了人工智能在临床肾脏病学中的未来及其对医疗实践的影响,并讨论了在临床决策、医患关系、患者隐私和数据收集方面使用人工智能带来的伦理问题。