Faculty of Life Sciences and Medicine, King's College London, London, U.K.
School of Biosciences, Kingston University London, London, U.K.
In Vivo. 2019 Sep-Oct;33(5):1547-1551. doi: 10.21873/invivo.11635.
An increasing trend in funding towards artificial intelligence (AI) research in medicine has re-animated huge expectations for future applications. Obstetrics and gynaecology remain highly litigious specialities, accounting for a large proportion of indemnity payments due to poor outcomes. Several challenges have to be faced in order to improve current clinical practice in both obstetrics and gynaecology. For instance, a complete understanding of fetal physiology and establishing accurately predictive antepartum and intrapartum monitoring are yet to be achieved. In gynaecology, the complexity of molecular biology results in a lack of understanding of gynaecological cancer, which also contributes to poor outcomes. In this review, we aim to describe some important applications of AI in obstetrics and gynaecology. We also discuss whether AI can lead to a deeper understanding of pathophysiological concepts in obstetrics and gynaecology, allowing delineation of some grey zones, leading to improved healthcare provision. We conclude that AI can be used as a promising tool in obstetrics and gynaecology, as an approach to resolve several longstanding challenges; AI may also be a means to augment knowledge and assist clinicians in decision-making in a variety of areas in obstetrics and gynaecology.
医学领域对人工智能(AI)研究的资助呈增长趋势,这重新燃起了人们对未来应用的巨大期望。妇产科仍然是高度诉讼的专业,由于不良结果导致大量赔偿。为了改善妇产科的临床实践,必须面对几个挑战。例如,对胎儿生理学的全面了解以及准确预测产前和产时监测尚未实现。在妇科领域,分子生物学的复杂性导致对妇科癌症的理解不足,这也是导致不良结果的原因之一。在这篇综述中,我们旨在描述 AI 在妇产科中的一些重要应用。我们还讨论了 AI 是否可以帮助我们更深入地了解妇产科的病理生理概念,从而划定一些灰色地带,改善医疗服务。我们得出结论,AI 可以作为妇产科的一种有前途的工具,用于解决几个长期存在的挑战;AI 也可以作为一种增强知识和帮助临床医生在妇产科各个领域做出决策的手段。