Department of Endocrinology, Diabetes & Metabolism, Cleveland Clinic Foundation, F-20 9500 Euclid Avenue, Cleveland, OH, 44195, USA.
Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, 9500 Euclid Ave, Cleveland, OH, 44195, USA.
Curr Diab Rep. 2020 Feb 1;20(2):5. doi: 10.1007/s11892-020-1287-2.
Machine learning (ML) is increasingly being studied for the screening, diagnosis, and management of diabetes and its complications. Although various models of ML have been developed, most have not led to practical solutions for real-world problems. There has been a disconnect between ML developers, regulatory bodies, health services researchers, clinicians, and patients in their efforts. Our aim is to review the current status of ML in various aspects of diabetes care and identify key challenges that must be overcome to leverage ML to its full potential.
ML has led to impressive progress in development of automated insulin delivery systems and diabetic retinopathy screening tools. Compared with these, use of ML in other aspects of diabetes is still at an early stage. The Food & Drug Administration (FDA) is adopting some innovative models to help bring technologies to the market in an expeditious and safe manner. ML has great potential in managing diabetes and the future is in furthering the partnership of regulatory bodies with health service researchers, clinicians, developers, and patients to improve the outcomes of populations and individual patients with diabetes.
机器学习(ML)越来越多地被用于糖尿病及其并发症的筛查、诊断和管理。尽管已经开发出各种 ML 模型,但大多数模型并未为实际问题提供切实可行的解决方案。在机器学习开发者、监管机构、卫生服务研究人员、临床医生和患者之间,存在着脱节。我们的目的是综述 ML 在糖尿病护理各个方面的现状,并确定必须克服的关键挑战,以充分发挥 ML 的潜力。
ML 在自动胰岛素输送系统和糖尿病视网膜病变筛查工具的开发方面取得了令人印象深刻的进展。相比之下,ML 在糖尿病其他方面的应用仍处于早期阶段。美国食品和药物管理局(FDA)正在采用一些创新模式,以帮助安全、迅速地将技术推向市场。ML 在管理糖尿病方面具有巨大的潜力,未来在于进一步加强监管机构与卫生服务研究人员、临床医生、开发者和患者之间的伙伴关系,以改善糖尿病患者群体和个体的治疗效果。