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利用人工智能让孕妇及其医生能够做出明智的用药决策。

Enabling pregnant women and their physicians to make informed medication decisions using artificial intelligence.

机构信息

Department of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, 423 Guardian Drive, 421 Blockley Hall, Philadelphia, PA, 19104, USA.

Institute for Biomedical Informatics, University of Pennsylvania, Philadelphia, USA.

出版信息

J Pharmacokinet Pharmacodyn. 2020 Aug;47(4):305-318. doi: 10.1007/s10928-020-09685-1. Epub 2020 Apr 11.

Abstract

The role of artificial intelligence (AI) in healthcare for pregnant women. To assess the role of AI in women's health, discover gaps, and discuss the future of AI in maternal health. A systematic review of English articles using EMBASE, PubMed, and SCOPUS. Search terms included pregnancy and AI. Research articles and book chapters were included, while conference papers, editorials and notes were excluded from the review. Included papers focused on pregnancy and AI methods, and pertained to pharmacologic interventions. We identified 376 distinct studies from our queries. A final set of 31 papers were included for the review. Included papers represented a variety of pregnancy concerns and multidisciplinary applications of AI. Few studies relate to pregnancy, AI, and pharmacologics and therefore, we review carefully those studies. External validation of models and techniques described in the studies is limited, impeding on generalizability of the studies. Our review describes how AI has been applied to address maternal health, throughout the pregnancy process: preconception, prenatal, perinatal, and postnatal health concerns. However, there is a lack of research applying AI methods to understand how pharmacologic treatments affect pregnancy. We identify three areas where AI methods could be used to improve our understanding of pharmacological effects of pregnancy, including: (a) obtaining sound and reliable data from clinical records (15 studies), (b) designing optimized animal experiments to validate specific hypotheses (1 study) to (c) implementing decision support systems that inform decision-making (11 studies). The largest literature gap that we identified is with regards to using AI methods to optimize translational studies between animals and humans for pregnancy-related drug exposures.

摘要

人工智能在孕妇医疗保健中的作用。评估人工智能在女性健康中的作用,发现差距,并讨论人工智能在产妇健康中的未来。使用 EMBASE、PubMed 和 SCOPUS 对英文文章进行系统评价。搜索词包括妊娠和人工智能。纳入了研究文章和书籍章节,而排除了会议论文、社论和注释。纳入的论文重点关注妊娠和人工智能方法,并与药物干预有关。我们从查询中确定了 376 个不同的研究。最终纳入了 31 篇论文进行综述。纳入的论文代表了各种妊娠问题和人工智能的多学科应用。很少有研究涉及妊娠、人工智能和药理学,因此我们仔细审查了这些研究。研究中描述的模型和技术的外部验证受到限制,限制了研究的普遍性。我们的综述描述了人工智能如何应用于解决整个妊娠过程中的产妇健康问题:孕前、产前、围产期和产后健康问题。然而,缺乏应用人工智能方法来了解药物治疗如何影响妊娠的研究。我们确定了三个可以使用人工智能方法来提高我们对妊娠药物作用理解的领域,包括:(a)从临床记录中获取可靠的数据(15 项研究),(b)设计优化的动物实验来验证特定的假设(1 项研究),以及 (c)实施告知决策的决策支持系统(11 项研究)。我们发现的最大文献差距是关于使用人工智能方法优化与妊娠相关药物暴露相关的动物和人类之间的转化研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cca7/7473961/ce99c1e318a6/10928_2020_9685_Fig1_HTML.jpg

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