Jarvis Tyler, Thornburg Danielle, Rebecca Alanna M, Teven Chad M
Mayo Clinic Alix School of Medicine, Scottsdale, Ariz.
Division of Plastic and Reconstructive Surgery, Department of Surgery, Mayo Clinic, Phoenix, Ariz.
Plast Reconstr Surg Glob Open. 2020 Oct 29;8(10):e3200. doi: 10.1097/GOX.0000000000003200. eCollection 2020 Oct.
Artificial intelligence (AI) in healthcare delivery has become an important area of research due to the rapid progression of technology, which has allowed the growth of many processes historically reliant upon human input. AI has become particularly important in plastic surgery in a variety of settings. This article highlights current applications of AI in plastic surgery and discusses future implications. We further detail ethical issues that may arise in the implementation of AI in plastic surgery.
We conducted a systematic literature review of all electronically available publications in the PubMed, Scopus, and Web of Science databases as of February 5, 2020. All returned publications regarding the application of AI in plastic surgery were considered for inclusion.
Of the 89 novel articles returned, 14 satisfied inclusion and exclusion criteria. Articles procured from the references of those of the database search and those pertaining to historical and ethical implications were summarized when relevant.
Numerous applications of AI exist in plastic surgery. Big data, machine learning, deep learning, natural language processing, and facial recognition are examples of AI-based technology that plastic surgeons may utilize to advance their surgical practice. Like any evolving technology, however, the use of AI in healthcare raises important ethical issues, including patient autonomy and informed consent, confidentiality, and appropriate data use. Such considerations are significant, as high ethical standards are key to appropriate and longstanding implementation of AI.
由于技术的快速发展，医疗保健领域中的人工智能（AI）已成为一个重要的研究领域，这使得许多过去依赖人工输入的流程得以发展。人工智能在各种环境下的整形手术中变得尤为重要。本文重点介绍了人工智能在整形手术中的当前应用，并讨论了其未来影响。我们还进一步详细阐述了在整形手术中应用人工智能可能出现的伦理问题。
我们对截至2020年2月5日在PubMed、Scopus和科学引文索引数据库中所有可电子获取的出版物进行了系统的文献综述。所有返回的关于人工智能在整形手术中应用的出版物都被考虑纳入。
在返回的89篇新文章中，有14篇符合纳入和排除标准。从数据库搜索结果的参考文献中获取的文章以及与历史和伦理影响相关的文章在相关时进行了总结。
人工智能在整形手术中有众多应用。大数据、机器学习、深度学习、自然语言处理和面部识别等基于人工智能的技术是整形外科医生可用于推进其手术实践的例子。然而，与任何不断发展的技术一样，在医疗保健中使用人工智能会引发重要的伦理问题，包括患者自主权和知情同意、保密性以及数据的合理使用。这些考虑非常重要，因为高伦理标准是人工智能合理和长期应用的关键。
