Gubatan John, Levitte Steven, Patel Akshar, Balabanis Tatiana, Wei Mike T, Sinha Sidhartha R
Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Redwood City, CA 94063, United States.
World J Gastroenterol. 2021 May 7;27(17):1920-1935. doi: 10.3748/wjg.v27.i17.1920.
Inflammatory bowel disease (IBD) is a complex and multifaceted disorder of the gastrointestinal tract that is increasing in incidence worldwide and associated with significant morbidity. The rapid accumulation of large datasets from electronic health records, high-definition multi-omics (including genomics, proteomics, transcriptomics, and metagenomics), and imaging modalities (endoscopy and endomicroscopy) have provided powerful tools to unravel novel mechanistic insights and help address unmet clinical needs in IBD. Although the application of artificial intelligence (AI) methods has facilitated the analysis, integration, and interpretation of large datasets in IBD, significant heterogeneity in AI methods, datasets, and clinical outcomes and the need for unbiased prospective validations studies are current barriers to incorporation of AI into clinical practice. The purpose of this review is to summarize the most recent advances in the application of AI and machine learning technologies in the diagnosis and risk prediction, assessment of disease severity, and prediction of clinical outcomes in patients with IBD.
炎症性肠病(IBD)是一种复杂且多方面的胃肠道疾病,在全球范围内发病率呈上升趋势,且与显著的发病率相关。来自电子健康记录、高清多组学(包括基因组学、蛋白质组学、转录组学和宏基因组学)以及成像方式(内窥镜检查和内镜显微镜检查)的大量数据集的迅速积累,为揭示新的机制见解和帮助解决IBD中未满足的临床需求提供了强大工具。尽管人工智能(AI)方法的应用促进了IBD中大型数据集的分析、整合和解释,但AI方法、数据集和临床结果存在显著异质性,以及缺乏无偏倚的前瞻性验证研究,是目前将AI纳入临床实践的障碍。本综述的目的是总结AI和机器学习技术在IBD患者的诊断和风险预测、疾病严重程度评估以及临床结果预测中的最新应用进展。
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