Li Xiaoguo, Kang Ning, Qi Xiaolong, Huang Yifei
CHESS Center, Institute of Portal Hypertension, The First Hospital of Lanzhou University, Lanzhou, China.
J Med Ultrason (2001). 2022 Jul;49(3):371-379. doi: 10.1007/s10396-021-01153-8. Epub 2021 Nov 17.
Clinically significant portal hypertension is associated with an increased risk of developing gastroesophageal varices and hepatic decompensation. Hepatic venous pressure gradient measurement and esophagogastroduodenoscopy are the gold-standard methods for assessing clinically significant portal hypertension and gastroesophageal varices, respectively. However, invasiveness, cost, and feasibility limit their widespread use, especially if repeated and serial evaluations are required to assess the efficacy of pharmacotherapy. Artificial intelligence describes a range of techniques that allow machines to perform tasks typically thought to require human reasoning and problem-solving skills. Artificial intelligence has made great strides in the field of medicine, and is also involved in portal hypertension diagnosis. Artificial intelligence tools will potentially transform our practice by leveraging massive amounts of data to personalize care to the right patient, in the right amount, at the right time. This review focuses on the recent advances in artificial intelligence for the noninvasive diagnosis of portal hypertension and gastroesophageal varices and monitoring of risk assessment of its complications in clinical practice.
具有临床意义的门静脉高压与发生胃食管静脉曲张和肝失代偿的风险增加相关。肝静脉压力梯度测量和食管胃十二指肠镜检查分别是评估具有临床意义的门静脉高压和胃食管静脉曲张的金标准方法。然而,其侵入性、成本和可行性限制了它们的广泛应用,尤其是在需要重复和系列评估以评估药物治疗效果时。人工智能描述了一系列技术,这些技术使机器能够执行通常被认为需要人类推理和解决问题能力的任务。人工智能在医学领域取得了巨大进展,也参与了门静脉高压的诊断。人工智能工具可能会通过利用大量数据在正确的时间为正确的患者提供适量的个性化护理来改变我们的医疗实践。本综述重点关注人工智能在门静脉高压和胃食管静脉曲张无创诊断以及临床实践中其并发症风险评估监测方面的最新进展。