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人工智能在肌肉骨骼疾病中的应用

Artificial intelligence in musculoskeletal conditions.

作者信息

Román-Belmonte Juan M, Corte-Rodríguez Hortensia De la, Rodríguez-Merchán Emérito Carlos

机构信息

Department of Physical Medicine and Rehabilitation, Cruz Roja San José y Santa Adela University Hospital, 28003 Madrid, Spain.

Department of Physical Medicine and Rehabilitation, La Paz University Hospital, 28046 Madrid, Spain.

出版信息

Front Biosci (Landmark Ed). 2021 Nov 30;26(11):1340-1348. doi: 10.52586/5027.

Abstract

Artificial intelligence (AI) is an iterative process by which information is captured, transformed into knowledge and processed to produce adaptive changes in the environment. AI is a broad concept, involving virtual (computing) and physical (robotics) elements. In this narrative literature review, we focus on the aspects of AI that present major opportunities for developing health care. Within a few years, AI will be part of our daily clinical practice. Although significant advances are being made, the application of AI in musculoskeletal medicine is still in its early stages compared with its implementation in other areas of medicine. AI is increasingly being employed in fields such as musculoskeletal radiology, skeletal trauma, orthopedic surgery, physical and rehabilitation medicine and sports medicine, as well as for "big data" and AI in gastrointestinal (GI) endoscopy related injuries. Among the limitations of IA are that it analyzes information based on the data it is supplied, which must therefore be well-labeled and that some algorithms such as DL uses more time, data, and computational power than other techniques. Moreover, AI currently does not solve the problem of causality that exists in medicine with observational data; information that physicians interpret within a broad clinical context. AI should therefore be integrated in a prudent and reasonable manner into the workflows of health professionals.

摘要

人工智能(AI)是一个迭代过程,通过该过程信息被捕获、转化为知识并进行处理,以在环境中产生适应性变化。人工智能是一个宽泛的概念,涉及虚拟(计算)和物理(机器人技术)元素。在这篇叙述性文献综述中,我们聚焦于人工智能在发展医疗保健方面呈现重大机遇的那些方面。在几年内,人工智能将成为我们日常临床实践的一部分。尽管正在取得重大进展,但与在医学其他领域的应用相比,人工智能在肌肉骨骼医学中的应用仍处于早期阶段。人工智能越来越多地应用于肌肉骨骼放射学、骨骼创伤、骨科手术、物理与康复医学以及运动医学等领域,以及用于胃肠道(GI)内镜相关损伤方面的“大数据”和人工智能。人工智能的局限性包括它基于所提供的数据来分析信息,因此这些数据必须有良好的标注,并且一些算法(如深度学习)比其他技术需要更多的时间、数据和计算能力。此外,人工智能目前无法解决医学中基于观察数据存在的因果关系问题;而医生是在广泛的临床背景下解读这些信息的。因此,应该以谨慎和合理的方式将人工智能整合到卫生专业人员的工作流程中。

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