School of Clinical Medicine, University of Cambridge, Cambridge, United Kingdom.
Department of Neurosurgery, Royal Preston Hospital, Preston, United Kingdom.
World Neurosurg. 2022 May;161:39-45. doi: 10.1016/j.wneu.2022.02.006. Epub 2022 Feb 5.
Intracranial aneurysms are a common asymptomatic vascular pathology, the rupture of which is a devastating event with a significant risk of morbidity and mortality. Aneurysm detection and risk stratification before rupture events are, therefore, imperative to guide prophylactic measures. Artificial intelligence has shown great promise in the management pathway of aneurysms, through automated detection, the prediction of rupture risk, and outcome prediction after treatment. The complementary use of these programs, in addition to clinical practice, has demonstrated high diagnostic and prognostic accuracy, with the potential to improve patient outcomes. In the present review, we explored the role and limitations of deep learning, a subfield of artificial intelligence, in the aneurysm patient journey. We have also briefly summarized the application of deep learning models in automated detection and prediction in cerebral arteriovenous malformations and Moyamoya disease.
颅内动脉瘤是一种常见的无症状血管病理学,其破裂是一种具有重大发病率和死亡率风险的破坏性事件。因此,在破裂事件之前进行动脉瘤检测和风险分层对于指导预防性措施至关重要。人工智能在动脉瘤的管理途径中显示出巨大的潜力,通过自动检测、破裂风险预测和治疗后的结果预测。这些程序与临床实践的互补使用,已经证明了其具有很高的诊断和预后准确性,有可能改善患者的预后。在本综述中,我们探讨了人工智能的一个子领域——深度学习在动脉瘤患者治疗过程中的作用和局限性。我们还简要总结了深度学习模型在脑动静脉畸形和烟雾病的自动检测和预测中的应用。