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人工智能在诊断与介入放射学中的应用及挑战

Applications and challenges of artificial intelligence in diagnostic and interventional radiology.

作者信息

Waller Joseph, O'Connor Aisling, Rafaat Eleeza, Amireh Ahmad, Dempsey John, Martin Clarissa, Umair Muhammad

机构信息

Drexel University College of Medicine, USA.

University of Washington, Seattle, WA 98195, USA.

出版信息

Pol J Radiol. 2022 Feb 25;87:e113-e117. doi: 10.5114/pjr.2022.113531. eCollection 2022.

Abstract

PURPOSE

Machine learning (ML) and deep learning (DL) can be utilized in radiology to help diagnosis and for predicting management and outcomes based on certain image findings. DL utilizes convolutional neural networks (CNN) and may be used to classify imaging features. The objective of this literature review is to summarize recent publications highlighting the key ways in which ML and DL may be applied in radiology, along with solutions to the problems that this implementation may face.

MATERIAL AND METHODS

Twenty-one publications were selected from the primary literature through a PubMed search. The articles included in our review studied a range of applications of artificial intelligence in radiology.

RESULTS

The implementation of artificial intelligence in diagnostic and interventional radiology may improve image analysis, aid in diagnosis, as well as suggest appropriate interventions, clinical predictive modelling, and trainee education. Potential challenges include ethical concerns and the need for appropriate datasets with accurate labels and large sample sizes to train from. Additionally, the training data should be representative of the population to which the future ML platform will be applicable. Finally, machines do not disclose a statistical rationale when expounding on the task purpose, making them difficult to apply in medical imaging.

CONCLUSIONS

As radiologists report increased workload, utilization of artificial intelligence may provide improved outcomes in medical imaging by assisting, rather than guiding or replacing, radiologists. Further research should be done on the risks of AI implementation and how to most accurately validate the results.

摘要

目的

机器学习(ML)和深度学习(DL)可用于放射学,以帮助诊断,并根据某些图像发现预测治疗方案和结果。DL利用卷积神经网络(CNN),可用于对成像特征进行分类。本文献综述的目的是总结近期的出版物,突出ML和DL在放射学中的关键应用方式,以及实施过程中可能面临问题的解决方案。

材料与方法

通过PubMed检索从原始文献中筛选出21篇出版物。纳入我们综述的文章研究了人工智能在放射学中的一系列应用。

结果

人工智能在诊断和介入放射学中的应用可改善图像分析、辅助诊断、提出适当的干预措施、进行临床预测建模以及开展实习生教育。潜在挑战包括伦理问题,以及需要具有准确标签和大样本量的合适数据集进行训练。此外,训练数据应代表未来ML平台适用的人群。最后,机器在阐述任务目的时不会透露统计原理,这使得它们难以应用于医学成像。

结论

随着放射科医生报告工作量增加,人工智能的应用可通过辅助而非指导或取代放射科医生,在医学成像中提供更好的结果。应进一步研究人工智能实施的风险以及如何最准确地验证结果。

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