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医疗保健中的数字孪生:它是循证医学新时代的开端吗?一项批判性综述。

Digital Twins in Healthcare: Is It the Beginning of a New Era of Evidence-Based Medicine? A Critical Review.

作者信息

Armeni Patrizio, Polat Irem, De Rossi Leonardo Maria, Diaferia Lorenzo, Meregalli Severino, Gatti Anna

机构信息

LIFT Lab and CERGAS, GHNP Division and Claudio Demattè Research Division, SDA Bocconi School of Management, 20136 Milano, Italy.

LIFT Lab, Claudio Demattè Research Division and GHNP Division, SDA Bocconi School of Management, 20136 Milano, Italy.

出版信息

J Pers Med. 2022 Jul 30;12(8):1255. doi: 10.3390/jpm12081255.


DOI:10.3390/jpm12081255
PMID:36013204
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9410074/
Abstract

Digital Twins (DTs) are used in many different industries (e.g., manufacturing, construction, automotive, and aerospace), and there is an initial trend of applications in healthcare, mainly focusing on precision medicine. If their potential is fully unfolded, DTs will facilitate the as-yet-unrealized potential of connected care and alter the way lifestyle, health, wellness, and chronic disease will be managed in the future. To date, however, due to technical, regulatory and ethical roadblocks, there is no consensus as to what extent DTs in healthcare can introduce revolutionary applications in the next decade. In this review, we present the current applications of DTs covering multiple areas of healthcare (precision medicine, clinical trial design, and hospital operations) to identify the opportunities and the barriers that foster or hinder their larger and faster diffusion. Finally, we discuss the current findings, opportunities and barriers, and provide recommendations to facilitate the continuous development of DTs application in healthcare.

摘要

数字孪生(DTs)在许多不同行业(如制造业、建筑业、汽车业和航空航天业)都有应用,并且在医疗保健领域有初步的应用趋势,主要集中在精准医学方面。如果其潜力得到充分发挥,数字孪生将促进尚未实现的互联医疗潜力,并改变未来生活方式、健康、保健和慢性病的管理方式。然而,迄今为止,由于技术、监管和伦理障碍,对于未来十年医疗保健领域的数字孪生能在多大程度上引入革命性应用尚无共识。在本综述中,我们介绍了数字孪生在医疗保健多个领域(精准医学、临床试验设计和医院运营)的当前应用,以确定促进或阻碍其更广泛、更快传播的机遇和障碍。最后,我们讨论当前的研究结果、机遇和障碍,并提供建议以促进医疗保健领域数字孪生应用的持续发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64c8/9410074/6ac8662adbf2/jpm-12-01255-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64c8/9410074/3b7f49fca093/jpm-12-01255-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64c8/9410074/6ac8662adbf2/jpm-12-01255-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64c8/9410074/3b7f49fca093/jpm-12-01255-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64c8/9410074/6ac8662adbf2/jpm-12-01255-g002.jpg

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本文引用的文献

[1]
Digital Twins: From Personalised Medicine to Precision Public Health.

J Pers Med. 2021-7-29

[2]
The use of digital twins in healthcare: socio-ethical benefits and socio-ethical risks.

Life Sci Soc Policy. 2021-7-5

[3]
Digital Twins for Multiple Sclerosis.

Front Immunol. 2021

[4]
Using digital twins in viral infection.

Science. 2021-3-12

[5]
Reducing HbA1c in Type 2 Diabetes Using Digital Twin Technology-Enabled Precision Nutrition: A Retrospective Analysis.

Diabetes Ther. 2020-11

[6]
On the Integration of Agents and Digital Twins in Healthcare.

J Med Syst. 2020-8-4

[7]
The 'Digital Twin' to enable the vision of precision cardiology.

Eur Heart J. 2020-12-21

[8]
A Cell Atlas for the Mouse Brain.

Front Neuroinform. 2018-11-28

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