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人工智能和机器学习在唇腭裂儿童中的临床应用——系统评价。

Clinical Applications of Artificial Intelligence and Machine Learning in Children with Cleft Lip and Palate-A Systematic Review.

机构信息

Orthodontic Unit, School of Dental Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kota Bharu 16150, Malaysia.

Craniofacial Imaging Lab, School of Dental Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kota Bharu 16150, Malaysia.

出版信息

Int J Environ Res Public Health. 2022 Aug 31;19(17):10860. doi: 10.3390/ijerph191710860.


DOI:10.3390/ijerph191710860
PMID:36078576
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9518587/
Abstract

OBJECTIVE: The objective of this systematic review was (a) to explore the current clinical applications of AI/ML (Artificial intelligence and Machine learning) techniques in diagnosis and treatment prediction in children with CLP (Cleft lip and palate), (b) to create a qualitative summary of results of the studies retrieved. MATERIALS AND METHODS: An electronic search was carried out using databases such as PubMed, Scopus, and the Web of Science Core Collection. Two reviewers searched the databases separately and concurrently. The initial search was conducted on 6 July 2021. The publishing period was unrestricted; however, the search was limited to articles involving human participants and published in English. Combinations of Medical Subject Headings (MeSH) phrases and free text terms were used as search keywords in each database. The following data was taken from the methods and results sections of the selected papers: The amount of AI training datasets utilized to train the intelligent system, as well as their conditional properties; Unilateral CLP, Bilateral CLP, Unilateral Cleft lip and alveolus, Unilateral cleft lip, Hypernasality, Dental characteristics, and sagittal jaw relationship in children with CLP are among the problems studied. RESULTS: Based on the predefined search strings with accompanying database keywords, a total of 44 articles were found in Scopus, PubMed, and Web of Science search results. After reading the full articles, 12 papers were included for systematic analysis. CONCLUSIONS: Artificial intelligence provides an advanced technology that can be employed in AI-enabled computerized programming software for accurate landmark detection, rapid digital cephalometric analysis, clinical decision-making, and treatment prediction. In children with corrected unilateral cleft lip and palate, ML can help detect cephalometric predictors of future need for orthognathic surgery.

摘要

目的:本系统评价的目的是:(a) 探索人工智能/机器学习 (AI/ML) 技术在唇腭裂 (CLP) 儿童诊断和治疗预测中的当前临床应用;(b) 对检索到的研究结果进行定性总结。

材料和方法:使用 PubMed、Scopus 和 Web of Science 核心合集等数据库进行电子搜索。两位评审员分别独立地进行搜索。初步搜索于 2021 年 7 月 6 日进行。出版时间不受限制;但是,搜索仅限于涉及人类参与者且以英文发表的文章。在每个数据库中,使用医学主题词 (MeSH) 短语和自由文本术语的组合作为搜索关键词。从选定论文的方法和结果部分提取了以下数据:用于训练智能系统的 AI 训练数据集的数量及其条件特性;单侧 CLP、双侧 CLP、单侧唇裂和牙槽裂、单侧唇裂、鼻音过高、牙齿特征和 CLP 儿童的矢状颌关系是研究的问题之一。

结果:根据带有附加数据库关键字的预定义搜索字符串,在 Scopus、PubMed 和 Web of Science 搜索结果中总共找到了 44 篇文章。在阅读全文后,有 12 篇文章被纳入系统分析。

结论:人工智能提供了一种先进的技术,可以应用于人工智能支持的计算机编程软件,以实现精确的地标检测、快速的数字头颅测量分析、临床决策和治疗预测。在单侧唇裂矫正后的儿童中,机器学习 (ML) 可以帮助检测未来需要正颌手术的头颅测量预测因子。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbd6/9518587/c86956da6e58/ijerph-19-10860-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbd6/9518587/c86956da6e58/ijerph-19-10860-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbd6/9518587/c86956da6e58/ijerph-19-10860-g001.jpg

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[6]
Identification of a Novel Variant of Associated with Nonsyndromic Cleft Lip and Palate in a Chinese Family.

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Artificial Intelligence in Medicine and Dentistry.

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[8]
Influence of growth structures and fixed appliances on automated cephalometric landmark recognition with a customized convolutional neural network.

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[9]
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[10]
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本文引用的文献

[1]
Current Applications of Artificial Intelligence in Cleft Care: A Scoping Review.

Front Med (Lausanne). 2021-7-28

[2]
Sagittal Jaw Relationship of Different Types of Cleft and Non-cleft Individuals.

Front Pediatr. 2021-5-5

[3]
Clinical applicability of automated cephalometric landmark identification: Part I-Patient-related identification errors.

Orthod Craniofac Res. 2021-12

[4]
Diagnostic accuracy of deep learning in medical imaging: a systematic review and meta-analysis.

NPJ Digit Med. 2021-4-7

[5]
Determination of prognostic factors for orthognathic surgery in children with cleft lip and/or palate.

Orthod Craniofac Res. 2021-12

[6]
Developments, application, and performance of artificial intelligence in dentistry - A systematic review.

J Dent Sci. 2021-1

[7]
Dental Characteristics of Different Types of Cleft and Non-cleft Individuals.

Front Cell Dev Biol. 2020-8-25

[8]
Machine learning in prediction of genetic risk of nonsyndromic oral clefts in the Brazilian population.

Clin Oral Investig. 2021-3

[9]
Effects of Multiple Factors on Treatment Outcome in the Three-Dimensional Maxillary Arch Morphometry of Children With Unilateral Cleft Lip and Palate.

J Craniofac Surg. 2020-9

[10]
Cleft prediction before birth using deep neural network.

Health Informatics J. 2020-12

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