Department of Physical Medicine and Rehabilitation, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India.
Department of Neurology, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India.
Proc Inst Mech Eng H. 2022 Oct;236(10):1478-1491. doi: 10.1177/09544119221122012. Epub 2022 Sep 23.
Artificial Intelligence in healthcare is growing quickly in diagnostics and treatment management. Despite the quantity and variety of studies its role in clinical care is not clear. To identify the evidence gaps and characteristics of the Artificial Intelligence and Machine Learning techniques in predicting/diagnosing the pain? Pubmed/Embase were searched from the inception to October 2021 for articles without any language restrictions specifically addressing the following: the accuracy of AI in pain considering Brain Imaging, Patient-reported measures, and Electrophysiology, the ability of AI to differentiate stratify severity/types of pain, the ability of AI to predict pain and lastly the most accurate AI technique for given inputs. All the included studies were on humans. Eight hundred forty abstracts were reviewed, and 23 articles were finally included. Identified records were independently screened and relevant data was extracted. We performed conceptual synthesis by grouping the studies using available concepts of AL/ML techniques in diagnosing pain. Then we summarized the number of features/physiological measurements. Structured tabulation synthesis was used to show patterns predictions along with a narrative commentary. A total of 23 articles, published between 2015 and 2020 from 12 countries were included. Most studies were experimental in design. The most common design was cross sectional. Chronic or acute pains were predicted more often. Compared to control, the pain prediction was in the range of 57%-96% by AI techniques. Support Vector Machine and deep learning showed higher accuracy for classifying pain. From this study, it can be inferred that AI/ML can be used to differentiate healthy controls from patients. It can also facilitate categorizing them into new and different clinical subgroups. Lastly, it can predict future pain. The limitations are with respect to studies done after the search period. AL/ ML has a supportive role in pain diagnostics.
人工智能在医疗诊断和治疗管理方面的应用正在迅速发展。尽管研究数量众多,种类繁多,但它在临床护理中的作用尚不清楚。为了确定人工智能和机器学习技术在预测/诊断疼痛方面的证据差距和特点,我们在 PubMed/Embase 上进行了搜索,检索时间从创建到 2021 年 10 月,没有任何语言限制,专门针对以下内容:考虑到脑成像、患者报告的测量和电生理学,人工智能在疼痛方面的准确性;人工智能区分和分层疼痛严重程度/类型的能力;人工智能预测疼痛的能力;最后,给定输入的最准确的人工智能技术。所有纳入的研究均针对人类。共审查了 844 篇摘要,最终纳入了 23 篇文章。确定的记录由独立筛选,提取了相关数据。我们使用现有的人工智能/机器学习技术诊断疼痛的概念对研究进行分组,然后对特征/生理测量的数量进行了概念综合。使用结构化制表综合法显示了预测模式,并附有叙述性评论。共有 23 篇文章,来自 12 个国家,发表于 2015 年至 2020 年之间。大多数研究为实验设计。最常见的设计是横断面设计。预测慢性或急性疼痛的情况更为常见。与对照组相比,人工智能技术预测疼痛的准确率在 57%至 96%之间。支持向量机和深度学习在疼痛分类方面显示出更高的准确性。从这项研究可以推断,人工智能/机器学习可用于区分健康对照者和患者。它还可以帮助将他们分类到新的和不同的临床亚组中。最后,它可以预测未来的疼痛。局限性在于搜索期后进行的研究。人工智能/机器学习在疼痛诊断方面具有辅助作用。
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