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用于心力衰竭的人工智能、可穿戴设备及远程监测:当前及未来应用

Artificial Intelligence, Wearables and Remote Monitoring for Heart Failure: Current and Future Applications.

作者信息

Gautam Nitesh, Ghanta Sai Nikhila, Mueller Joshua, Mansour Munthir, Chen Zhongning, Puente Clara, Ha Yu Mi, Tarun Tushar, Dhar Gaurav, Sivakumar Kalai, Zhang Yiye, Halimeh Ahmed Abu, Nakarmi Ukash, Al-Kindi Sadeer, DeMazumder Deeptankar, Al'Aref Subhi J

机构信息

Department of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA.

Department of Internal Medicine, University of Arkansas for Medical Sciences Northwest Regional Campus, Fayetteville, AR 72703, USA.

出版信息

Diagnostics (Basel). 2022 Nov 26;12(12):2964. doi: 10.3390/diagnostics12122964.

Abstract

Substantial milestones have been attained in the field of heart failure (HF) diagnostics and therapeutics in the past several years that have translated into decreased mortality but a paradoxical increase in HF-related hospitalizations. With increasing data digitalization and access, remote monitoring via wearables and implantables have the potential to transform ambulatory care workflow, with a particular focus on reducing HF hospitalizations. Additionally, artificial intelligence and machine learning (AI/ML) have been increasingly employed at multiple stages of healthcare due to their power in assimilating and integrating multidimensional multimodal data and the creation of accurate prediction models. With the ever-increasing troves of data, the implementation of AI/ML algorithms could help improve workflow and outcomes of HF patients, especially time series data collected via remote monitoring. In this review, we sought to describe the basics of AI/ML algorithms with a focus on time series forecasting and the current state of AI/ML within the context of wearable technology in HF, followed by a discussion of the present limitations, including data integration, privacy, and challenges specific to AI/ML application within healthcare.

摘要

在过去几年中,心力衰竭(HF)诊断和治疗领域取得了重大进展,这已转化为死亡率的降低,但与HF相关的住院率却出现了反常的上升。随着数据数字化程度和获取便利性的提高,通过可穿戴设备和植入式设备进行远程监测有潜力改变门诊护理工作流程,尤其注重减少HF住院率。此外,由于人工智能和机器学习(AI/ML)在吸收和整合多维度多模态数据以及创建准确预测模型方面的强大能力,它们在医疗保健的多个阶段得到了越来越广泛的应用。随着数据量的不断增加,AI/ML算法的应用有助于改善HF患者的工作流程和治疗结果,特别是通过远程监测收集的时间序列数据。在本综述中,我们试图描述AI/ML算法的基础知识,重点是时间序列预测以及HF领域中可穿戴技术背景下AI/ML的现状,随后讨论当前的局限性,包括数据整合、隐私以及AI/ML在医疗保健应用中的特定挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5777/9777312/f6832909a40a/diagnostics-12-02964-g001.jpg

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