Envisionit Deep AI LTD, Coveham House, Downside Bridge Road, Cobham, KT11 3 EP, UK.
Department of Clinical Radiology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
Pediatr Radiol. 2023 Aug;53(9):1733-1745. doi: 10.1007/s00247-023-05606-9. Epub 2023 Jan 28.
Tuberculosis (TB) continues to be a leading cause of death in children despite global efforts focused on early diagnosis and interventions to limit the spread of the disease. This challenge has been made more complex in the context of the coronavirus pandemic, which has disrupted the "End TB Strategy" and framework set out by the World Health Organization (WHO). Since the inception of artificial intelligence (AI) more than 60 years ago, the interest in AI has risen and more recently we have seen the emergence of multiple real-world applications, many of which relate to medical imaging. Nonetheless, real-world AI applications and clinical studies are limited in the niche area of paediatric imaging. This review article will focus on how AI, or more specifically deep learning, can be applied to TB diagnosis and management in children. We describe how deep learning can be utilised in chest imaging to provide computer-assisted diagnosis to augment workflow and screening efforts. We also review examples of recent AI applications for TB screening in resource constrained environments and we explore some of the challenges and the future directions of AI in paediatric TB.
结核病(TB)仍然是导致儿童死亡的主要原因,尽管全球致力于早期诊断和干预措施以限制疾病传播。在冠状病毒大流行的背景下,这一挑战更加复杂,该大流行打乱了世界卫生组织(WHO)制定的“终结结核病战略”和框架。自 60 多年前人工智能(AI)问世以来,人们对 AI 的兴趣不断增加,最近我们看到了许多与医学成像相关的多种现实应用的出现。尽管如此,现实世界中的 AI 应用和临床研究在儿科成像这一利基领域受到限制。这篇综述文章将重点介绍人工智能,或者更具体地说是深度学习,如何应用于儿童结核病的诊断和管理。我们将描述深度学习如何在胸部成像中用于提供计算机辅助诊断,以增强工作流程和筛查工作。我们还回顾了资源有限环境中结核病筛查的一些最新 AI 应用实例,并探讨了人工智能在儿科结核病中的挑战和未来方向。