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人工智能与间质性肺疾病:诊断与预后。

Artificial Intelligence and Interstitial Lung Disease: Diagnosis and Prognosis.

机构信息

From the ARTORG Center for Biomedical Engineering Research, University of Bern.

Diagnostic, Interventional, and Pediatric Radiology, Inselspital, Bern University Hospital, University of Bern.

出版信息

Invest Radiol. 2023 Aug 1;58(8):602-609. doi: 10.1097/RLI.0000000000000974. Epub 2023 Apr 11.

Abstract

Interstitial lung disease (ILD) is now diagnosed by an ILD-board consisting of radiologists, pulmonologists, and pathologists. They discuss the combination of computed tomography (CT) images, pulmonary function tests, demographic information, and histology and then agree on one of the 200 ILD diagnoses. Recent approaches employ computer-aided diagnostic tools to improve detection of disease, monitoring, and accurate prognostication. Methods based on artificial intelligence (AI) may be used in computational medicine, especially in image-based specialties such as radiology. This review summarises and highlights the strengths and weaknesses of the latest and most significant published methods that could lead to a holistic system for ILD diagnosis. We explore current AI methods and the data use to predict the prognosis and progression of ILDs. It is then essential to highlight the data that holds the most information related to risk factors for progression, e.g., CT scans and pulmonary function tests. This review aims to identify potential gaps, highlight areas that require further research, and identify the methods that could be combined to yield more promising results in future studies.

摘要

间质性肺疾病 (ILD) 现在由由放射科医生、肺病专家和病理学家组成的ILD 委员会进行诊断。他们会综合分析计算机断层扫描 (CT) 图像、肺功能测试、人口统计学信息和组织学,然后对 200 种 ILD 诊断中的一种达成共识。最近的方法采用计算机辅助诊断工具来提高疾病检测、监测和准确预后的能力。基于人工智能 (AI) 的方法可能会被应用于计算医学,尤其是在放射学等基于图像的专业领域。本综述总结并强调了最新且最重要的已发表方法的优缺点,这些方法可能会为ILD 诊断带来整体系统。我们探讨了目前用于预测ILD 预后和进展的 AI 方法和数据。然后,必须强调与进展风险因素最相关的数据,例如 CT 扫描和肺功能测试。本综述旨在确定潜在的差距,突出需要进一步研究的领域,并确定可能在未来研究中结合使用以获得更有前途结果的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dc5/10332653/c371bde72b05/ir-58-602-g002.jpg

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