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复苏中的人工智能与机器学习:正在进行的研究、新概念及关键挑战。

AI and machine learning in resuscitation: Ongoing research, new concepts, and key challenges.

作者信息

Okada Yohei, Mertens Mayli, Liu Nan, Lam Sean Shao Wei, Ong Marcus Eng Hock

机构信息

Duke-NUS Medical School, National University of Singapore, Singapore.

Preventive Services, Graduate School of Medicine, Kyoto University, Kyoto, Japan.

出版信息

Resusc Plus. 2023 Jul 28;15:100435. doi: 10.1016/j.resplu.2023.100435. eCollection 2023 Sep.

Abstract

AIM

Artificial intelligence (AI) and machine learning (ML) are important areas of computer science that have recently attracted attention for their application to medicine. However, as techniques continue to advance and become more complex, it is increasingly challenging for clinicians to stay abreast of the latest research. This overview aims to translate research concepts and potential concerns to healthcare professionals interested in applying AI and ML to resuscitation research but who are not experts in the field.

MAIN TEXT

We present various research including prediction models using structured and unstructured data, exploring treatment heterogeneity, reinforcement learning, language processing, and large-scale language models. These studies potentially offer valuable insights for optimizing treatment strategies and clinical workflows. However, implementing AI and ML in clinical settings presents its own set of challenges. The availability of high-quality and reliable data is crucial for developing accurate ML models. A rigorous validation process and the integration of ML into clinical practice is essential for practical implementation. We furthermore highlight the potential risks associated with self-fulfilling prophecies and feedback loops, emphasizing the importance of transparency, interpretability, and trustworthiness in AI and ML models. These issues need to be addressed in order to establish reliable and trustworthy AI and ML models.

CONCLUSION

In this article, we overview concepts and examples of AI and ML research in the resuscitation field. Moving forward, appropriate understanding of ML and collaboration with relevant experts will be essential for researchers and clinicians to overcome the challenges and harness the full potential of AI and ML in resuscitation.

摘要

目的

人工智能(AI)和机器学习(ML)是计算机科学的重要领域,最近因其在医学中的应用而受到关注。然而,随着技术不断进步且变得更加复杂,临床医生跟上最新研究的难度越来越大。本综述旨在将研究概念和潜在问题传达给有兴趣将AI和ML应用于复苏研究但并非该领域专家的医疗保健专业人员。

正文

我们介绍了各种研究,包括使用结构化和非结构化数据的预测模型、探索治疗异质性、强化学习、语言处理和大规模语言模型。这些研究可能为优化治疗策略和临床工作流程提供有价值的见解。然而,在临床环境中实施AI和ML也面临着一系列自身的挑战。高质量和可靠数据的可用性对于开发准确的ML模型至关重要。严格的验证过程以及将ML整合到临床实践中对于实际应用至关重要。我们还强调了与自我实现预言和反馈回路相关的潜在风险,强调了AI和ML模型中透明度、可解释性和可信度的重要性。为了建立可靠和值得信赖的AI和ML模型,需要解决这些问题。

结论

在本文中,我们概述了复苏领域中AI和ML研究的概念和示例。展望未来,对ML的适当理解以及与相关专家的合作对于研究人员和临床医生克服挑战并充分发挥AI和ML在复苏中的潜力至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59b0/10400904/a6361aae669a/gr1.jpg

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