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[利用人工智能更快地诊断罕见病——伦理、经济与生活质量的准则]

[Faster diagnosis of rare diseases with artificial intelligence-A precept of ethics, economy and quality of life].

作者信息

Völkel Lukas, Wagner Annette D

机构信息

Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland.

Abteilung für Nieren- und Hochdruckerkrankungen, Ambulanz für seltene entzündliche Systemerkrankungen mit Nierenbeteiligung, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland.

出版信息

Inn Med (Heidelb). 2023 Nov;64(11):1033-1040. doi: 10.1007/s00108-023-01599-7. Epub 2023 Oct 20.

DOI:10.1007/s00108-023-01599-7
PMID:37861723
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10602953/
Abstract

BACKGROUND

Approximately 300 million people worldwide suffer from a rare disease. An optimal treatment requires a successful diagnosis. This takes a particularly long time, especially for rare diseases. Digital diagnosis support systems could be important aids in accelerating a successful diagnosis in the future.

OBJECTIVE

The current possibilities of digital diagnostic support systems in the diagnosis of rare diseases and questions that still need to be clarified are presented in relation to the parameters of ethics, economy and quality of life.

MATERIAL AND METHODS

Current research results of the authors were compiled and discussed in the context of the current literature. A case study is used to illustrate the potential of digital diagnostic support systems.

RESULTS

Digital diagnostic support systems and experts together can accelerate the successful diagnosis in patients with rare diseases. This could have a positive impact on patients' quality of life and lead to potential savings in direct and indirect costs in the healthcare system.

CONCLUSION

Ensuring data security, legal certainty and functionality in the use of digital diagnostic support systems is of great importance in order to create trust among experts and patients. Continuous further development of the systems by means of artificial intelligence (AI) could also enable patients to accelerate diagnosis in the future.

摘要

背景

全球约有3亿人患有罕见病。最佳治疗需要成功诊断。这尤其耗时,特别是对于罕见病而言。数字诊断支持系统可能是未来加速成功诊断的重要辅助手段。

目的

结合伦理、经济和生活质量参数,介绍数字诊断支持系统在罕见病诊断中的当前可能性以及仍需澄清的问题。

材料与方法

整理作者当前的研究结果,并结合当前文献进行讨论。通过一个案例研究来说明数字诊断支持系统的潜力。

结果

数字诊断支持系统与专家共同作用可加速罕见病患者的成功诊断。这可能对患者的生活质量产生积极影响,并在医疗系统中带来直接和间接成本的潜在节省。

结论

在使用数字诊断支持系统时确保数据安全、法律确定性和功能,对于在专家和患者之间建立信任非常重要。通过人工智能(AI)持续进一步开发这些系统,未来也可能使患者加速诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f11/10602953/2684c0e92e4d/108_2023_1599_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f11/10602953/3a68c063c8a3/108_2023_1599_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f11/10602953/688921a2f566/108_2023_1599_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f11/10602953/2684c0e92e4d/108_2023_1599_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f11/10602953/3a68c063c8a3/108_2023_1599_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f11/10602953/688921a2f566/108_2023_1599_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f11/10602953/2684c0e92e4d/108_2023_1599_Fig3_HTML.jpg

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本文引用的文献

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(De)troubling transparency: artificial intelligence (AI) for clinical applications.令人不安的透明度:临床应用中的人工智能 (AI)。
Med Humanit. 2023 Mar;49(1):17-26. doi: 10.1136/medhum-2021-012318. Epub 2022 May 11.
3
Health economic benefits through the use of diagnostic support systems and expert knowledge.
通过使用诊断支持系统和专家知识获得健康经济效益。
BMC Health Serv Res. 2021 Sep 9;21(1):947. doi: 10.1186/s12913-021-06926-y.
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Diagnosis support systems for rare diseases: a scoping review.罕见病诊断支持系统:范围综述。
Orphanet J Rare Dis. 2020 Apr 16;15(1):94. doi: 10.1186/s13023-020-01374-z.
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Rare diseases 2030: how augmented AI will support diagnosis and treatment of rare diseases in the future.2030年的罕见病:增强人工智能将如何在未来支持罕见病的诊断和治疗
Ann Rheum Dis. 2020 Jun;79(6):740-743. doi: 10.1136/annrheumdis-2020-217125. Epub 2020 Mar 24.
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Improving rare disease classification using imperfect knowledge graph.利用不完善的知识图谱提高罕见病分类。
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Information needs of physicians regarding the diagnosis of rare diseases: a questionnaire-based study in Belgium.比利时一项基于问卷调查的研究:医生对罕见病诊断的信息需求。
Orphanet J Rare Dis. 2019 May 4;14(1):99. doi: 10.1186/s13023-019-1075-8.
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