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采用人工智能在心血管医学中的应用:范围综述。

Adopting artificial intelligence in cardiovascular medicine: a scoping review.

机构信息

Data Science Center/Cardiovascular Center, Jichi Medical University, Shimotsuke, Japan.

出版信息

Hypertens Res. 2024 Mar;47(3):685-699. doi: 10.1038/s41440-023-01469-7. Epub 2023 Oct 31.

DOI:10.1038/s41440-023-01469-7
PMID:37907600
Abstract

Recent years have witnessed significant transformations in cardiovascular medicine, driven by the rapid evolution of artificial intelligence (AI). This scoping review was conducted to capture the breadth of AI applications within cardiovascular science. Employing a structured approach, we sourced relevant articles from PubMed, with an emphasis on journals encompassing general cardiology and digital medicine. We applied filters to highlight cardiovascular articles published in journals focusing on general internal medicine, cardiology and digital medicine, thereby identifying the prevailing trends in the field. Following a comprehensive full-text screening, a total of 140 studies were identified. Over the preceding 5 years, cardiovascular medicine's interplay with AI has seen an over tenfold augmentation. This expansive growth encompasses multiple cardiovascular subspecialties, including but not limited to, general cardiology, ischemic heart disease, heart failure, and arrhythmia. Deep learning emerged as the predominant methodology. The majority of AI endeavors in this domain have been channeled toward enhancing diagnostic and prognostic capabilities, utilizing resources such as hospital datasets, electrocardiograms, and echocardiography. A significant uptrend was observed in AI's application for omics data analysis. However, a clear gap persists in AI's full-scale integration into the clinical decision-making framework. AI, particularly deep learning, has demonstrated robust applications across cardiovascular subspecialties, indicating its transformative potential in this field. As we continue on this trajectory, ensuring the alignment of technological progress with medical ethics becomes crucial. The abundant digital health data today further accentuates the need for meticulous systematic reviews, tailoring them to each cardiovascular subspecialty.

摘要

近年来,人工智能(AI)的飞速发展推动了心血管医学的重大变革。本范围综述旨在捕捉心血管科学中 AI 应用的广泛性。我们采用结构化方法从 PubMed 中获取相关文章,重点关注涵盖一般心脏病学和数字医学的期刊。我们应用过滤器突出显示在专注于普通内科、心脏病学和数字医学的期刊上发表的心血管文章,从而确定该领域的流行趋势。经过全面的全文筛选,共确定了 140 项研究。在过去的 5 年中,心血管医学与 AI 的相互作用增加了十倍以上。这种广泛的增长涵盖了多个心血管亚专业,包括但不限于一般心脏病学、缺血性心脏病、心力衰竭和心律失常。深度学习成为主要方法。该领域的大多数 AI 工作都致力于增强诊断和预后能力,利用医院数据集、心电图和超声心动图等资源。AI 在分析组学数据方面的应用呈显著上升趋势。然而,AI 全面融入临床决策框架仍存在明显差距。人工智能,特别是深度学习,已在心血管亚专业中得到广泛应用,表明其在该领域具有变革性潜力。随着我们继续沿着这条轨迹前进,确保技术进步与医疗伦理保持一致变得至关重要。如今丰富的数字健康数据进一步强调了需要对每个心血管亚专业进行细致的系统评价。

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