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人工智能在急性阑尾炎诊断和治疗中的应用:一篇叙述性综述。

Artificial intelligence in the diagnosis and treatment of acute appendicitis: a narrative review.

机构信息

Emergency Surgery and Trauma Center, Department of Abdominal and Endocrine Metabolic Medical and Surgical Sciences, IRCCS, Fondazione Policlinico Universitario A Gemelli, Largo Agostino Gemelli 8, 00168, Rome, Italy.

General Surgery Operative Unit, Vittorio Emanuele Hospital, 93012, Gela, Italy.

出版信息

Updates Surg. 2024 Jun;76(3):783-792. doi: 10.1007/s13304-024-01801-x. Epub 2024 Mar 12.

Abstract

Artificial intelligence is transforming healthcare. Artificial intelligence can improve patient care by analyzing large amounts of data to help make more informed decisions regarding treatments and enhance medical research through analyzing and interpreting data from clinical trials and research projects to identify subtle but meaningful trends beyond ordinary perception. Artificial intelligence refers to the simulation of human intelligence in computers, where systems of artificial intelligence can perform tasks that require human-like intelligence like speech recognition, visual perception, pattern-recognition, decision-making, and language processing. Artificial intelligence has several subdivisions, including machine learning, natural language processing, computer vision, and robotics. By automating specific routine tasks, artificial intelligence can improve healthcare efficiency. By leveraging machine learning algorithms, the systems of artificial intelligence can offer new opportunities for enhancing both the efficiency and effectiveness of surgical procedures, particularly regarding training of minimally invasive surgery. As artificial intelligence continues to advance, it is likely to play an increasingly significant role in the field of surgical learning. Physicians have assisted to a spreading role of artificial intelligence in the last decade. This involved different medical specialties such as ophthalmology, cardiology, urology, but also abdominal surgery. In addition to improvements in diagnosis, ascertainment of efficacy of treatment and autonomous actions, artificial intelligence has the potential to improve surgeons' ability to better decide if acute surgery is indicated or not. The role of artificial intelligence in the emergency departments has also been investigated. We considered one of the most common condition the emergency surgeons have to face, acute appendicitis, to assess the state of the art of artificial intelligence in this frequent acute disease. The role of artificial intelligence in diagnosis and treatment of acute appendicitis will be discussed in this narrative review.

摘要

人工智能正在改变医疗保健。人工智能可以通过分析大量数据来帮助做出更明智的治疗决策,并且通过分析和解释临床试验和研究项目中的数据,以识别超出常规感知的微妙但有意义的趋势,从而增强医学研究。人工智能是指在计算机中模拟人类智能,人工智能系统可以执行需要人类智能的任务,例如语音识别、视觉感知、模式识别、决策和语言处理。人工智能有几个分支,包括机器学习、自然语言处理、计算机视觉和机器人技术。通过自动化特定的常规任务,人工智能可以提高医疗保健的效率。通过利用机器学习算法,人工智能系统可以为增强手术程序的效率和效果提供新的机会,特别是在微创外科手术的培训方面。随着人工智能的不断发展,它很可能在外科学习领域发挥越来越重要的作用。在过去的十年中,医生们已经看到人工智能在医疗领域的作用不断扩大。这涉及到不同的医学专业,如眼科、心脏病学、泌尿科,也包括腹部手术。除了在诊断、治疗效果评估和自主行动方面的改进外,人工智能还有可能提高外科医生的能力,更好地决定是否需要进行急性手术。人工智能在急诊部门的作用也得到了研究。我们考虑了急诊外科医生必须面对的最常见情况之一,即急性阑尾炎,以评估人工智能在这种常见急性疾病中的最新技术水平。本文将讨论人工智能在急性阑尾炎的诊断和治疗中的作用。

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