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人工智能时代食管静脉曲张出血的预测与治疗:综述

The Prediction and Treatment of Bleeding Esophageal Varices in the Artificial Intelligence Era: A Review.

作者信息

Murillo Pineda María Isabel, Siu Xiao Tania, Sanabria Herrera Edgar J, Ayala Aguilar Alberto, Arriaga Escamilla David, Aleman Reyes Alejandra M, Rojas Marron Andreina D, Fabila Lievano Roberto R, de Jesús Correa Gomez Jessica J, Martinez Ramirez Marily

机构信息

Primary Care, Universidad Católica de Honduras, Tegucigalpa, HND.

Radiology, Thomas Jefferson University Hospital, Philadelphia, USA.

出版信息

Cureus. 2024 Mar 8;16(3):e55786. doi: 10.7759/cureus.55786. eCollection 2024 Mar.

Abstract

Esophageal varices (EVs), a significant complication of cirrhosis, present a considerable challenge in clinical practice due to their high risk of bleeding and associated morbidity and mortality. This manuscript explores the transformative role of artificial intelligence (AI) in the management of EV, particularly in enhancing diagnostic accuracy and predicting bleeding risks. It underscores the potential of AI in offering noninvasive, efficient alternatives to traditional diagnostic methods such as esophagogastroduodenoscopy (EGD). The complexity of EV management is highlighted, necessitating a multidisciplinary approach that includes pharmacological therapy, endoscopic interventions, and, in some cases, surgical options tailored to individual patient profiles. Additionally, the paper emphasizes the importance of integrating AI into medical education and practice, preparing healthcare professionals for the evolving landscape of medical technology. It projects a future where AI significantly influences the management of gastrointestinal bleeding, improving clinical decision-making, patient outcomes, and overall healthcare efficiency. The study advocates for a patient-centered approach in healthcare, balancing the incorporation of innovative technologies with ethical principles and the diverse needs of patients to optimize treatment efficacy and enhance healthcare accessibility.

摘要

食管静脉曲张(EVs)是肝硬化的一种严重并发症,因其出血风险高以及相关的发病率和死亡率,在临床实践中构成了相当大的挑战。本手稿探讨了人工智能(AI)在食管静脉曲张管理中的变革性作用,特别是在提高诊断准确性和预测出血风险方面。它强调了人工智能在提供非侵入性、高效替代传统诊断方法(如食管胃十二指肠镜检查(EGD))方面的潜力。食管静脉曲张管理的复杂性得到了强调,这需要一种多学科方法,包括药物治疗、内镜干预,在某些情况下,还包括根据个体患者情况量身定制的手术选择。此外,本文强调了将人工智能融入医学教育和实践的重要性,为医疗保健专业人员应对不断发展的医疗技术格局做好准备。它预测了一个未来,即人工智能将对胃肠道出血的管理产生重大影响,改善临床决策、患者预后和整体医疗效率。该研究倡导在医疗保健中采用以患者为中心的方法,在将创新技术与伦理原则以及患者的多样化需求相结合之间取得平衡,以优化治疗效果并提高医疗可及性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5773/10999134/af4f5ae69ba7/cureus-0016-00000055786-i01.jpg

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