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人工智能在风湿病学中意味着什么?

What does artificial intelligence mean in rheumatology?

作者信息

Chandwar Kunal, Prasanna Misra Durga

机构信息

Department of Clinical Immunology and Rheumatology, Sanjay Gandhi Postgraduate Institute of Medical Sciences (SGPGIMS), Lucknow, India.

出版信息

Arch Rheumatol. 2024 Feb 12;39(1):1-9. doi: 10.46497/ArchRheumatol.2024.10664. eCollection 2024 Mar.

Abstract

Intelligence is the ability of humans to learn from experiences to ascribe conscious weights and unconscious biases to modulate their outputs from given inputs. Transferring this ability to computers is artificial intelligence (AI). The ability of computers to understand data in an intelligent manner is machine learning. When such learning is with images and videos, which involves deeper layers of artificial neural networks, it is described as deep learning. Large language models are the latest development in AI which incorporate self-learning into deep learning through transformers. AI in Rheumatology has immense potential to revolutionize healthcare and research. Machine learning could aid clinical diagnosis and decision-making, and deep learning could extend this to analyze images of radiology or positron emission tomography scans or histopathology images to aid a clinician's diagnosis. Analysis of routinely obtained patient data or continuously collected information from wearables could predict disease flares. Analysis of high-volume genomics, transcriptomics, proteomics, or metabolomics data from patients could help identify novel markers of disease prognosis. AI might identify newer therapeutic targets based on in-silico modelling of omics data. AI could help automate medical administrative work such as inputting information into electronic health records or transcribing clinic notes. AI could help automate patient education and counselling. Beyond the clinic, AI has the potential to aid medical education. The ever-expanding capabilities of AI models bring along with them considerable ethical challenges, particularly related to risks of misuse. Nevertheless, the widespread use of AI in Rheumatology is inevitable and a progress with great potential.

摘要

智能是人类从经验中学习的能力,能够赋予意识权重和无意识偏差,以调节给定输入产生的输出。将这种能力赋予计算机就是人工智能(AI)。计算机以智能方式理解数据的能力就是机器学习。当这种学习涉及图像和视频,也就是涉及更深层次的人工神经网络时,就被称为深度学习。大语言模型是人工智能的最新发展成果,它通过变换器将自我学习融入深度学习。风湿病学中的人工智能在彻底改变医疗保健和研究方面具有巨大潜力。机器学习有助于临床诊断和决策,深度学习则可以进一步扩展,用于分析放射学图像、正电子发射断层扫描图像或组织病理学图像,以辅助临床医生进行诊断。对常规获取的患者数据或从可穿戴设备持续收集的信息进行分析,可以预测疾病发作。对患者的大量基因组学、转录组学、蛋白质组学或代谢组学数据进行分析,有助于识别疾病预后的新标志物。人工智能可以基于组学数据的计算机模拟识别新的治疗靶点。人工智能可以帮助实现医疗管理工作的自动化,比如将信息录入电子健康记录或转录临床笔记。人工智能还可以帮助实现患者教育和咨询的自动化。在临床之外,人工智能有潜力辅助医学教育。人工智能模型不断扩展的能力也带来了相当多的伦理挑战,特别是与滥用风险相关的挑战。尽管如此,人工智能在风湿病学中的广泛应用是不可避免的,也是具有巨大潜力的进步。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf9b/11104749/6c74a33a37c9/AR-2024-39-1-001-009-F1.jpg

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