Hastings Natasha, Samuel Dany, Ansari Aariz N, Kaurani Purvi, J Jenkin Winston, Bhandary Vaibhav S, Gautam Prabin, Tayyil Purayil Afsal Latheef, Hassan Taimur, Dinesh Eshwar Mummareddi, Nuthalapati Bala Sai Teja, Pothuri Jeevan Kumar, Ali Noor
School of Medicine, St. George's University School of Medicine, St. George's, GRD.
Radiology, Medical University of Varna, Varna, BGR.
Cureus. 2024 May 6;16(5):e59768. doi: 10.7759/cureus.59768. eCollection 2024 May.
Cerebrovascular accidents (CVAs) often occur suddenly and abruptly, leaving patients with long-lasting disabilities that place a huge emotional and economic burden on everyone involved. CVAs result when emboli or thrombi travel to the brain and impede blood flow; the subsequent lack of oxygen supply leads to ischemia and eventually tissue infarction. The most important factor determining the prognosis of CVA patients is time, specifically the time from the onset of disease to treatment. Artificial intelligence (AI)-assisted neuroimaging alleviates the time constraints of analysis faced using traditional diagnostic imaging modalities, thus shortening the time from diagnosis to treatment. Numerous recent studies support the increased accuracy and processing capabilities of AI-assisted imaging modalities. However, the learning curve is steep, and huge barriers still exist preventing a full-scale implementation of this technology. Thus, the potential for AI to revolutionize medicine and healthcare delivery demands attention. This paper aims to elucidate the progress of AI-powered imaging in CVA diagnosis while considering traditional imaging techniques and suggesting methods to overcome adoption barriers in the hope that AI-assisted neuroimaging will be considered normal practice in the near future. There are multiple modalities for AI neuroimaging, all of which require collecting sufficient data to establish inclusive, accurate, and uniform detection platforms. Future efforts must focus on developing methods for data harmonization and standardization. Furthermore, transparency in the explainability of these technologies needs to be established to facilitate trust between physicians and AI-powered technology. This necessitates considerable resources, both financial and expertise wise which are not available everywhere.
脑血管意外(CVA)通常突然发生,使患者留下长期残疾,给所有相关人员带来巨大的情感和经济负担。当栓子或血栓进入大脑并阻碍血流时,就会引发脑血管意外;随后的氧气供应不足会导致局部缺血,最终造成组织梗死。决定CVA患者预后的最重要因素是时间,特别是从疾病发作到治疗的时间。人工智能(AI)辅助神经成像缓解了使用传统诊断成像方式时所面临的分析时间限制,从而缩短了从诊断到治疗的时间。最近的大量研究支持了AI辅助成像方式在准确性和处理能力方面的提升。然而,学习曲线很陡,并且仍然存在巨大障碍,阻碍了这项技术的全面实施。因此,AI给医学和医疗保健带来变革的潜力值得关注。本文旨在阐明AI驱动的成像技术在CVA诊断方面的进展,同时考虑传统成像技术,并提出克服采用障碍的方法,希望在不久的将来,AI辅助神经成像将被视为常规做法。AI神经成像有多种模式,所有这些模式都需要收集足够的数据来建立全面、准确和统一的检测平台。未来的工作必须集中在开发数据协调和标准化的方法上。此外,需要建立这些技术可解释性的透明度,以促进医生与AI驱动技术之间的信任。这需要大量的资源,包括资金和专业知识,而并非所有地方都具备这些资源。