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人工智能将如何改变炎症性肠病的临床护理、研究和试验。

How Artificial Intelligence Will Transform Clinical Care, Research, and Trials for Inflammatory Bowel Disease.

作者信息

Silverman Anna L, Shung Dennis, Stidham Ryan W, Kochhar Gursimran S, Iacucci Marietta

机构信息

Division of Gastroenterology and Hepatology, Department of Internal Medicine, Mayo Clinic, Scottsdale, Arizona.

Section of Digestive Diseases, Department of Medicine, Yale School of Medicine, Yale University, New Haven, Connecticut.

出版信息

Clin Gastroenterol Hepatol. 2025 Feb;23(3):428-439.e4. doi: 10.1016/j.cgh.2024.05.048. Epub 2024 Jul 9.

DOI:10.1016/j.cgh.2024.05.048
PMID:38992406
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11719376/
Abstract

Artificial intelligence (AI) refers to computer-based methodologies that use data to teach a computer to solve pre-defined tasks; these methods can be applied to identify patterns in large multi-modal data sources. AI applications in inflammatory bowel disease (IBD) includes predicting response to therapy, disease activity scoring of endoscopy, drug discovery, and identifying bowel damage in images. As a complex disease with entangled relationships between genomics, metabolomics, microbiome, and the environment, IBD stands to benefit greatly from methodologies that can handle this complexity. We describe current applications, critical challenges, and propose future directions of AI in IBD.

摘要

人工智能(AI)是指基于计算机的方法,这些方法利用数据来训练计算机解决预定义任务;这些方法可用于识别大型多模态数据源中的模式。人工智能在炎症性肠病(IBD)中的应用包括预测治疗反应、内镜检查的疾病活动评分、药物发现以及识别图像中的肠道损伤。作为一种在基因组学、代谢组学、微生物群和环境之间存在复杂关系的疾病,炎症性肠病将从能够处理这种复杂性的方法中受益匪浅。我们描述了人工智能在炎症性肠病中的当前应用、关键挑战,并提出了未来的发展方向。

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本文引用的文献

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Algorithmic Identification of Treatment-Emergent Adverse Events From Clinical Notes Using Large Language Models: A Pilot Study in Inflammatory Bowel Disease.利用大型语言模型从临床记录中算法识别治疗相关不良事件:炎症性肠病的初步研究。
Clin Pharmacol Ther. 2024 Jun;115(6):1391-1399. doi: 10.1002/cpt.3226. Epub 2024 Mar 8.
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Long-term follow-up of the red density pilot trial: a basis for long-term prediction of sustained clinical remission in ulcerative colitis?红色密度先导试验的长期随访:溃疡性结肠炎持续临床缓解长期预测的基础?
Endosc Int Open. 2023 Sep 27;11(9):E880-E884. doi: 10.1055/a-2153-7210. eCollection 2023 Sep.
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用于炎症性肠病的内镜和超声成像中的人工智能
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The impact of artificial intelligence on the endoscopic assessment of inflammatory bowel disease-related neoplasia.人工智能对炎症性肠病相关肿瘤内镜评估的影响。
Therap Adv Gastroenterol. 2025 Jun 23;18:17562848251348574. doi: 10.1177/17562848251348574. eCollection 2025.
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Diagnostic Methods and Biomarkers in Inflammatory Bowel Disease.炎症性肠病的诊断方法和生物标志物
Diagnostics (Basel). 2025 May 22;15(11):1303. doi: 10.3390/diagnostics15111303.
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Perception and Understanding of Artificial Intelligence Among Gastroenterology Fellows and Early Career Gastroenterologists: A Nationwide Cross-Sectional Survey Study.胃肠病学研究员和早期职业胃肠病学家对人工智能的认知与理解:一项全国性横断面调查研究
Dig Dis Sci. 2025 Apr 24. doi: 10.1007/s10620-025-09067-y.
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Artificial Intelligence in Inflammatory Bowel Disease Endoscopy.炎症性肠病内镜检查中的人工智能
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Genes (Basel). 2024 Nov 29;15(12):1548. doi: 10.3390/genes15121548.
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