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基于人工智能的影像学在钝性胸部创伤诊断评估中的应用。

Diagnostic evaluation of blunt chest trauma by imaging-based application of artificial intelligence.

机构信息

The Department of Radiology, Tianjin University Tianjin Hospital, 406 Jiefang Southern Road, Tianjin, China; Graduate School, Tianjin University, Tianjin, China.

The Department of Radiology, Tianjin University Tianjin Hospital, 406 Jiefang Southern Road, Tianjin, China; Graduate School, Tianjin University, Tianjin, China.

出版信息

Am J Emerg Med. 2024 Nov;85:35-43. doi: 10.1016/j.ajem.2024.08.019. Epub 2024 Aug 15.

Abstract

Artificial intelligence (AI) is becoming increasingly integral in clinical practice, such as during imaging tasks associated with the diagnosis and evaluation of blunt chest trauma (BCT). Due to significant advances in imaging-based deep learning, recent studies have demonstrated the efficacy of AI in the diagnosis of BCT, with a focus on rib fractures, pulmonary contusion, hemopneumothorax and others, demonstrating significant clinical progress. However, the complicated nature of BCT presents challenges in providing a comprehensive diagnosis and prognostic evaluation, and current deep learning research concentrates on specific clinical contexts, limiting its utility in addressing BCT intricacies. Here, we provide a review of the available evidence surrounding the potential utility of AI in BCT, and additionally identify the challenges impeding its development. This review offers insights on how to optimize the role of AI in the diagnostic evaluation of BCT, which can ultimately enhance patient care and outcomes in this critical clinical domain.

摘要

人工智能(AI)在临床实践中变得越来越重要,例如在与钝性胸部创伤(BCT)的诊断和评估相关的成像任务中。由于基于成像的深度学习取得了重大进展,最近的研究表明 AI 在 BCT 的诊断中的有效性,重点是肋骨骨折、肺挫伤、血气胸等,这展示了显著的临床进展。然而,BCT 的复杂性在提供全面诊断和预后评估方面带来了挑战,目前的深度学习研究集中在特定的临床环境中,限制了其在解决 BCT 复杂性方面的应用。在这里,我们回顾了围绕 AI 在 BCT 中应用潜力的现有证据,并确定了阻碍其发展的挑战。本综述提供了关于如何优化 AI 在 BCT 诊断评估中的作用的见解,这最终可以提高患者在这一关键临床领域的护理和预后效果。

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