Cascella Marco, Leoni Matteo L G, Shariff Mohammed Naveed, Varrassi Giustino
Anesthesia and Pain Medicine, Department of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", University of Salerno, 84081 Baronissi, Italy.
Department of Medical and Surgical Sciences and Translational Medicine, Sapienza University of Roma, 00185 Rome, Italy.
J Pers Med. 2024 Sep 16;14(9):983. doi: 10.3390/jpm14090983.
Pain diagnosis remains a challenging task due to its subjective nature, the variability in pain expression among individuals, and the difficult assessment of the underlying biopsychosocial factors. In this complex scenario, artificial intelligence (AI) can offer the potential to enhance diagnostic accuracy, predict treatment outcomes, and personalize pain management strategies. This review aims to dissect the current literature on computer-aided diagnosis methods. It also discusses how AI-driven diagnostic strategies can be integrated into multimodal models that combine various data sources, such as facial expression analysis, neuroimaging, and physiological signals, with advanced AI techniques. Despite the significant advancements in AI technology, its widespread adoption in clinical settings faces crucial challenges. The main issues are ethical considerations related to patient privacy, biases, and the lack of reliability and generalizability. Furthermore, there is a need for high-quality real-world validation and the development of standardized protocols and policies to guide the implementation of these technologies in diverse clinical settings.
由于疼痛具有主观性、个体间疼痛表现的变异性以及对潜在生物心理社会因素评估困难,疼痛诊断仍然是一项具有挑战性的任务。在这种复杂情况下,人工智能(AI)可以提供提高诊断准确性、预测治疗结果以及个性化疼痛管理策略的潜力。本综述旨在剖析有关计算机辅助诊断方法的当前文献。它还讨论了如何将人工智能驱动的诊断策略整合到多模态模型中,这些模型将各种数据源(如面部表情分析、神经成像和生理信号)与先进的人工智能技术相结合。尽管人工智能技术取得了重大进展,但其在临床环境中的广泛应用面临着关键挑战。主要问题是与患者隐私、偏差以及缺乏可靠性和通用性相关的伦理考量。此外,需要高质量的现实世界验证以及制定标准化协议和政策,以指导这些技术在不同临床环境中的实施。