Bartl-Pokorny Katrin D, Zitta Claudia, Beirit Markus, Vogrinec Gunter, Schuller Björn W, Pokorny Florian B
Division of Phoniatrics, Medical University of Graz, Graz, Austria.
EIHW - Chair of Embedded Intelligence for Health Care and Wellbeing, University of Augsburg, Augsburg, Germany.
Front Digit Health. 2024 Nov 25;6:1459640. doi: 10.3389/fdgth.2024.1459640. eCollection 2024.
Over the last years, studies using artificial intelligence (AI) for the detection and prediction of diseases have increased and also concentrated more and more on vulnerable groups of individuals, such as infants. The release of ChatGPT demonstrated the potential of large language models (LLMs) and heralded a new era of AI with manifold application possibilities. However, the impact of this new technology on medical research cannot be fully estimated yet. In this work, we therefore aimed to summarise the most recent pre-ChatGPT developments in the field of automated detection and prediction of diseases and disease status in infants, i.e., within the first 12 months of life. For this, we systematically searched the scientific databases PubMed and IEEE Xplore for original articles published within the last five years preceding the release of ChatGPT (2018-2022). The search revealed 927 articles; a final number of 154 articles was included for review. First of all, we examined research activity over time. Then, we analysed the articles from 2022 for medical conditions, data types, tasks, AI approaches, and reported model performance. A clear trend of increasing research activity over time could be observed. The most recently published articles focused on medical conditions of twelve different ICD-11 categories; "certain conditions originating in the perinatal period" was the most frequently addressed disease category. AI models were trained with a variety of data types, among which clinical and demographic information and laboratory data were most frequently exploited. The most frequently performed tasks aimed to detect present diseases, followed by the prediction of diseases and disease status at a later point in development. Deep neural networks turned out as the most popular AI approach, even though traditional methods, such as random forests and support vector machines, still play a role-presumably due to their explainability or better suitability when the amount of data is limited. Finally, the reported performances in many of the reviewed articles suggest that AI has the potential to assist in diagnostic procedures for infants in the near future. LLMs will boost developments in this field in the upcoming years.
在过去几年中,使用人工智能(AI)进行疾病检测和预测的研究不断增加,并且越来越多地集中在弱势群体,如婴儿身上。ChatGPT的发布展示了大语言模型(LLMs)的潜力, heralded a new era of AI with manifold application possibilities. 然而,这项新技术对医学研究的影响尚未得到充分评估。因此,在这项工作中,我们旨在总结ChatGPT之前该领域在婴儿疾病自动检测和预测以及疾病状态方面的最新进展,即在生命的前12个月内。为此,我们系统地搜索了科学数据库PubMed和IEEE Xplore,以查找在ChatGPT发布前的过去五年(2018 - 2022年)内发表的原创文章。搜索共找到927篇文章;最终纳入154篇文章进行综述。首先,我们研究了随时间推移的研究活动。然后,我们分析了2022年的文章,涉及医疗状况、数据类型、任务、AI方法以及报告的模型性能。可以观察到研究活动随时间明显增加的趋势。最近发表的文章集中在十二种不同的ICD - 11类别的医疗状况上;“某些围产期起源的状况”是最常涉及的疾病类别。AI模型使用了多种数据类型进行训练,其中临床和人口统计信息以及实验室数据被最频繁地利用。最常执行的任务旨在检测当前疾病,其次是预测后期发育阶段的疾病和疾病状态。事实证明,深度神经网络是最受欢迎的AI方法,尽管传统方法,如随机森林和支持向量机,仍然发挥着作用——可能是由于它们的可解释性或在数据量有限时更好的适用性。最后,许多综述文章中报告的性能表明,AI在不久的将来有可能协助婴儿的诊断程序。大语言模型将在未来几年推动该领域的发展。