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人工智能辅助心房颤动诊断工具与技术的最新进展。

Recent advances in the tools and techniques for AI-aided diagnosis of atrial fibrillation.

作者信息

Islam Saiful, Islam Md Rashedul, Abedin Md Anwarul, Dökeroğlu Tansel, Rahman Mahmudur

机构信息

Department of Computer Engineering, Faculty of Engineering, TED University, Ankara 06420, Türkiye.

Department of Electrical and Electronic Engineering, Dhaka University of Engineering & Technology, Gazipur 1707, Bangladesh.

出版信息

Biophys Rev (Melville). 2025 Jan 15;6(1):011301. doi: 10.1063/5.0217416. eCollection 2025 Mar.

Abstract

Atrial fibrillation (AF) is recognized as a developing global epidemic responsible for a significant burden of morbidity and mortality. To counter this public health crisis, the advancement of artificial intelligence (AI)-aided tools and methodologies for the effective detection and monitoring of AF is becoming increasingly apparent. A unified strategy from the international research community is essential to develop effective intelligent tools and technologies to support the health professionals for effective surveillance and defense against AF. This review delves into the practical implications of AI-aided tools and techniques for AF detection across different clinical settings including screening, diagnosis, and ambulatory monitoring by reviewing the revolutionary research works. The key finding is that the advance in AI and its use for automatic detection of AF has achieved remarkable success, but collaboration between AI and human intelligence is required for trustworthy diagnostic of this life-threatening cardiac condition. Moreover, designing efficient and robust intelligent algorithms for onboard AF detection using portable and implementable computing devices with limited computation power and energy supply is a crucial research problem. As modern wearable devices are equipped with sophisticated embedded sensors, such as optical sensors and accelerometers, hence photoplethysmography and ballistocardiography signals could be explored as an affordable alternative to electrocardiography (ECG) signals for AF detection, particularly for the development of low-cost and miniature screening and monitoring devices.

摘要

心房颤动(AF)被认为是一种在全球范围内不断发展的流行病,会导致巨大的发病和死亡负担。为应对这一公共卫生危机,人工智能(AI)辅助工具和方法在有效检测和监测AF方面的进展日益显著。国际研究界采取统一战略对于开发有效的智能工具和技术至关重要,这些工具和技术可支持卫生专业人员对AF进行有效监测和防御。本综述通过回顾具有开创性的研究工作,深入探讨了AI辅助工具和技术在不同临床环境(包括筛查、诊断和动态监测)中对AF检测的实际影响。关键发现是,AI的进步及其在AF自动检测中的应用已取得显著成功,但对于这种危及生命的心脏疾病进行可靠诊断,需要AI与人类智能协作。此外,使用计算能力和能源供应有限的便携式且可实施的计算设备,设计用于机载AF检测的高效且强大的智能算法是一个关键研究问题。由于现代可穿戴设备配备了复杂的嵌入式传感器,如光学传感器和加速度计,因此光电容积脉搏波描记术和心冲击图信号可作为用于AF检测的心电图(ECG)信号的一种经济实惠的替代方案进行探索,特别是用于开发低成本和微型筛查及监测设备。

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本文引用的文献

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A Review on Atrial Fibrillation Detection From Ambulatory ECG.从动态心电图看心房颤动检测
IEEE Trans Biomed Eng. 2024 Mar;71(3):876-892. doi: 10.1109/TBME.2023.3321792. Epub 2024 Feb 26.

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