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外科医生能信任人工智能吗?关于外科手术中机器学习的观点以及可解释人工智能(XAI)的重要性。

Can surgeons trust AI? Perspectives on machine learning in surgery and the importance of eXplainable Artificial Intelligence (XAI).

作者信息

Brandenburg Johanna M, Müller-Stich Beat P, Wagner Martin, van der Schaar Mihaela

机构信息

Department of General, Visceral and Transplantation Surgery, Heidelberg University Hospital, Heidelberg, Germany.

National Center for Tumor Diseases (NCT), Heidelberg, Germany.

出版信息

Langenbecks Arch Surg. 2025 Jan 28;410(1):53. doi: 10.1007/s00423-025-03626-7.

DOI:10.1007/s00423-025-03626-7
PMID:39873858
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11775030/
Abstract

PURPOSE

This brief report aims to summarize and discuss the methodologies of eXplainable Artificial Intelligence (XAI) and their potential applications in surgery.

METHODS

We briefly introduce explainability methods, including global and individual explanatory features, methods for imaging data and time series, as well as similarity classification, and unraveled rules and laws.

RESULTS

Given the increasing interest in artificial intelligence within the surgical field, we emphasize the critical importance of transparency and interpretability in the outputs of applied models.

CONCLUSION

Transparency and interpretability are essential for the effective integration of AI models into clinical practice.

摘要

目的

本简要报告旨在总结和讨论可解释人工智能(XAI)的方法及其在手术中的潜在应用。

方法

我们简要介绍可解释性方法,包括全局和个体解释特征、成像数据和时间序列的方法,以及相似性分类、解开的规则和规律。

结果

鉴于手术领域对人工智能的兴趣日益增加,我们强调应用模型输出的透明度和可解释性至关重要。

结论

透明度和可解释性对于将人工智能模型有效整合到临床实践中至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8951/11775030/2ad52fb684f5/423_2025_3626_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8951/11775030/2ad52fb684f5/423_2025_3626_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8951/11775030/2ad52fb684f5/423_2025_3626_Fig1_HTML.jpg

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本文引用的文献

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2
Surgical data science - from concepts toward clinical translation.外科数据科学——从概念到临床转化。
Med Image Anal. 2022 Feb;76:102306. doi: 10.1016/j.media.2021.102306. Epub 2021 Nov 18.
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Automation of surgical skill assessment using a three-stage machine learning algorithm.使用三阶段机器学习算法实现手术技能评估自动化。
调查医疗保健系统中临床医生使用智能诊断临床决策支持系统的意图及影响因素:横断面调查
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Sci Rep. 2021 Mar 4;11(1):5197. doi: 10.1038/s41598-021-84295-6.
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Artificial Intelligence for Surgical Safety: Automatic Assessment of the Critical View of Safety in Laparoscopic Cholecystectomy Using Deep Learning.人工智能在手术安全中的应用:使用深度学习技术自动评估腹腔镜胆囊切除术的关键安全视野。
Ann Surg. 2022 May 1;275(5):955-961. doi: 10.1097/SLA.0000000000004351. Epub 2020 Nov 16.
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On the Interpretability of Artificial Intelligence in Radiology: Challenges and Opportunities.论人工智能在放射学中的可解释性:挑战与机遇
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