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人工智能在伤口修复诊疗中的应用现状、挑战与前景

Current status, challenges, and prospects of artificial intelligence applications in wound repair theranostics.

作者信息

Liu Huazhen, Sun Wenbin, Cai Weihuang, Luo Kaidi, Lu Chunxiang, Jin Aoxiang, Zhang Jiantao, Liu Yuanyuan

机构信息

School of Medicine, Shanghai University, Shanghai, 200444, People's Republic of China.

School of Mechatronic Engineering and Automation, Shanghai University, Shanghai, People's Republic of China.

出版信息

Theranostics. 2025 Jan 2;15(5):1662-1688. doi: 10.7150/thno.105109. eCollection 2025.

Abstract

Skin injuries caused by physical, pathological, and chemical factors not only compromise appearance and barrier function but can also lead to life-threatening microbial infections, posing significant challenges for patients and healthcare systems. Artificial intelligence (AI) technology has demonstrated substantial advantages in processing and analyzing image information. Recently, AI-based methods and algorithms, including machine learning, deep learning, and neural networks, have been extensively explored in wound care and research, providing effective clinical decision support for wound diagnosis, treatment, prognosis, and rehabilitation. However, challenges remain in achieving a closed-loop care system for the comprehensive application of AI in wound management, encompassing wound diagnosis, monitoring, and treatment. This review comprehensively summarizes recent advancements in AI applications in wound repair. Specifically, it discusses AI's role in injury type classification, wound measurement (including area and depth), wound tissue type classification, wound monitoring and prediction, and personalized treatment. Additionally, the review addresses the challenges and limitations AI faces in wound management. Finally, recommendations for the application of AI in wound repair are proposed, along with an outlook on future research directions, aiming to provide scientific evidence and technological support for further advancements in AI-driven wound repair theranostics.

摘要

由物理、病理和化学因素引起的皮肤损伤不仅会损害外观和屏障功能,还可能导致危及生命的微生物感染,给患者和医疗系统带来重大挑战。人工智能(AI)技术在处理和分析图像信息方面已展现出显著优势。最近,基于AI的方法和算法,包括机器学习、深度学习和神经网络,已在伤口护理和研究中得到广泛探索,为伤口诊断、治疗、预后和康复提供有效的临床决策支持。然而,在实现AI在伤口管理中的全面应用的闭环护理系统方面仍存在挑战,该系统涵盖伤口诊断、监测和治疗。本综述全面总结了AI在伤口修复应用中的最新进展。具体而言,它讨论了AI在损伤类型分类、伤口测量(包括面积和深度)、伤口组织类型分类、伤口监测和预测以及个性化治疗中的作用。此外,该综述还阐述了AI在伤口管理中面临的挑战和局限性。最后,提出了AI在伤口修复中的应用建议以及对未来研究方向的展望,旨在为AI驱动的伤口修复诊疗学的进一步发展提供科学依据和技术支持。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf6b/11780524/152129371708/thnov15p1662g001.jpg

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