Berger M, Licandro R, Nenning K-H, Langs G, Bonelli S B
Department of Neurology, Medical University of Vienna, Spitalgasse 23, 1090 Vienna, Austria.
Computational Imaging Research Lab, Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria.
Rev Neurol (Paris). 2025 May;181(5):420-424. doi: 10.1016/j.neurol.2025.03.006. Epub 2025 Apr 1.
In recent years, artificial intelligence (AI) has become an increasingly prominent focus of medical research, significantly impacting epileptology as well. Studies on deep learning (DL) and machine learning (ML) - the core of AI - have explored their applications in epilepsy imaging, primarily focusing on lesion detection, lateralization and localization of epileptogenic areas, postsurgical outcome prediction and automatic differentiation between people with epilepsy and healthy individuals. Various AI-driven approaches are being investigated across different neuroimaging modalities, with the ultimate goal of integrating these tools into clinical practice to enhance the diagnosis and treatment of epilepsy. As computing power continues to advance, the development, research integration, and clinical implementation of AI applications are expected to accelerate, making them even more effective and accessible. However, ensuring the safety of patient data will require strict regulatory measures. Despite these challenges, AI represents a transformative opportunity for medicine, particularly in epilepsy neuroimaging. Since ML and DL models thrive on large datasets, fostering collaborations and expanding open-access databases will become increasingly pivotal in the future.
近年来,人工智能(AI)已成为医学研究中日益突出的焦点,对癫痫学也产生了重大影响。对深度学习(DL)和机器学习(ML)——人工智能的核心——的研究探索了它们在癫痫成像中的应用,主要集中在病变检测、致痫区的定位与侧别、术后结果预测以及癫痫患者与健康个体之间的自动区分。目前正在针对不同的神经成像模式研究各种人工智能驱动的方法,最终目标是将这些工具整合到临床实践中,以加强癫痫的诊断和治疗。随着计算能力的不断进步,人工智能应用的开发、研究整合和临床实施预计将加速,使其更加有效且易于使用。然而,确保患者数据的安全将需要严格的监管措施。尽管存在这些挑战,但人工智能为医学带来了变革性机遇,尤其是在癫痫神经成像领域。由于机器学习和深度学习模型在大型数据集上表现出色,未来促进合作并扩大开放获取数据库将变得越来越关键。