Vlad Adriana Liliana, Popazu Corina, Lescai Alina-Maria, Voinescu Doina Carina, Baltă Alexia Anastasia Ștefania
Faculty of Medicine and Pharmacy, "Dunărea de Jos" University of Galați, 800008 Galați, Romania.
"St. Apostle Andrei" Clinical Emergency County Hospital, 800578 Galați, Romania.
Medicina (Kaunas). 2025 Apr 9;61(4):689. doi: 10.3390/medicina61040689.
Artificial intelligence has emerged as a transformative tool in healthcare, offering capabilities such as early diagnosis, personalised treatment, and real-time patient monitoring. In the context of rheumatoid arthritis, a chronic autoimmune disease that demands timely intervention, artificial intelligence shows promise in overcoming diagnostic delays and optimising disease management. This study examines the role of artificial intelligence in the diagnosis and management of rheumatoid arthritis, focusing on perceived benefits, challenges, and acceptance levels among healthcare professionals and patients. A cross-sectional study was conducted using a detailed questionnaire distributed to 205 participants, including rheumatologists, general practitioners, and rheumatoid arthritis patients from Romania. The study used descriptive statistics, chi-square tests, and logistic regression to analyse AI acceptance in rheumatology. Data visualisation and multiple imputations addressed missing values, ensuring accuracy. Statistical significance was set at < 0.05 for hypothesis testing. Respondents with prior experience in artificial intelligence perceived it as more useful for early diagnosis and personalised management of RA ( < 0.001). Familiarity with artificial intelligence concepts positively correlated with acceptance in routine rheumatology practice (ρ = 1.066, < 0.001). The main barriers identified were high costs (36%), lack of medical staff training (37%), and concerns regarding diagnostic accuracy (21%). Although less frequently mentioned, data privacy concerns remained relevant for a subset of respondents. The study revealed that artificial intelligence could improve diagnostic accuracy and rheumatoid arthritis monitoring, being perceived as a valuable tool by professionals familiar with digital technologies. However, 42% of participants cited the lack of data standardisation across medical systems as a major barrier, underscoring the need for effective interoperability solutions. Artificial intelligence has the potential to revolutionise rheumatoid arthritis management through faster and more accurate diagnoses, personalised treatments, and optimised monitoring. Nevertheless, challenges such as costs, staff training, and data privacy need to be addressed to ensure efficient integration into clinical practice. Educational programmes and interdisciplinary collaboration are essential to increase artificial intelligence adoption in rheumatology.
人工智能已成为医疗保健领域的变革性工具,具备早期诊断、个性化治疗和实时患者监测等能力。在类风湿性关节炎(一种需要及时干预的慢性自身免疫性疾病)的背景下,人工智能在克服诊断延迟和优化疾病管理方面显示出前景。本研究探讨了人工智能在类风湿性关节炎诊断和管理中的作用,重点关注医疗保健专业人员和患者所感知到的益处、挑战以及接受程度。采用向来自罗马尼亚的205名参与者(包括风湿病学家、全科医生和类风湿性关节炎患者)分发详细问卷的方式进行了一项横断面研究。该研究使用描述性统计、卡方检验和逻辑回归来分析风湿病学中对人工智能的接受情况。数据可视化和多重插补处理了缺失值,确保了准确性。假设检验的统计学显著性设定为<0.05。有人工智能相关经验的受访者认为其对类风湿性关节炎的早期诊断和个性化管理更有用(<0.001)。对人工智能概念的熟悉程度与在常规风湿病学实践中的接受程度呈正相关(ρ = 1.066,<0.001)。确定的主要障碍包括成本高(36%)、医务人员缺乏培训(37%)以及对诊断准确性的担忧(21%)。虽然提及频率较低,但数据隐私问题对一部分受访者来说仍然很重要。研究表明,人工智能可以提高诊断准确性和类风湿性关节炎监测水平,被熟悉数字技术的专业人员视为有价值的工具。然而,42%的参与者指出医疗系统之间缺乏数据标准化是一个主要障碍,这凸显了有效互操作性解决方案的必要性。人工智能有潜力通过更快、更准确的诊断、个性化治疗和优化监测来彻底改变类风湿性关节炎的管理。尽管如此,需要解决成本、人员培训和数据隐私等挑战,以确保有效地融入临床实践。教育项目和跨学科合作对于增加人工智能在风湿病学中的应用至关重要。