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心脏人工智能(CardioAI):一种基于多模态人工智能的系统,用于支持癌症治疗引起的心脏毒性的症状监测和风险预测。

CardioAI: A Multimodal AI-based System to Support Symptom Monitoring and Risk Prediction of Cancer Treatment-Induced Cardiotoxicity.

作者信息

Wu Siyi, Cao Weidan, Fu Shihan, Yao Bingsheng, Yang Ziqi, Yin Changchang, Mishra Varun, Addison Daniel, Zhang Ping, Wang Dakuo

机构信息

Northeastern University, Boston, Massachusetts, USA.

The Ohio State University, Columbus, Ohio, USA.

出版信息

Proc SIGCHI Conf Hum Factor Comput Syst. 2025;2025. doi: 10.1145/3706598.3714272. Epub 2025 Apr 25.

Abstract

Despite recent advances in cancer treatments that prolong patients' lives, treatment-induced cardiotoxicity (i.e., the various heart damages caused by cancer treatments) emerges as one major side effect. The clinical decision-making process of cardiotoxicity is challenging, as early symptoms may happen in non-clinical settings and are too subtle to be noticed until life-threatening events occur at a later stage; clinicians already have a high workload focusing on the cancer treatment, no additional effort to spare on the cardiotoxicity side effect. Our project starts with a participatory design study with 11 clinicians to understand their decision-making practices and their feedback on an initial design of an AI-based decision-support system. Based on their feedback, we then propose a multimodal AI system, CardioAI, that can integrate wearables data and voice assistant data to model a patient's cardiotoxicity risk to support clinicians' decision-making. We conclude our paper with a small-scale heuristic evaluation with four experts and the discussion of future design considerations.

摘要

尽管近期癌症治疗取得了进展,能够延长患者生命,但治疗引起的心脏毒性(即癌症治疗导致的各种心脏损害)却成为一个主要的副作用。心脏毒性的临床决策过程具有挑战性,因为早期症状可能出现在非临床环境中,而且过于细微,直到后期发生危及生命的事件才会被注意到;临床医生已经忙于专注癌症治疗的繁重工作,无暇顾及心脏毒性这一副作用。我们的项目始于一项参与式设计研究,与11名临床医生合作,以了解他们的决策实践以及他们对基于人工智能的决策支持系统初始设计的反馈。基于他们的反馈,我们随后提出了一个多模态人工智能系统CardioAI,它可以整合可穿戴设备数据和语音助手数据,以对患者的心脏毒性风险进行建模,从而支持临床医生的决策。我们在论文结尾对4位专家进行了小规模启发式评估,并讨论了未来的设计考量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/304c/12087674/101d433ec1e1/nihms-2078139-f0001.jpg

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