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肩关节置换术中的人工智能:它有多智能?

Artificial intelligence in shoulder arthroplasty: how smart is it?

作者信息

Kim Hyun Gon, Kim Su Cheol, Park Jong Hun, Kim Jae Soo, Kim Dae Yeung, Yoo Jae Chul

机构信息

Department of Orthopedic Surgery, Korea University Ansan Hospital, Ansan, Republic of Korea.

Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.

出版信息

JSES Int. 2024 Jul 20;9(3):988-993. doi: 10.1016/j.jseint.2024.07.002. eCollection 2025 May.

DOI:10.1016/j.jseint.2024.07.002
PMID:40486793
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12144956/
Abstract

BACKGROUND

The application of artificial intelligence (AI) is growing rapidly in many fields, and the medical field is no exception. The amount of information we collect before, during, and after surgery is growing exponentially, making the opportunity for AI applications to be integrated into our daily practice more and more apparent.

METHODS

A literature search was conducted in January 2024 using PubMed (MEDLINE), SCOPUS, and EMBASE databases. A critical analysis of the relevant literature on AI technology in shoulder arthroplasty was conducted.

RESULTS

In the field of shoulder arthroplasty, recent literature reports the predictive value of AI models in predicting length of hospital stay and health-care costs, predicting clinical outcomes and complications, and identifying implants. By leveraging machine learning before, during, and after surgery, surgeons can make clinical decisions, predict possible problems, estimate resources needed and clinical outcomes, and ultimately personalize care for each patient.

CONCLUSION

AI technology is becoming more and more advanced, especially in the medical field. By leveraging machine learning before, during, and after surgery, surgeons can make clinical decisions, predict possible problems, estimate resources needed and clinical outcomes, and ultimately personalize treatment for each patient. Because this technology is still in its infancy, there are several limitations to bringing it into the real-world clinical setting. However, it is advancing at a rapid pace, and therefore as a shoulder surgeon, you need to understand and be interested in AI technology.

摘要

背景

人工智能(AI)在许多领域的应用正在迅速增长,医学领域也不例外。我们在手术前、手术中和手术后收集的信息量呈指数级增长,这使得人工智能应用融入我们日常实践的机会越来越明显。

方法

2024年1月使用PubMed(MEDLINE)、SCOPUS和EMBASE数据库进行了文献检索。对肩关节置换术中人工智能技术的相关文献进行了批判性分析。

结果

在肩关节置换领域,最近的文献报道了人工智能模型在预测住院时间和医疗费用、预测临床结果和并发症以及识别植入物方面的预测价值。通过在手术前、手术中和手术后利用机器学习,外科医生可以做出临床决策,预测可能出现的问题,估计所需资源和临床结果,并最终为每个患者提供个性化护理。

结论

人工智能技术正变得越来越先进,尤其是在医学领域。通过在手术前、手术中和手术后利用机器学习,外科医生可以做出临床决策,预测可能出现的问题,估计所需资源和临床结果,并最终为每个患者提供个性化治疗。由于这项技术仍处于起步阶段,将其引入实际临床环境存在一些局限性。然而,它正在快速发展,因此作为一名肩关节外科医生,你需要了解并对人工智能技术感兴趣。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b93b/12144956/a6db18192965/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b93b/12144956/54b84439727f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b93b/12144956/a6db18192965/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b93b/12144956/54b84439727f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b93b/12144956/a6db18192965/gr2.jpg

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本文引用的文献

1
Artificial intelligence in orthopaedic surgery.骨科手术中的人工智能
Bone Joint Res. 2023 Jul 10;12(7):447-454. doi: 10.1302/2046-3758.127.BJR-2023-0111.R1.
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Glenoid component placement in reverse shoulder arthroplasty assisted with augmented reality through a head-mounted display leads to low deviation between planned and postoperative parameters.通过头戴式显示器在增强现实辅助下进行反肩关节置换术中的关节盂组件放置,可使计划参数与术后参数之间的偏差较小。
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Artificial intelligence for automated identification of total shoulder arthroplasty implants.
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Development of a machine learning algorithm to identify total and reverse shoulder arthroplasty implants from X-ray images.开发一种机器学习算法,用于从X射线图像中识别全肩关节置换和反肩关节置换植入物。
J Orthop. 2022 Nov 11;35:74-78. doi: 10.1016/j.jor.2022.11.004. eCollection 2023 Jan.
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Assessment of shoulder range of motion using a commercially available wearable sensor-a validation study.使用市售可穿戴传感器评估肩部活动范围——一项验证研究。
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Current understanding on artificial intelligence and machine learning in orthopaedics - A scoping review.骨科领域对人工智能和机器学习的当前理解——一项范围综述。
J Orthop. 2022 Aug 26;34:201-206. doi: 10.1016/j.jor.2022.08.020. eCollection 2022 Nov-Dec.
7
Prediction of total healthcare cost following total shoulder arthroplasty utilizing machine learning.利用机器学习预测全肩关节置换术后的总医疗费用。
J Shoulder Elbow Surg. 2022 Dec;31(12):2449-2456. doi: 10.1016/j.jse.2022.07.013. Epub 2022 Aug 22.
8
Early clinical outcomes following navigation-assisted baseplate fixation in reverse total shoulder arthroplasty: a matched cohort study.导航辅助底座板固定在反式全肩关节置换术后的早期临床结果:一项匹配队列研究。
J Shoulder Elbow Surg. 2023 Feb;32(2):302-309. doi: 10.1016/j.jse.2022.07.007. Epub 2022 Aug 20.
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Artificial intelligence in arthroplasty.人工关节置换术中的人工智能
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Machine learning and conventional statistics: making sense of the differences.机器学习和传统统计学:理解差异。
Knee Surg Sports Traumatol Arthrosc. 2022 Mar;30(3):753-757. doi: 10.1007/s00167-022-06896-6. Epub 2022 Feb 2.