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人工智能在中风管理中的应用:范围综述

Use of artificial intelligence in the management of stroke: scoping review.

作者信息

Melo Sierra Nicolas, Hernández Rincón Erwin Hernando, Osorio Betancourt Gabriela Alejandra, Ramos Chaparro Paula Andrea, Diaz Quijano Diana Marcela, Barbosa Samuel David, Hernandez Restrepo Michel, Uriza Sinisterra Gustavo

机构信息

Faculty of Medicine, Universidad de La Sabana, Chía, Colombia.

Department of Family Medicine and Public Health, Universidad de La Sabana, Chía, Colombia.

出版信息

Front Radiol. 2025 May 23;5:1593397. doi: 10.3389/fradi.2025.1593397. eCollection 2025.


DOI:10.3389/fradi.2025.1593397
PMID:40487839
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12141347/
Abstract

INTRODUCTION: Stroke is a condition that is more predominant in developed countries. However, it continues to be considered a high-cost health pathology worldwide, both in the medium and long term. Therefore, diagnosis, treatment, and rehabilitation are vital. Additionally, the assistance of artificial intelligence in these three principles has been increasing, given its effectiveness and efficiency in performance. OBJECTIVE: This study analyzes the available evidence regarding the use of artificial intelligence in primary care for stroke patients. METHODS: A scoping review was conducted on three indexed databases, Science Direct, Web of Science, and PubMed, resulting in the identification of 1,382 articles. Initially, these terms were filtered on the basis of the year of publication and language. A second distinction was subsequently made through the title and abstract of each publication. RESULTS: A total of 33 articles summarizing 5 categories were selected: healthcare from a general point of view; stroke prediction; the diagnosis and treatment of both stroke and its sequelae; the risk of death in the poststroke period; and the assistance of AI in some specialties related to the disease. CONCLUSION: Artificial intelligence has the potential to improve stroke care, but more research is still needed to evaluate its performance in clinical practice. INTRODUCCIÓN: El accidente cerebrovascular es una condición predominante en los países desarrollados. A pesar de esto, es una patología de salud de alto costo en todo el mundo, tanto a mediano como a largo plazo. Por lo tanto, el diagnóstico, el tratamiento y la rehabilitación son de vital importancia. Por lo anterior, la asistencia de la inteligencia artificial en estos tres principios ha ido en aumento, dada su eficacia y eficiencia en el desempeño. OBJETIVO: Este estudio analiza la evidencia disponible sobre el uso de la Inteligencia Artificial en la atención primaria para el accidente cerebrovascular. MÉTODOS: Se realizó una revisión tipo Scoping Review en tres bases de datos indexadas: Science Direct, Web of Science y PubMed, lo que resultó en la identificación de 1,382 artículos. Inicialmente, estos se filtraron en función del año de publicación y el idioma. Posteriormente, se realizó una segunda distinción a través del título y el resumen de cada publicación. RESULTADOS: Se seleccionaron un total de 33 artículos, que se seleccionaron en 5 categorías: atención médica desde un punto de vista general; predicción de accidente cerebrovascular; diagnóstico y tratamiento tanto del accidente cerebrovascular como de sus secuelas; riesgo de muerte en el período posterior al accidente cerebrovascular; y finalmente, la asistencia de la Inteligencia Artificial en algunas especialidades relacionadas con la enfermedad. CONCLUSIÓN: La Inteligencia Artificial tiene el potencial de mejorar la atención del accidente cerebrovascular, pero aún se necesitan más investigaciones para evaluar su desempeño en la práctica clínica.

摘要

引言:中风在发达国家更为常见。然而,从中长期来看,它在全球范围内仍是一种高成本的健康病理状况。因此,诊断、治疗和康复至关重要。此外,鉴于人工智能在性能方面的有效性和效率,其在这三个方面的辅助作用一直在增加。 目的:本研究分析了有关人工智能在中风患者初级护理中应用的现有证据。 方法:对三个索引数据库——科学Direct、科学网和PubMed进行了范围综述,共识别出1382篇文章。最初,根据出版年份和语言对这些文章进行筛选。随后,通过每篇出版物的标题和摘要进行二次筛选。 结果:共选择了33篇文章,归纳为5类:一般医疗保健;中风预测;中风及其后遗症的诊断和治疗;中风后死亡风险;以及人工智能在与该疾病相关的一些专科中的辅助作用。 结论:人工智能有改善中风护理的潜力,但仍需要更多研究来评估其在临床实践中的表现。

引言:脑血管意外在发达国家是一种常见病症。尽管如此,从中长期来看,它在全世界都是一种高成本的健康病理状况。因此,诊断、治疗和康复至关重要。因此,鉴于人工智能在性能方面的有效性和效率,其在这三个方面的辅助作用一直在增加。 目的:本研究分析了有关人工智能在脑血管意外初级护理中应用的现有证据。 方法:在三个索引数据库——科学Direct、科学网和PubMed上进行了范围综述,结果识别出1382篇文章。最初,根据出版年份和语言对这些文章进行筛选。随后,通过每篇出版物的标题和摘要进行二次筛选。 结果:总共选择了33篇文章,分为5类:一般医疗护理;脑血管意外预测;脑血管意外及其后遗症的诊断和治疗;脑血管意外后死亡风险;最后,人工智能在与该疾病相关的一些专科中的辅助作用。 结论:人工智能有改善脑血管意外护理的潜力,但仍需要更多研究来评估其在临床实践中的表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3590/12141347/af7b791064b3/fradi-05-1593397-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3590/12141347/af7b791064b3/fradi-05-1593397-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3590/12141347/af7b791064b3/fradi-05-1593397-g001.jpg

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本文引用的文献

[1]
Hemorrhage Evaluation and Detector System for Underserved Populations: HEADS-UP.

Mayo Clin Proc Digit Health. 2023-10-23

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World Neurosurg. 2024-2

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Neurotherapeutics. 2023-4

[10]
Development and Validation of a Novel Score for Predicting Long-Term Mortality after an Acute Ischemic Stroke.

Int J Environ Res Public Health. 2023-2-9

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