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神经病学中的人工智能:无处不在,同时发生 第1部分:原理与实践

AI in Neurology: Everything, Everywhere, All at Once Part 1: Principles and Practice.

作者信息

Rizzo Matthew, Dawson Jeffrey D

机构信息

Department of Neurological Sciences, University of Nebraska Medical Center, Omaha, NE, USA.

Department of Biostatistics, University of Iowa, Iowa City, IA, USA.

出版信息

Ann Neurol. 2025 Aug;98(2):211-230. doi: 10.1002/ana.27225. Epub 2025 Jun 19.

Abstract

Artificial intelligence (AI) is rapidly transforming healthcare, yet it often remains opaque to clinicians, scientists, and patients alike. This review, part 1 of a 3-part series, provides neurologists and neuroscientists with a foundational understanding of AI's key concepts, terminology, and applications. We begin by tracing AI's origins in mathematics, human logic, and brain-inspired neural networks to establish a context for its development. The review highlights AI's growing role in neurological diagnostics and treatment, emphasizing machine learning applications, such as computer vision, brain-machine interfaces, and precision care. By mapping the evolution of AI tools and linking them to neuroscience and human reasoning, we illustrate how AI is reshaping neurological practice and research. We end the review with an overview of model selection in AI and a case scenario illustrating how AI may drive precision neurological care. Part 1 sets the stage for part 2, which will focus on practical applications of AI in real-world scenarios where humans and AI collaborate as joint cognitive systems. Part 3 will examine AI's integration with extensive healthcare and neurology networks, innovative clinical trials, and massive datasets, expanding our vision of AI's global impact on neurology, healthcare systems, and society. ANN NEUROL 2025;98:211-230.

摘要

人工智能(AI)正在迅速改变医疗保健领域,但对于临床医生、科学家和患者来说,它往往仍然晦涩难懂。本综述是一个三部分系列的第1部分,为神经科医生和神经科学家提供了对AI关键概念、术语和应用的基本理解。我们首先追溯AI在数学、人类逻辑和受大脑启发的神经网络中的起源,为其发展建立背景。本综述强调了AI在神经诊断和治疗中日益重要的作用,重点介绍了机器学习应用,如计算机视觉、脑机接口和精准医疗。通过梳理AI工具的发展历程,并将它们与神经科学和人类推理联系起来,我们阐述了AI如何重塑神经学实践和研究。我们在综述结尾概述了AI中的模型选择,并通过一个案例说明AI如何推动精准神经护理。第1部分为第2部分奠定了基础,第2部分将聚焦于AI在现实场景中的实际应用,即人类和AI作为联合认知系统进行协作。第3部分将探讨AI与广泛的医疗保健和神经学网络、创新临床试验以及海量数据集的整合,拓展我们对AI对神经学、医疗保健系统和社会的全球影响的视野。《神经病学纪事》2025年;98:211 - 230。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fc3/12278199/644e83a54581/ANA-98-211-g001.jpg

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