Lopes Sara, Mascarenhas Miguel, Fonseca João, Fernandes Maria Gabriela O, Leite-Moreira Adelino F
Portuguese Institute of Oncology of Porto, 4200-072 Porto, Portugal.
Faculty of Medicine, University of Porto, 4200-437 Porto, Portugal.
Diagnostics (Basel). 2025 Jul 8;15(14):1734. doi: 10.3390/diagnostics15141734.
Artificial intelligence is revolutionizing healthcare. In the recent years, AI tools have been incorporated by medical specialties that heavily rely on imaging techniques to aid in the diagnosis, management, and monitoring of a wide array of clinical conditions. Thoracic surgery is not an exception: AI is becoming a reality, although it is only the beginning. AI-based tools can be employed in medicine, and by extracting useful information from big data, they allow for the early diagnosis of diseases like lung cancer. Diagnostic imaging is the most promising clinical application of AI in medicine. As for other specialties, ethical issues represent a challenge in thoracic surgery and must be addressed before introducing these applications. Data protection and biases, privacy, 'the black box' problem (explainability), and responsibility are some challenges that AI must supplant. In this review, the authors aim to highlight the importance of AI in thoracic surgery. AI applications, future directions, and clinical benefits and challenges, particularly in this area, will be addressed, highlighting solutions to successfully incorporate AI into healthcare protocols.
人工智能正在彻底改变医疗保健行业。近年来,人工智能工具已被严重依赖成像技术的医学专科所采用,以协助诊断、管理和监测各种临床病症。胸外科也不例外:人工智能正在成为现实,尽管这仅仅是个开始。基于人工智能的工具可应用于医学领域,通过从大数据中提取有用信息,它们能够实现肺癌等疾病的早期诊断。诊断成像技术是人工智能在医学领域最具前景的临床应用。与其他专科一样,伦理问题在胸外科领域也是一项挑战,在引入这些应用之前必须加以解决。数据保护与偏差、隐私、“黑匣子”问题(可解释性)以及责任等,都是人工智能必须克服的一些挑战。在本综述中,作者旨在强调人工智能在胸外科中的重要性。将探讨人工智能的应用、未来发展方向以及临床益处与挑战,特别是在该领域,并着重介绍成功将人工智能纳入医疗保健方案的解决方案。