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人工智能在介入心脏病学中的应用:对其在诊断、决策和操作精准性方面作用的综述

Artificial intelligence in interventional cardiology: a review of its role in diagnosis, decision-making, and procedural precision.

作者信息

Nzeako Tochukwu R, Elendu Chukwuka, Echefu Gift, Olanisa Olawale, Kiladejo Adekunle, Bob-Manuel Emi Disrael

机构信息

Department of Cardiology, Christiana Care Hospital, Delaware.

Federal University Teaching Hospital, Owerri, Nigeria.

出版信息

Ann Med Surg (Lond). 2025 Jul 18;87(9):5720-5734. doi: 10.1097/MS9.0000000000003602. eCollection 2025 Sep.

Abstract

Cardiovascular diseases significantly burden healthcare systems globally, necessitating innovative solutions to enhance diagnosis, treatment, and patient management. Artificial intelligence (AI) is no longer a distant promise in interventional cardiology but a rapidly emerging tool with growing clinical impact. AI-driven technologies can analyze vast amounts of clinical data, recognize intricate patterns, and generate clinically relevant, evidence-based recommendations, augmenting physician expertise and streamlining care. In diagnostics, AI enhances imaging interpretation and lesion assessment, while procedurally, it supports real-time guidance and catheter-based interventions. Its integration into decision support systems has improved risk stratification, early disease detection, and individualized treatment planning. AI also advances personalized medicine using predictive models to tailor interventions to patient-specific needs. Despite its promise, challenges such as costs, ethical issues, and the need for rigorous validation remain barriers to widespread adoption. Nevertheless, as AI advances, its integration into interventional cardiology is expected to transform care delivery, optimize outcomes, and improve system efficiency.

摘要

心血管疾病给全球医疗系统带来了沉重负担,因此需要创新解决方案来加强诊断、治疗和患者管理。人工智能(AI)在介入心脏病学领域已不再是遥远的前景,而是一种迅速崛起且临床影响力不断增强的工具。人工智能驱动的技术可以分析大量临床数据,识别复杂模式,并生成具有临床相关性的循证建议,增强医生的专业知识并简化护理流程。在诊断方面,人工智能可增强影像解读和病变评估,在操作过程中,它支持实时引导和基于导管的干预。将其整合到决策支持系统中改善了风险分层、疾病早期检测和个性化治疗规划。人工智能还利用预测模型推动个性化医疗,以根据患者的特定需求定制干预措施。尽管前景广阔,但成本、伦理问题以及严格验证的需求等挑战仍是广泛应用的障碍。然而,随着人工智能的发展,预计其融入介入心脏病学将改变护理服务模式,优化治疗效果并提高系统效率。

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