Artificial intelligence in respiratory medicine: The journey so far – A review

K. Kalaiyarasan, R. Sridhar
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Abstract

The integration of artificial intelligence (AI) and the medical field has opened a wide range of possibilities. Currently, the role of AI in the medical field is limited to image analysis (radiological and histopathology images), identifying and alerting about specific health conditions, and supporting clinical decisions. The future of lung cancer screening, diagnosis, and management is expected to undergo significant transformation with the use of radiomics, radiogenomics, and virtual biopsy. AI can also help physicians diagnose and treat a variety of respiratory illnesses, including interstitial lung diseases, asthma, chronic obstructive pulmonary disease, and pleural diseases such as effusion and pneumothorax, pneumonia, pulmonary artery hypertension, and tuberculosis. AI can also help in the automated analysis and reporting of lung function tests, polysomnography, and recorded breath sounds. Through robotic technology, AI is set to create new milestones in the realm of interventional pulmonology. A well-trained AI may also offer new insights into the genetic and molecular mechanisms of the pathogenesis of various respiratory diseases and may also assist in outlining the best course of action with the horizontal integration of patients' digital health records, digital radiographic images, digital pathology images, and biochemical lab reports. As with any technology, doctors and researchers should be aware of the advantages and limitations of AI, and they should use it responsibly to advance knowledge and provide better care to patients.
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人工智能在呼吸医学中的应用:历程——综述
人工智能(AI)与医疗领域的融合开辟了广泛的可能性。目前,人工智能在医疗领域的作用仅限于图像分析(放射学和组织病理学图像),识别和提醒特定的健康状况,以及支持临床决策。随着放射组学、放射基因组学和虚拟活检技术的应用,肺癌筛查、诊断和管理的未来有望发生重大转变。人工智能还可以帮助医生诊断和治疗各种呼吸系统疾病,包括间质性肺病、哮喘、慢性阻塞性肺病,以及积液和气胸、肺炎、肺动脉高压和肺结核等胸膜疾病。人工智能还可以帮助自动分析和报告肺功能测试、多导睡眠图和记录呼吸音。通过机器人技术,人工智能将在介入肺脏学领域创造新的里程碑。训练有素的人工智能还可以为各种呼吸系统疾病发病机制的遗传和分子机制提供新的见解,还可以通过横向整合患者的数字健康记录、数字放射图像、数字病理图像和生化实验室报告,帮助制定最佳行动方案。与任何技术一样,医生和研究人员应该意识到人工智能的优势和局限性,他们应该负责任地使用它来推进知识和为患者提供更好的护理。
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