The Role and Applications of Artificial Intelligence in the Treatment of Chronic Pain.

IF 3.2 2区 医学 Q2 CLINICAL NEUROLOGY Current Pain and Headache Reports Pub Date : 2024-08-01 Epub Date: 2024-06-01 DOI:10.1007/s11916-024-01264-0
Tiffany A Meier, Mohammad S Refahi, Gavin Hearne, Daniele S Restifo, Ricardo Munoz-Acuna, Gail L Rosen, Stephen Woloszynek
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Abstract

Purpose of review: This review aims to explore the interface between artificial intelligence (AI) and chronic pain, seeking to identify areas of focus for enhancing current treatments and yielding novel therapies.

Recent findings: In the United States, the prevalence of chronic pain is estimated to be upwards of 40%. Its impact extends to increased healthcare costs, reduced economic productivity, and strain on healthcare resources. Addressing this condition is particularly challenging due to its complexity and the significant variability in how patients respond to treatment. Current options often struggle to provide long-term relief, with their benefits rarely outweighing the risks, such as dependency or other side effects. Currently, AI has impacted four key areas of chronic pain treatment and research: (1) predicting outcomes based on clinical information; (2) extracting features from text, specifically clinical notes; (3) modeling 'omic data to identify meaningful patient subgroups with potential for personalized treatments and improved understanding of disease processes; and (4) disentangling complex neuronal signals responsible for pain, which current therapies attempt to modulate. As AI advances, leveraging state-of-the-art architectures will be essential for improving chronic pain treatment. Current efforts aim to extract meaningful representations from complex data, paving the way for personalized medicine. The identification of unique patient subgroups should reveal targets for tailored chronic pain treatments. Moreover, enhancing current treatment approaches is achievable by gaining a more profound understanding of patient physiology and responses. This can be realized by leveraging AI on the increasing volume of data linked to chronic pain.

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人工智能在慢性疼痛治疗中的作用和应用。
综述的目的:本综述旨在探讨人工智能(AI)与慢性疼痛之间的关系,力求确定重点领域,以加强当前的治疗方法,并产生新的疗法:在美国,慢性疼痛的发病率估计高达 40%。其影响包括医疗费用增加、经济生产力下降以及医疗资源紧张。由于慢性疼痛的复杂性和患者对治疗反应的显著差异性,解决这一问题尤其具有挑战性。目前的治疗方案往往难以提供长期缓解,其益处很少超过风险,如依赖性或其他副作用。目前,人工智能已对慢性疼痛治疗和研究的四个关键领域产生了影响:(1)根据临床信息预测结果;(2)从文本中提取特征,特别是从临床笔记中提取特征;(3)对'omic'数据建模,以确定有意义的患者亚群,从而有可能实现个性化治疗并加深对疾病过程的理解;以及(4)分解导致疼痛的复杂神经元信号,目前的疗法试图对这些信号进行调节。随着人工智能的发展,利用最先进的架构对改善慢性疼痛治疗至关重要。目前的努力旨在从复杂数据中提取有意义的表征,为个性化医疗铺平道路。通过识别独特的患者亚群,可以发现量身定制的慢性疼痛治疗目标。此外,通过更深入地了解患者的生理机能和反应,还可以改进目前的治疗方法。利用人工智能处理与慢性疼痛相关的越来越多的数据,就能实现这一目标。
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来源期刊
Current Pain and Headache Reports
Current Pain and Headache Reports CLINICAL NEUROLOGY-
CiteScore
6.10
自引率
2.70%
发文量
91
审稿时长
6-12 weeks
期刊介绍: This journal aims to review the most important, recently published clinical findings regarding the diagnosis, treatment, and management of pain and headache. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care and prevention of pain and headache. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as anesthetic techniques in pain management, cluster headache, neuropathic pain, and migraine. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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