Venous thromboembolism in the era of machine learning and artificial intelligence in medicine

IF 3.7 3区 医学 Q1 HEMATOLOGY Thrombosis research Pub Date : 2024-08-23 DOI:10.1016/j.thromres.2024.109121
Morayma Reyes Gil , Joshua Pantanowitz , Hooman H. Rashidi
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Abstract

In this review, we embark on a comprehensive exploration of venous thromboembolism (VTE) in the context of medical history and its current practice within medicine. We delve into the landscape of artificial intelligence (AI), exploring its present utility and envisioning its transformative roles within VTE management, from prevention to screening and beyond. Central to our discourse is a forward-looking perspective on the integration of AI within VTE in medicine, advocating for rigorous study design, robust validation processes, and meticulous statistical analysis to gauge the efficacy of AI applications. We further illuminate the potential of large language models and generative AI in revolutionizing VTE care, while acknowledging their inherent limitations and proposing innovative solutions to overcome challenges related to data availability and integrity, including the strategic use of synthetic data. The critical importance of navigating ethical, legal, and privacy concerns associated with AI is underscored, alongside the imperative for comprehensive governance and policy frameworks to regulate its deployment in VTE treatment. We conclude on a note of cautious optimism, where we highlight the significance of proactively addressing the myriad challenges that accompany the advent of AI in healthcare. Through diligent design, stringent validation, extensive education, and prudent regulation, we can harness AI's potential to significantly enhance our understanding and management of VTE. As we stand on the cusp of a new era, our commitment to these principles will be instrumental in ensuring that the promise of AI is fully realized within the realm of VTE care.

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机器学习和人工智能医学时代的静脉血栓栓塞症
在这篇综述中,我们将结合医学史和当前的医学实践,对静脉血栓栓塞症(VTE)进行全面探讨。我们深入探讨了人工智能(AI)的发展前景,探讨了其目前的实用性,并展望了其在 VTE 管理(从预防到筛查及其他)中的变革性作用。我们论述的核心是以前瞻性的视角来看待人工智能与 VTE 在医学中的整合,主张采用严格的研究设计、稳健的验证流程和细致的统计分析来衡量人工智能应用的有效性。我们进一步阐明了大型语言模型和生成式人工智能在彻底改变 VTE 护理方面的潜力,同时承认其固有的局限性,并提出了创新的解决方案,以克服与数据可用性和完整性相关的挑战,包括合成数据的战略性使用。我们强调了驾驭与人工智能相关的伦理、法律和隐私问题的极端重要性,以及建立全面的治理和政策框架以规范其在 VTE 治疗中的应用的必要性。最后,我们持谨慎乐观的态度,强调了积极应对人工智能在医疗保健领域出现的各种挑战的重要性。通过勤奋的设计、严格的验证、广泛的教育和审慎的监管,我们可以利用人工智能的潜力来大大提高我们对 VTE 的理解和管理。当我们站在新时代的风口浪尖时,我们对这些原则的承诺将有助于确保人工智能的承诺在 VTE 护理领域得到充分实现。
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来源期刊
Thrombosis research
Thrombosis research 医学-外周血管病
CiteScore
14.60
自引率
4.00%
发文量
364
审稿时长
31 days
期刊介绍: Thrombosis Research is an international journal dedicated to the swift dissemination of new information on thrombosis, hemostasis, and vascular biology, aimed at advancing both science and clinical care. The journal publishes peer-reviewed original research, reviews, editorials, opinions, and critiques, covering both basic and clinical studies. Priority is given to research that promises novel approaches in the diagnosis, therapy, prognosis, and prevention of thrombotic and hemorrhagic diseases.
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