Clinical Prospects for Artificial Intelligence in Obstetrics and Gynecology.

IF 1.8 Q2 MEDICINE, GENERAL & INTERNAL JMA journal Pub Date : 2025-01-15 Epub Date: 2024-12-13 DOI:10.31662/jmaj.2024-0197
Kenbun Sone, Ayumi Taguchi, Yuichiro Miyamoto, Mayuyo Uchino-Mori, Takayuki Iriyama, Yasushi Hirota, Yutaka Osuga
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Abstract

In recent years, artificial intelligence (AI) research in the medical field has been actively conducted owing to the evolution of algorithms, such as deep learning, and advances in hardware, such as graphics processing units, and some such medical devices have been used in clinics. AI research in obstetrics and gynecology has also increased. This review discusses the latest studies in each field. In the perinatal field, there are reports on cardiotocography, studies on the diagnosis of fetal abnormalities using ultrasound scans, and studies on placenta previa using magnetic resonance imaging (MRI). In the reproduction field, numerous studies have been conducted on the efficiency of assisted reproductive technology as well as selection of suitable oocyte and good embryos. As regards gynecologic cancers, there are many reports on diagnosis using MRI and prognosis prediction using histopathology in cervical cancer, diagnosis using hysteroscopy and prediction of molecular subtypes based on histopathology in endometrial cancer, and diagnosis using MRI and ultrasound as well as prediction of anticancer drug efficacy in ovarian cancer. However, concerns related to AI research include handling of personal information, lack of governing laws, and transparency. These must be addressed to facilitate advanced AI research.

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人工智能在妇产科的临床应用前景。
近年来,由于深度学习等算法的发展和图形处理单元等硬件的进步,人工智能在医疗领域的研究得到了积极开展,一些人工智能医疗设备已经在诊所得到了应用。人工智能在妇产科领域的研究也有所增加。本文综述了各个领域的最新研究成果。在围产期领域,有关于心脏造影的报道,使用超声扫描诊断胎儿异常的研究,以及使用磁共振成像(MRI)研究前置胎盘。在生殖领域,人们对辅助生殖技术的效率以及选择合适的卵母细胞和良好的胚胎进行了大量的研究。在妇科肿瘤方面,宫颈癌的MRI诊断和组织病理学预后预测,子宫内膜癌的宫腔镜诊断和组织病理学分子亚型预测,卵巢癌的MRI和超声诊断和抗癌药物疗效预测等报道较多。然而,与人工智能研究相关的担忧包括个人信息的处理、缺乏管理法律和透明度。必须解决这些问题,以促进先进的人工智能研究。
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