人工智能时代的葡萄膜炎患者管理:当前方法、新兴趋势和未来展望》。

IF 3.7 3区 医学 Q1 OPHTHALMOLOGY Asia-Pacific Journal of Ophthalmology Pub Date : 2024-07-01 DOI:10.1016/j.apjo.2024.100082
William Rojas-Carabali , Carlos Cifuentes-González , Laura Gutierrez-Sinisterra , Lim Yuan Heng , Edmund Tsui , Sapna Gangaputra , Srinivas Sadda , Quan Dong Nguyen , John H. Kempen , Carlos E. Pavesio , Vishali Gupta , Rajiv Raman , Chunyan Miao , Bernett Lee , Alejandra de-la-Torre , Rupesh Agrawal
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引用次数: 0

摘要

人工智能(AI)与医疗保健的结合为精准诊断、治疗和管理医疗状况开辟了新途径。葡萄膜炎是一组以葡萄膜道炎症为特征的罕见眼病,由于其病因、临床表现和治疗反应各不相同,是眼科复杂性的典型代表。葡萄膜炎如果得不到及时有效的治疗,会导致严重的视力损伤。然而,葡萄膜炎的治疗需要专业知识,而这些知识往往是缺乏的,尤其是在医疗条件有限的地区。人工智能在模式识别、数据分析和预测建模方面的能力为葡萄膜炎管理带来了巨大的变革潜力。人工智能可以对疾病结果进行分类,分析多模态成像数据,并确定新的治疗目标。然而,要将这些人工智能模型转化为临床应用并满足患者的期望,就必须克服各种挑战,如获取大量带注释的数据集、确保算法透明以及在真实世界环境中验证这些模型。本综述深入探讨了葡萄膜炎的复杂性和当前的人工智能前景,讨论了人工智能从理论模型到床边应用的发展、机遇和挑战。它还研究了葡萄膜炎的流行病学、全球葡萄膜炎专家的短缺以及该疾病对社会经济的影响,强调了对人工智能驱动方法的迫切需要。此外,它还探讨了人工智能在诊断成像中的整合以及眼科的未来发展方向,旨在突出可能改变葡萄膜炎患者管理的新兴趋势,并建议共同努力加强人工智能在临床实践中的应用。
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Managing a patient with uveitis in the era of artificial intelligence: Current approaches, emerging trends, and future perspectives

The integration of artificial intelligence (AI) with healthcare has opened new avenues for diagnosing, treating, and managing medical conditions with remarkable precision. Uveitis, a diverse group of rare eye conditions characterized by inflammation of the uveal tract, exemplifies the complexities in ophthalmology due to its varied causes, clinical presentations, and responses to treatments. Uveitis, if not managed promptly and effectively, can lead to significant visual impairment. However, its management requires specialized knowledge, which is often lacking, particularly in regions with limited access to health services. AI's capabilities in pattern recognition, data analysis, and predictive modelling offer significant potential to revolutionize uveitis management. AI can classify disease etiologies, analyze multimodal imaging data, predict outcomes, and identify new therapeutic targets. However, transforming these AI models into clinical applications and meeting patient expectations involves overcoming challenges like acquiring extensive, annotated datasets, ensuring algorithmic transparency, and validating these models in real-world settings. This review delves into the complexities of uveitis and the current AI landscape, discussing the development, opportunities, and challenges of AI from theoretical models to bedside application. It also examines the epidemiology of uveitis, the global shortage of uveitis specialists, and the disease's socioeconomic impacts, underlining the critical need for AI-driven approaches. Furthermore, it explores the integration of AI in diagnostic imaging and future directions in ophthalmology, aiming to highlight emerging trends that could transform management of a patient with uveitis and suggesting collaborative efforts to enhance AI applications in clinical practice.

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来源期刊
CiteScore
8.10
自引率
18.20%
发文量
197
审稿时长
6 weeks
期刊介绍: The Asia-Pacific Journal of Ophthalmology, a bimonthly, peer-reviewed online scientific publication, is an official publication of the Asia-Pacific Academy of Ophthalmology (APAO), a supranational organization which is committed to research, training, learning, publication and knowledge and skill transfers in ophthalmology and visual sciences. The Asia-Pacific Journal of Ophthalmology welcomes review articles on currently hot topics, original, previously unpublished manuscripts describing clinical investigations, clinical observations and clinically relevant laboratory investigations, as well as .perspectives containing personal viewpoints on topics with broad interests. Editorials are published by invitation only. Case reports are generally not considered. The Asia-Pacific Journal of Ophthalmology covers 16 subspecialties and is freely circulated among individual members of the APAO’s member societies, which amounts to a potential readership of over 50,000.
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