Inyong Jeong, Nam-Jun Cho, Se-Jin Ahn, Hwamin Lee, Hyo-Wook Gil
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引用次数: 0
摘要
急性肾损伤(AKI)是一项重大的健康挑战,会给患者带来不良后果和巨大的经济负担。许多学者试图预防和预测 AKI。在此,我们全面回顾了利用人工智能(AI)预测 AKI 的最新进展以及相关挑战。虽然人工智能可以早期检测 AKI 并预测预后,但将基于人工智能的系统整合到临床实践中仍具有挑战性。使用回顾性数据很难识别 AKI 患者;信息预处理和现有模型的局限性带来了问题。必须采用标准化的标记标准,并形成国际多机构合作,促进高质量的数据收集。此外,在实际医疗环境中部署不断发展的人工智能技术的现有限制以及提高人工智能输出的可靠性也至关重要。这些努力将提高 AKI 临床支持系统的临床适用性、性能和可靠性,最终改善患者的预后。
Machine learning approaches toward an understanding of acute kidney injury: current trends and future directions.
Acute kidney injury (AKI) is a significant health challenge associated with adverse patient outcomes and substantial economic burdens. Many authors have sought to prevent and predict AKI. Here, we comprehensively review recent advances in the use of artificial intelligence (AI) to predict AKI, and the associated challenges. Although AI may detect AKI early and predict prognosis, integration of AI-based systems into clinical practice remains challenging. It is difficult to identify AKI patients using retrospective data; information preprocessing and the limitations of existing models pose problems. It is essential to embrace standardized labeling criteria and to form international multi-institutional collaborations that foster high-quality data collection. Additionally, existing constraints on the deployment of evolving AI technologies in real-world healthcare settings and enhancement of the reliabilities of AI outputs are crucial. Such efforts will improve the clinical applicability, performance, and reliability of AKI Clinical Support Systems, ultimately enhancing patient prognoses.
期刊介绍:
The Korean Journal of Internal Medicine is an international medical journal published in English by the Korean Association of Internal Medicine. The Journal publishes peer-reviewed original articles, reviews, and editorials on all aspects of medicine, including clinical investigations and basic research. Both human and experimental animal studies are welcome, as are new findings on the epidemiology, pathogenesis, diagnosis, and treatment of diseases. Case reports will be published only in exceptional circumstances, when they illustrate a rare occurrence of clinical importance. Letters to the editor are encouraged for specific comments on published articles and general viewpoints.