人工智能和机器学习在意识障碍方面的应用。

IF 4.1 2区 医学 Q1 CLINICAL NEUROLOGY Current Opinion in Neurology Pub Date : 2024-12-01 Epub Date: 2024-10-09 DOI:10.1097/WCO.0000000000001322
Minji Lee, Steven Laureys
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引用次数: 0

摘要

综述的目的:随着人工智能和机器学习技术的不断发展,它们正被越来越多地用于改善对后天性脑损伤后严重意识障碍患者的科学理解和临床治疗。我们在此回顾了近期利用这些技术减少意识障碍诊断和预后不确定性的研究,以及更好地描述患者对新型治疗干预措施的反应的研究:大多数论文侧重于区分无反应清醒综合征和微意识状态,利用人工智能更好地分析功能神经影像学和脑电图数据。他们往往利用传统的机器学习而非深度学习算法提出新的特征。为了更好地预测意识障碍患者的预后,康复情况多以格拉斯哥预后量表为基础,大多数情况下使用传统的机器学习技术。机器学习还被用于预测新型治疗干预措施(如唑吡坦和经颅直流电刺激)的效果。小结:人工智能和机器学习可协助临床决策,包括意识障碍患者的诊断、预后和治疗。通过使用深度学习技术,这些模型的性能有望得到显著提高。
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Artificial intelligence and machine learning in disorders of consciousness.

Purpose of review: As artificial intelligence and machine learning technologies continue to develop, they are being increasingly used to improve the scientific understanding and clinical care of patients with severe disorders of consciousness following acquired brain damage. We here review recent studies that utilized these techniques to reduce the diagnostic and prognostic uncertainty in disorders of consciousness, and to better characterize patients' response to novel therapeutic interventions.

Recent findings: Most papers have focused on differentiating between unresponsive wakefulness syndrome and minimally conscious state, utilizing artificial intelligence to better analyze functional neuroimaging and electroencephalography data. They often proposed new features using conventional machine learning rather than deep learning algorithms. To better predict the outcome of patients with disorders of consciousness, recovery was most often based on the Glasgow Outcome Scale, and traditional machine learning techniques were used in most cases. Machine learning has also been employed to predict the effects of novel therapeutic interventions (e.g., zolpidem and transcranial direct current stimulation).

Summary: Artificial intelligence and machine learning can assist in clinical decision-making, including the diagnosis, prognosis, and therapy for patients with disorders of consciousness. The performance of these models can be expected to be significantly improved by the use of deep learning techniques.

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来源期刊
Current Opinion in Neurology
Current Opinion in Neurology 医学-临床神经学
CiteScore
8.60
自引率
0.00%
发文量
174
审稿时长
6-12 weeks
期刊介绍: ​​​​​​​​Current Opinion in Neurology is a highly regarded journal offering insightful editorials and on-the-mark invited reviews; covering key subjects such as cerebrovascular disease, developmental disorders, neuroimaging and demyelinating diseases. Published bimonthly, each issue of Current Opinion in Neurology introduces world renowned guest editors and internationally recognized academics within the neurology field, delivering a widespread selection of expert assessments on the latest developments from the most recent literature.
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