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El equilibrio entre la inteligencia artificial y la humana en la práctica clínica

Domenico Marrella1, Turkka Anttila2, Jorma Ryhänen2

  • 1Department of Hand Surgery, Strasbourg University Hospitals, FMTS, France.

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Resumen

La inteligencia artificial (IA) mejora la cirugía de mano en diagnóstico, tratamiento y recuperación. La implementación cuidadosa es crucial para mitigar riesgos como el sesgo y garantizar que la IA aumente, no reemplace, el juicio clínico para mejores resultados del paciente.

Palabras clave:
Inteligencia artificialsoporte a la decisión clínicagobernanza de datosaprendizaje automáticoimagen diagnósticaéticacirugía de manorobótica quirúrgica

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Área de la Ciencia:

  • Cirugía Ortopédica
  • Inteligencia Artificial Médica
  • Salud Digital

Sus antecedentes:

  • La inteligencia artificial (IA) se integra cada vez más en la cirugía clínica de mano.
  • Las aplicaciones de la IA abarcan el diagnóstico, la planificación quirúrgica, la asistencia intraoperatoria y la atención postoperatoria.

Objetivo del estudio:

  • Revisar las aplicaciones actuales de la IA en cirugía de mano.
  • Identificar los riesgos y desafíos asociados con la adopción de la IA en este campo.
  • Proponer estrategias para la integración equilibrada y ética de la IA en cirugía de mano.

Principales métodos:

  • Revisión de literatura sobre aplicaciones de IA en cirugía de mano.
  • Análisis del papel de la IA en imágenes diagnósticas, pronóstico, procedimientos preoperatorios e intraoperatorios y atención postoperatoria.
  • Examen de riesgos que incluyen privacidad de datos, sesgo algorítmico y consideraciones éticas.

Principales resultados:

  • La IA mejora la detección de fracturas, la estimación de la osteoporosis y la identificación de lesiones de tejidos blandos en imágenes diagnósticas.
  • La IA ayuda en el diagnóstico del síndrome del túnel carpiano y en el modelado pronóstico, con un rendimiento variable.
  • La IA apoya la planificación quirúrgica, la navegación, la asistencia robótica y la monitorización postoperatoria a través de telemonitorización y seguimiento de la movilidad.

Conclusiones:

  • La IA ofrece un potencial significativo para mejorar los resultados de la cirugía de mano.
  • Abordar riesgos como la privacidad de los datos, el sesgo y la erosión de habilidades es fundamental para una integración segura de la IA.
  • Las consideraciones éticas, la transparencia y la monitorización continua son esenciales para que la IA aumente el juicio clínico y garantice una atención centrada en el paciente.