急性尾炎中的人工智能:对机器学习和深度学习应用的全面审查
Sami Akbulut1,2, Zeynep Kucukakcali3, Cemil Colak3
1Surgery and Liver Transplantation, Inonu University Faculty of Medicine, Malatya 44280, Türkiye.
World journal of gastroenterology
|December 8, 2025
概括
通过分析临床和成像数据,人工智能 (AI) 显著改善了急性尾炎 (AAp) 诊断. 机器学习和深度学习模型提供高准确度,有助于区分复杂的与不复杂的案例.
科学领域:
- 医疗成像医学成像
- 人工智能的人工智能
- 临床诊断 临床诊断 临床诊断
背景情况:
- 急性尾炎 (AAp) 是一种常见的手术紧急情况,具有诊断挑战.
- 传统方法在灵敏度和特异性方面存在局限性,特别是在非典型的呈现方面.
- 人工智能,包括机器学习 (ML) 和深度学习 (DL),显示出增强AAp诊断的希望.
研究的目的:
- 审查当前的AI应用在诊断成人和儿科AAp.
- 用临床数据,放射性成像和决策支持系统来评估AI模型.
- 评估可解释AI (XAI) 对临床信任的影响.
主要方法:
- 在AAp诊断中对AI进行65项研究的系统审查.
- 分析ML模型 (例如随机森林,SVM) 和DL模型 (例如CNN).
- 评估整合多式联络数据 (临床,实验室,成像) 和XAI技术的AI.
主要成果:
- ML和DL模型实现了AAp诊断的>90%的灵敏度和特异性.
- DL模型,特别是CNN,在解释图像方面表现优于放射科医生.
- 多式人工智能模型展示了卓越的诊断精度.
- XAI的方法提高了模型的透明度和临床医生的信任.
结论:
- 人工智能显著提高了AAp的诊断准确性和并发症差异化.
- 目前的证据在很大程度上是追溯的;前性,多中心研究是临床实施所需的.
- 将人工智能集成到紧急护理工作流程中是未来的方向.
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