在不久的将来,人工智能会取代医生吗? 人工智能在医学中的采用障碍
Rafał Obuchowicz1, Adam Piórkowski2, Karolina Nurzyńska3
1Department of Diagnostic Imaging, Jagiellonian University Medical College, 30-663 Krakow, Poland.
Diagnostics (Basel, Switzerland)
|February 13, 2026
概括
人工智能 (AI) 在特定的医疗任务中表现有前途,但由于一般化,体检和问责制的局限性,它无法取代医生. 人工智能将增强,而不是取代医生,需要人类监督和明确的法规.
科学领域:
- 医学信息学 医学信息学
- 医疗保健中的人工智能
- 临床决策支持 临床决策支持
背景情况:
- 当代人工智能 (AI),包括用于医学成像的卷积神经网络 (CNN) 和用于语言处理的大型语言模型 (LLM),正在迅速发展.
- 人工智能在临床实践中取代医生的潜力是正在进行的辩论和研究的主题.
研究的目的:
- 评估当前人工智能技术 (CNN,LLM) 在不久的将来取代医生的潜力.
- 确定阻碍人工智能采用和医生替代的关键临床,技术和监管障碍.
主要方法:
- 进行了对科学文献的叙事审查.
- 审查的重点是人工智能性能,医学成像中的可重现性,LLM能力,概括限制,体检缺失和监管框架 (欧盟).
主要成果:
- 人工智能在像图像解释和文档等定义任务中表现出高精度,提高了效率并减少了变化.
- 仍然存在重大障碍,包括有限的概括,无法进行体检或手术,LLM幻觉和未解决的法律责任.
- 临床医生监督是必不可少的,而人工智能的作用目前是增强而不是替代.
结论:
- 人工智能预计将通过在监督下自动化明确的任务来增强医生能力.
- 临床整合,体检,程序技巧,道德判断和问责制仍然取决于医生.
- 未来的人工智能采用需要强大的验证,不确定性管理,明确的升级途径和定义的监管/法律框架.
相关概念视频
Continuous Renal Replacement Therapy
1.2K
Continuous Renal Replacement Therapy, also known as CRRT, is a procedural treatment for acute kidney injury (AKI) that gradually removes uremic toxins and fluids while maintaining acid-base balance and stabilizing electrolytes. It is particularly useful for hemodynamically unstable patients. Unlike intermittent hemodialysis, which is faster, CRRT provides a gentler approach over 24 hours, closely mimicking the function of natural kidneys. However, CRRT is not ideal for patients with...
1.2K
Microorganisms in Medicine and Therapeutics
1.2K
Microorganisms play a fundamental role in vaccine development, gene therapy, and therapeutic production. Their biological properties are harnessed to advance medicine and public health. Beyond immunization, microorganisms contribute to gut health, antibiotic synthesis, and genetic disease treatment.Live Attenuated and Inactivated VaccinesLive attenuated vaccines, such as the measles, mumps, and rubella (MMR) vaccine, utilize weakened forms of pathogens to closely resemble natural infections.
1.2K
Physiological Barriers
5.3K
Physiological barriers are semi-permeable cellular structures restricting drug diffusion into intracellular compartments and tissues. There are six types of physiological barriers: blood endothelial, cell membrane, blood-brain, blood-cerebrospinal fluid (CSF), blood-placenta, and blood-testis barriers.
The blood endothelial barrier is the most porous of these. It allows all small ionized, un-ionized, and lipophilic molecules to pass through the endothelial lining into the interstitial space...
The blood endothelial barrier is the most porous of these. It allows all small ionized, un-ionized, and lipophilic molecules to pass through the endothelial lining into the interstitial space...
5.3K
Combination Therapies and Personalized Medicine
6.2K
Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
6.2K
Mucosal Barrier of the Stomach
2.5K
The gastric glands contain parietal cells that secrete hydrochloric acid (HCl) for digestion. The cells secrete HCl because it is highly corrosive and essential for breaking down food. To achieve this, they secrete hydrogen and chloride ions into the lumen of the gastric glands, which combine to form HCl.
Within parietal cells, carbonic acid is first formed through the reaction of water and carbon dioxide. The dissociation of carbonic acid releases bicarbonate and hydrogen ions. The bicarbonate...
Within parietal cells, carbonic acid is first formed through the reaction of water and carbon dioxide. The dissociation of carbonic acid releases bicarbonate and hydrogen ions. The bicarbonate...
2.5K
Barriers to Effective Communication II
5.0K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
5.0K


