对受影响犬的诊断,预测和治疗方法:系统性审查和元分析
Wang Yi1, Johari Yap Abdullah2,3, Umi Mardhiyyah Mat Ali1,4
1School of Dental Sciences, Universiti Sains Malaysia, Kampus Kesihatan, Kubang Kerian, 16150, Kelantan, Malaysia.
BMC oral health
|March 11, 2026
概括
诊断和治疗上犬损伤仍然具有挑战性. 虽然圆束计算断层扫描 (CBCT) 和空间指标是实用的,但人工智能 (AI) 工具尚未对受影响的狗具有临床决定性.
科学领域:
- 牙科和口腔外科 牙科和口腔外科
- 医疗成像医学成像
- 人工智能在医学中的应用
背景情况:
- 部犬损伤影响到1%至3%的人口,这给诊断,预后和治疗带来了挑战.
- 人工智能 (AI) 在治疗受影响犬的临床实用性目前尚不确定.
- 这项研究综合了诊断,预测和治疗方法的证据,将AI方法与既有策略进行比较.
研究的目的:
- 评估诊断,预测和治疗证据,以管理上犬损伤.
- 与传统方法相比,评估基于AI的方法的作用和临床实用性.
- 提供基于当前证据的临床决策框架.
主要方法:
- 在系统的文献搜索中遵循了PRISMA 2020指南 (PubMed,Cochrane,科学网络,Embase,2015-2024).
- 28项符合条件的研究被分为诊断,预测和治疗领域.
- 进行了元分析和诊断准确度综合 (层次双变量/HSROC模型),并进行了偏差风险评估.
主要成果:
- 圆束计算机断层扫描 (CBCT) 显示出比2D全景放射 (OR 3.13) 更高的诊断准确性.
- 人工智能诊断估计在有限的研究中很高,但缺乏验证和一致的报告,排除了临床推断.
- 诸如牙间/牙根间距离之类的空间参数是关键预测指标;积极的拦截治疗显示出与保守管理相比的潜在好处.
结论:
- CBCT和空间指标提供了一个实用的诊断和预后框架,遵守辐射保护原则 (ALARA).
- 目前的证据并不支持人工智能对受影响的犬类具有临床决定性;它可以作为辅助工具.
- 为了确定AI的临床作用,需要进行更大规模的前性研究,标准化报告和外部验证.
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