新医学2024,Vol.55Issue(7) :497-505.DOI:10.3969/j.issn.0253-9802.2024.07.002

人工智能在儿童耳鼻咽喉头颈外科中应用的系统综述

Application of artificial intelligence in pediatric otolaryngology-head and neck surgery:a systematic review

许溪 康宁 罗敏婷 杨钦泰 吴庆武
新医学2024,Vol.55Issue(7) :497-505.DOI:10.3969/j.issn.0253-9802.2024.07.002

人工智能在儿童耳鼻咽喉头颈外科中应用的系统综述

Application of artificial intelligence in pediatric otolaryngology-head and neck surgery:a systematic review

许溪 1康宁 1罗敏婷 1杨钦泰 1吴庆武1
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作者信息

  • 1. 中山大学附属第三医院耳鼻咽喉头颈外科,广东 广州 510630;中山大学附属第三医院变态反应(过敏)科,广东 广州 510630
  • 折叠

摘要

目的 系统综述国内外儿童耳鼻咽喉头颈外科领域人工智能的应用情况,重点分析其进展,以期为未来发展与临床实践提供参考.方法 在PubMed、Web of Science、Embase数据库中检索人工智能应用于儿童耳鼻咽喉头颈外科的相关文献,检索日期为 2024 年 6 月,检索范围不受研究类型、发表日期以及手稿原始语言的限制.依据国家心肺血液研究所研究质量评估工具(NHI-SQAT)和 2011 版牛津循证医学证据分级(LOE)对文章质量施行评估,遴选出真实有效的文献.提取文献内容并对人工智能在该领域的应用现状与发展前景进行系统综述.结果 经过初步筛选摘要与标题、阅读全文、追溯补充检索、筛除质量不符合标准的文献后,最终纳入 38 篇文献.人工智能被广泛应用于儿童耳鼻咽喉头颈外科疾病的诊疗中,其形式不一,通过机器学习和大数据处理等方法,实现了手术辅助、诊疗模型建立等,在临床应用方面具有巨大潜力.其中,儿童中耳炎的诊疗、儿童听力损伤测定、术前规划与术后指导、远程医疗等成为近年来人工智能探索及应用的主要方向.结论 人工智能在国内外儿童耳鼻咽喉头颈外科中的应用越来越广泛,人工智能的疾病辅助诊疗已逐渐被医患群体所接受,未来人工智能的应用形式将更为多元化.

Abstract

Objective To systematically review the progress in the application of artificial intelligence in the field of pediatric otolaryngology-head and neck surgery at home and abroad,aiming to provide reference for the development and clinical practice in the future.Methods Literature related to the application of artificial intelligence in otolaryngology,head and neck surgery were searched from PubMed,Web of Science and Embase databases in June 2024,regardless of the research type,publication date and language restrictions.Subsequently,using the National Heart,Lung,and Blood Institute Study Quality Assessment Tools(NHI-SQAT)and the Oxford 2011 Levels of Evidence(LOE),tables were designed to assess the quality of the articles and select authentic and effective literature.Literature content was extracted,and a systematic review of current status and future prospects of artificial intelligence in this field was conducted.Results After preliminary screening of abstracts and titles,full-text reading,supplementary retrieval,and exclusion of literature that did not meet quality standards,a total of 38 articles were finally included.Artificial intelligence has been widely used in the diagnosis and treatment of pediatric otolaryngological diseases in various forms.Significant clinical effects have been achieved through methods such as machine learning and big data processing,enabling surgical assistance and the establishment of diagnostic and treatment models.In recent research,the diagnosis and treatment of pediatric otitis media,assessment of pediatric hearing loss,preoperative planning and postoperative guidance,and telemedicine are becoming the main directions of exploration and application of artificial intelligence.Conclusions Application of artificial intelligence in pediatric otolaryngology head and neck surgery at home and abroad has been gradually extended in recent years.As the use of artificial intelligence in assisted diagnosis and treatment has been gradually accepted by the medical community,the application platform for artificial intelligence will become diversified in the future.

关键词

耳鼻咽喉头颈外科/人工智能/儿童/机器学习/深度学习

Key words

Otolaryngology-head and neck surgery/Artificial intelligence/Children/Machine learning/Deep learning

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基金项目

国家自然科学基金(82271191)

国家自然科学基金(82271148)

国家自然科学基金(U20A20399)

广东省基础与应用基础研究基金(2021A1515110739)

广东省自然科学基金(2021A1515011764)

中山大学临床研究5010计划项目(2019006)

中山大学附属第三医院"五个五"项目(2023ww601)

出版年

2024
新医学
中山大学

新医学

CSTPCD
影响因子:0.8
ISSN:0253-9802
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