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Artificial intelligence, fetal echocardiography, and congenital heart disease
Prenatal Diagnosis ( IF 2.7 ) Pub Date : 2021-01-18 , DOI: 10.1002/pd.5892
Thomas G Day 1, 2 , Bernhard Kainz 3 , Jo Hajnal 1 , Reza Razavi 1, 2 , John M Simpson 1, 2
Affiliation  

There has been a recent explosion in the use of artificial intelligence (AI), which is now part of our everyday lives. Uptake in medicine has been more limited, although in several fields there have been encouraging results showing excellent performance when AI is used to assist in a well‐defined medical task. Most of this work has been performed using retrospective data, and there have been few clinical trials published using prospective data. This review focuses on the potential uses of AI in the field of fetal cardiology. Ultrasound of the fetal heart is highly specific and sensitive in experienced hands, but despite this there is significant room for improvement in the rates of prenatal diagnosis of congenital heart disease in most countries. AI may be one way of improving this. Other potential applications in fetal cardiology include the provision of more accurate prognoses for individuals, and automatic quantification of various metrics including cardiac function. However, there are also ethical and governance concerns. These will need to be overcome before AI can be widely accepted in mainstream use. It is likely that a familiarity of the uses, and pitfalls, of AI will soon be mandatory for many healthcare professionals working in fetal cardiology.

中文翻译:

人工智能,胎儿超声心动图和先天性心脏病

人工智能(AI)的使用最近出现了爆炸式增长,这已成为我们日常生活的一部分。药物的吸收受到更多的限制,尽管在几个领域中令人鼓舞的结果表明,当使用AI协助完成定义明确的医学任务时,其表现出色。大部分工作是使用回顾性数据进行的,很少有使用前瞻性数据发表的临床试验。这篇综述着重介绍了AI在胎儿心脏病学领域的潜在用途。胎儿的心脏超声在经验丰富的手中具有很高的特异性和敏感性,但是尽管如此,在大多数国家中,先天性心脏病的产前诊断率仍有很大的提高空间。人工智能可能是改善这一状况的一种方式。胎儿心脏病学的其他潜在应用包括为个体提供更准确的预后以及自动量化包括心脏功能在内的各种指标。但是,也存在道德和治理方面的问题。在将AI广泛应用于主流之前,需要克服这些问题。对于许多从事胎儿心脏病学工作的医疗保健专业人员而言,很可能很快必须熟悉AI的用法和陷阱。
更新日期:2021-01-18
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