摘要
心血管疾病是威胁全球人类生命与健康的首要原因,早期进行风险评估、及时诊断和判断预后对心血管疾病的诊疗至关重要。目前心血管疾病的确诊和预后评估主要依赖冠状动脉(冠脉)CT、冠脉造影等影像学检查,其费用贵、耗时长、部分具有侵入性且对操作者专业能力要求高,难以在社区或医疗资源匮乏的地区推广。眼底微循环是人体微循环的一部分,与心血管循环具有相似的胚胎学起源和生理病理特征,多项研究已挖掘出与心血管疾病相关的眼底影像学标志物,并基于眼底影像数据开发和验证了心血管疾病智能诊疗模型。鉴于眼底影像获取的无创性、便捷性,眼底检查有望成为心血管疾病诊疗的重要辅助工具。本文旨在总结目前基于多模态眼底影像数据的人工智能在心血管疾病诊疗中的应用研究现状、挑战及前景。
Cardiovascular diseases is the leading cause of threat to human life and health worldwide.Early risk assessment,timely diagnosis,and prognosis evaluation are critical to the treatment of cardiovascular diseases.Currently,the evaluation of diagnosis and prognosis of cardiovascular diseases mainly relies on imaging examinations such as coronary CT and coronary angiography,which are expensive,time-consuming,partly invasive,and require high professional competence of the operator,making it difficult to promote in the community or in areas where medical resources are scarce.The fundus microcirculation is a part of the human microcirculation and has similar embryological origins and physiopathological features to cardiovascular circulation.Several studies have revealed fundus imaging biomarkers associated with cardiovascular diseases,and developed and validated intelligent diagnosis and treatment models for cardiovascular diseases based on fundus imaging data.Fundus imaging is expected to be an important adjunct to cardiovascular disease diagnosis and treatment given its noninvasive and convenient nature.The purpose of this review is to summarize the current research status,challenges,and future prospects of the application of artificial intelligence based on multimodal fundus imaging data in cardiovascular disease diagnosis and treatment.
作者
王艳
何雪
赵翰鹏
李聪
任赟
江建荣
杜振超
杨小红
WANG Yan;HE Xue;ZHAO Hanpeng;LI Cong;REN Yun;JIANG Jianrong;DU Zhenchao;YANG Xiaohong(School of Medicine,South China University of Technology,Guangzhou,510006,P.R.China;Guangdong Eye Institute,Guangdong Provincial People's Hospital(Guangdong Academy of Medical Sciences),Southern Medical University,Guangzhou,510080,P.R.China;Southern Medical University,Guangzhou,510515,P.R.China;Medical College of Shantou University,515041,Guangdong,P.R.China)
出处
《中国胸心血管外科临床杂志》
CSCD
北大核心
2023年第9期1344-1350,共7页
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
基金
广东省心血管疾病专项研究项目(2020XXG007)
2021年国家自然科学基金面上项目启动经费(8217040449)。
关键词
多模态眼底影像
人工智能
心血管疾病
诊疗
综述
Multimodal fundus imaging
artificial intelligence
cardiovascular diseases
diagnosis and treatment
review
