人工智能在结核病防治中的应用与挑战

Artificial intelligence in tuberculosis prevention and control: application and challenge

  • 摘要: 结核病(TB)依然严重威胁全球公共卫生,传统防治手段在诊断、早期筛查、耐药监测、基层诊疗能力建设等方面存在瓶颈,人工智能(AI)技术的快速发展为TB全链条防控开辟了新路径。本研究系统梳理了AI在TB影像学诊断、痰菌检测、耐药预测、药物研发、流行病学监测、患者管理等领域的应用进展,总结了AI在提升诊断效率、降低漏诊误诊率、优化防治流程及助力基层筛查等方面的优势,分析了当前技术应用面临的数据标准化不足、模型泛化能力弱、临床转化壁垒、伦理监管缺失等挑战,并从数据体系构建、技术融合创新、场景下沉落地及政策生态完善等方面展望了AI赋能TB防控的未来发展方向,以期为智能防控体系的构建与防治策略的制定提供参考。

     

    Abstract: Tuberculosis (TB) remains a serious threat to global public health. Traditional prevention and control approaches face bottlenecks in diagnosis, early screening, drug resistance monitoring, and primary healthcare capability building. The rapid development of artificial intelligence (AI) technology has provided a new approach for comprehensive TB prevention and control. This paper systematically summarizes the progress in application of AI in TB imaging diagnosis, sputum bacterium detection, drug resistance prediction, drug development, epidemiological surveillance and patient management, introduces the advantages of AI in improving diagnosis efficiency, reducing missed diagnosis and misdiagnosis rates, optimizing prevention and control protocol, and facilitating grassroots screening. and analyzes the challenges currently facing AI applications, including insufficient data standardization, poor model generalization, barriers to clinical translation, and lack of ethical supervision. Furthermore, it predicts the future development of AI-aid TB prevention and control from the perspectives of data system construction, technology integration and innovation, scenario-based deployment at the grassroots level, and improvement of the policy ecosystem for the purpose of providing reference for the intelligent system establishment and strategy development for TB prevention and treatment.

     

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