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癌症护理中的人工智能:应对挑战与健康公平性

Artificial Intelligence in Cancer Care: Addressing Challenges and Health Equity.

出版信息

Oncology (Williston Park). 2025 Apr 14;39(3):105-110. doi: 10.46883/2025.25921037.

Abstract

Overdiagnosis in cancer care remains a significant concern, often resulting in unnecessary physical, emotional, and financial burdens on patients. Artificial intelligence (AI) has the potential to address this challenge by enabling more accurate, personalized cancer diagnoses and facilitating tailored treatment plans. Integrating AI with precision medicine can minimize unnecessary treatments and associated adverse effects by optimizing care strategies based on individual patient data. However, the integration of AI in oncology requires rigorous research and validation to ensure its effectiveness across diverse populations and clinical settings. Challenges such as algorithmic bias, data representation, and limited access to technology in resource-constrained settings highlight the need for equitable AI applications in health care. Addressing health equity disparities is critical, as diverse and representative training data sets significantly affects the fairness and efficacy of AI systems. AI also holds promise for advancing cancer care in resource-limited settings by providing cost-effective diagnostic tools, democratizing access to advanced health care technologies, and improving outcomes in low- and middle-income nations. Interdisciplinary and international collaborations between researchers, clinicians, and technologists are crucial to maximizing AI's potential in cancer care. By fostering these partnerships and focusing on the development of accessible, ethical, and patient-centered AI applications, the health care community can revolutionize cancer diagnosis and treatment. The growing role of AI in precision medicine brings hope for equitable, cost-effective, and improved patient outcomes worldwide.

摘要

癌症治疗中的过度诊断仍然是一个重大问题,常常给患者带来不必要的身体、情感和经济负担。人工智能有潜力应对这一挑战,通过实现更准确、个性化的癌症诊断并促进量身定制的治疗方案。将人工智能与精准医学相结合,可以根据个体患者数据优化护理策略,从而最大限度地减少不必要的治疗及相关不良反应。然而,人工智能在肿瘤学中的整合需要严格的研究和验证,以确保其在不同人群和临床环境中的有效性。算法偏差、数据表示以及资源有限环境中技术获取受限等挑战凸显了在医疗保健中实现公平的人工智能应用的必要性。解决健康公平差距至关重要,因为多样化且具有代表性的训练数据集会显著影响人工智能系统的公平性和有效性。人工智能还有望通过提供具有成本效益的诊断工具、使先进医疗技术的获取民主化以及改善低收入和中等收入国家的治疗效果,在资源有限的环境中推进癌症治疗。研究人员、临床医生和技术专家之间的跨学科和国际合作对于最大限度发挥人工智能在癌症治疗中的潜力至关重要。通过促进这些伙伴关系并专注于开发可及、符合伦理且以患者为中心的人工智能应用,医疗保健界可以彻底改变癌症诊断和治疗。人工智能在精准医学中日益重要的作用为全球实现公平、具有成本效益且改善患者治疗效果带来了希望。

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