Jayaraman Pushkala, Vasudev Ishita, Bhardwaj Akinchan, Nadkarni Girish, Sakhuja Ankit, Meena Priti
The Windreich Department of Artificial Intelligence and Human Health, Icahn School of Medicine Mount Sinai, New York, USA.
BronxCare Health System Bronx, New York, USA.
Indian J Nephrol. 2025 Jul-Aug;35(4):470-479. doi: 10.25259/IJN_496_2024. Epub 2025 May 8.
Artificial intelligence (AI) is a rapidly advancing tool in healthcare, which might have significant implications in nephrology. Integrating AI, particularly through models like GPT-3 and GPT-4, has potential in medical education and diagnostics, achieving accuracy in clinical assessments. AI's ability to analyze large, complex datasets from diverse modalities (electronic health records, imaging, and genetic data) might enable early detection, personalized treatment planning, and clinical decision-making. Key developments include AI-driven chronic kidney disease and acute kidney injury predictive models, which utilize machine learning algorithms to predict risk factors and disease onset, thereby allowing timely intervention. AI is enhancing non-invasive diagnostics like retinal imaging to detect kidney disease biomarkers, offering a promising and cost-effective approach to early disease detection. Despite these advancements, AI implementation in clinical practice faces challenges, including the need for robust data integration, model generalizability across diverse patient populations, and ethical and regulatory standards adherence. Maintaining transparency, explainability, and patient trust is crucial for AI's successful deployment in nephrology. This article explores AI's role in kidney care, covering its diagnostic applications, outcome prediction, and treatment, with references to recent studies that highlight its potential and current limitations.
人工智能(AI)是医疗保健领域中一种迅速发展的工具,可能会对肾脏病学产生重大影响。整合人工智能,特别是通过GPT-3和GPT-4等模型,在医学教育和诊断方面具有潜力,能够在临床评估中实现准确性。人工智能分析来自多种模式(电子健康记录、成像和基因数据)的大型复杂数据集的能力,可能有助于早期检测、个性化治疗规划和临床决策。关键进展包括人工智能驱动的慢性肾脏病和急性肾损伤预测模型,这些模型利用机器学习算法来预测风险因素和疾病发作,从而实现及时干预。人工智能正在增强视网膜成像等非侵入性诊断方法,以检测肾脏疾病生物标志物,为早期疾病检测提供了一种有前景且具有成本效益的方法。尽管取得了这些进展,但人工智能在临床实践中的应用仍面临挑战,包括需要强大的数据整合、跨不同患者群体的模型通用性,以及遵守伦理和监管标准。保持透明度、可解释性和患者信任对于人工智能在肾脏病学中的成功部署至关重要。本文探讨了人工智能在肾脏护理中的作用,涵盖其诊断应用、结果预测和治疗,并参考了突出其潜力和当前局限性的近期研究。