人工智能应用于腰椎间盘突出症诊疗:推动诊治手段向规范化、高效化、精准化  

Application of artificial intelligence in the diagnosis and treatment of lumbar disc herniation:evolution towards standardization,efficiency,and precision of diagnosis and treatment methods

作　　者：张子瑜 陈龙豪 盛威 吕涵哲 沈颖 王炳豪[1,2] 吕智桢 吕立江[1,2,3] Zhang Ziyu;Chen Longhao;Sheng Wei;Lyu Hanzhe;Shen Ying;Wang Binghao;Lyu Zhizhen;Lyu Lijiang(The Third Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou 310000,Zhejiang Province,China;The Third Clinical Medical College of Zhejiang Chinese Medical University,Hangzhou 310000,Zhejiang Province,China;The Institute of Tuina(Spinal Disease),Zhejiang Chinese Medical University,Hangzhou 310000,Zhejiang Province,China)

机构地区：[1]浙江中医药大学附属第三医院,浙江省杭州市310000 [2]浙江中医药大学第三临床医学院,浙江省杭州市310000 [3]浙江中医药大学推拿(脊柱病)研究所,浙江省杭州市310000

出　　处：《中国组织工程研究》2025年第29期6269-6276,共8页Chinese Journal of Tissue Engineering Research

基　　金：国家自然科学基金面上项目(82474668,82274672),项目负责人:吕立江;国家自然科学基金面上项目(82305426),项目负责人:吕智桢;国家中医药管理局高水平中医药重点学科项目(GJXK2023-85),项目负责人:吕立江;浙江省重大研发攻关项目(2022C03123),项目负责人:吕立江。

摘　　要：背景:近年来人工智能技术越来越多地被用于腰椎间盘突出症的诊治,提高了腰椎间盘突出症诊断的准确率及效率,丰富了腰椎间盘突出症的治疗手段,成为研究焦点。目的:从诊断与治疗角度全面展现人工智能在腰椎间盘突出症中的应用现状,分析相应技术的局限性。方法:应用计算机检索PubMed、中国知网、万方数据库及维普数据库建库至2024年8月发表的关于人工智能在腰椎间盘突出症诊治中应用的相关文献,英文检索词为“Lumbar Disc Herniation,Artificial Intelligence,Machine Learning,Deep Learning,Big Data,Robot,Neural Network,Model,Algorithm”,中文检索词为“腰椎间盘突出症,人工智能,机器学习,深度学习,大数据,机器人,神经网络,模型,算法”,按入组标准梳理最终筛选出101篇文献进行综述。结果与结论:人工智能的不同技术推动了腰椎间盘突出症的智能化治疗,在未来的发展中凸显出巨大潜力。深度学习技术基于先进的算法,通过相应学习模型的构建对X射线片、CT及MRI影像进行优化处理,实现对退变腰椎间盘的精确定位、识别与分析,提高了自动化诊断的精度。大数据技术利用数据平台,通过分析海量医疗数据模拟疾病发展趋势,为病情评估与预测提供了新的视角。手术机器人结合机械臂、3D高清视觉系统及5G通信技术为远程精确手术操作提供支持,展现显著的技术优势。未来人工智能对腰椎间盘突出症的诊治将通过算法的持续优化和数据平台的专业化发展,推动诊治手段向规范化、高效化、精准化方向演进。BACKGROUND:In recent years,artificial intelligence has been increasingly integrated into the diagnosis and treatment of lumbar disc herniation,enhancing the accuracy and efficiency of diagnostic procedures and diversifying therapeutic approaches.This integration has positioned artificial intelligence as a burgeoning focal point within the field.OBJECTIVE:To provide a comprehensive overview of the current applications of artificial intelligence in the diagnosis and treatment of lumbar disc herniation,to analyze the limitations of the relevant technologies.METHODS:A systematic computer-assisted literature search was performed in PubMed,CNKI,WanFang Database,and VIP Database for relevant publications regarding the application of artificial intelligence in the diagnosis and treatment of lumbar disc herniation from database inception up to August 2024.The search keywords included“lumbar disc herniation,artificial intelligence,machine learning,deep learning,big data,robot,neural network,model,algorithm.”A total of 101 articles were selected based on predefined inclusion criteria and were reviewed.RESULTS AND CONCLUSION:Different artificial intelligence technologies have propelled the intelligent treatment of lumbar disc herniation,showing great potential for future development.Deep learning technology,based on advanced algorithms,constructs corresponding learning models to optimize the processing of X-ray,CT,and MRI images,achieving precise localization,identification,and analysis of degenerated intervertebral discs,and improving the accuracy of automated diagnosis.Big data technology utilizes data platforms to analyze vast medical data,simulate disease development trends,and provide a new perspective for disease assessment and prediction.Surgical robots,combined with robotic arms,3D high-definition vision systems,and 5G communication technology,support remote precise surgical operations,demonstrating significant technological advantages.In the future,the diagnosis and treatment of lumbar disc herniation by artific

关 键 词：人工智能 腰椎间盘突出症 深度学习 机器学习 大数据 机器人 工程化组织构建 

分 类 号：R459.9[医药卫生—治疗学] R319[医药卫生—临床医学] R681.5