Abstract
Real-world
evidence
(RWE)
is
increasingly
recognized
as
a
valuable
resource
in
pharmacoeconomics,
offering
insights
into
the
effectiveness,
safety,
and
economic
impact
of
healthcare
interventions
routine
clinical
settings.
This
review
highlights
growing
significance
RWE
beyond
traditional
trials,
focusing
on
its
applications
decision-making.
Key
sources
RWE,
such
electronic
health
records,
claims
data,
registries,
observational
studies,
are
explored
alongside
methodologies
like
retrospective
cohort
case–control
comparative
effectiveness
research.
The
examines
RWE’s
role
assessing
treatment
estimating
costs,
evaluating
long-term
outcomes,
informing
technology
assessments
reimbursement
decisions.
Challenges
data
quality,
confounding
factors,
generalizability
discussed
with
strategies
for
overcoming
these
limitations.
Regulatory
perspectives
from
agencies
Food
Drug
Administration
European
Medicines
Agency,
well
ethical
privacy
considerations
also
reviewed.
Emerging
trends,
integration
artificial
intelligence
patient-generated
offer
new
opportunities
enhancing
use
healthcare.
findings
emphasize
importance
leveraging
to
improve
delivery,
optimize
allocation,
support
value-based
Artificial
intelligence
(AI)
and
machine
learning
(ML)
technologies
are
revolutionizing
health
care
by
offering
unprecedented
opportunities
to
enhance
patient
care,
optimize
clinical
workflows,
advance
medical
research.
However,
the
integration
of
AI
ML
into
healthcare
systems
raises
significant
ethical
considerations
that
must
be
carefully
addressed
ensure
responsible
equitable
deployment.
This
comprehensive
review
explored
multifaceted
surrounding
use
in
including
privacy
data
security,
algorithmic
bias,
transparency,
validation,
professional
responsibility.
By
critically
examining
these
dimensions,
stakeholders
can
navigate
complexities
while
safeguarding
welfare
upholding
principles.
embracing
best
practices
fostering
collaboration
across
interdisciplinary
teams,
community
harness
full
potential
usher
a
new
era
personalized
data-driven
prioritizes
well-being
equity.
Nature Medicine,
Год журнала:
2024,
Номер
30(10), С. 2977 - 2989
Опубликована: Июль 4, 2024
Abstract
Differential
diagnosis
of
dementia
remains
a
challenge
in
neurology
due
to
symptom
overlap
across
etiologies,
yet
it
is
crucial
for
formulating
early,
personalized
management
strategies.
Here,
we
present
an
artificial
intelligence
(AI)
model
that
harnesses
broad
array
data,
including
demographics,
individual
and
family
medical
history,
medication
use,
neuropsychological
assessments,
functional
evaluations
multimodal
neuroimaging,
identify
the
etiologies
contributing
individuals.
The
study,
drawing
on
51,269
participants
9
independent,
geographically
diverse
datasets,
facilitated
identification
10
distinct
etiologies.
It
aligns
diagnoses
with
similar
strategies,
ensuring
robust
predictions
even
incomplete
data.
Our
achieved
microaveraged
area
under
receiver
operating
characteristic
curve
(AUROC)
0.94
classifying
individuals
normal
cognition,
mild
cognitive
impairment
dementia.
Also,
AUROC
was
0.96
differentiating
demonstrated
proficiency
addressing
mixed
cases,
mean
0.78
two
co-occurring
pathologies.
In
randomly
selected
subset
100
neurologist
assessments
augmented
by
our
AI
exceeded
neurologist-only
26.25%.
Furthermore,
aligned
biomarker
evidence
its
associations
different
proteinopathies
were
substantiated
through
postmortem
findings.
framework
has
potential
be
integrated
as
screening
tool
clinical
settings
drug
trials.
Further
prospective
studies
are
needed
confirm
ability
improve
patient
care.
Muscle & Nerve,
Год журнала:
2023,
Номер
69(3), С. 260 - 272
Опубликована: Дек. 27, 2023
Abstract
The
rapid
advancements
in
artificial
intelligence
(AI),
including
machine
learning
(ML),
and
deep
(DL)
have
ushered
a
new
era
of
technological
breakthroughs
healthcare.
These
technologies
are
revolutionizing
the
way
we
utilize
medical
data,
enabling
improved
disease
classification,
more
precise
diagnoses,
better
treatment
selection,
therapeutic
monitoring,
highly
accurate
prognostication.
Different
ML
DL
models
been
used
to
distinguish
between
electromyography
signals
normal
individuals
those
with
amyotrophic
lateral
sclerosis
myopathy,
accuracy
ranging
from
67%
99.5%.
also
successfully
applied
neuromuscular
ultrasound,
use
segmentation
techniques
achieving
diagnostic
at
least
90%
for
nerve
entrapment
disorders,
87%
inflammatory
myopathies.
Other
successful
AI
applications
include
prediction
response,
prognostication
intensive
care
unit
admissions
patients
myasthenia
gravis.
Despite
these
remarkable
strides,
significant
knowledge,
attitude,
practice
gaps
persist,
within
field
electrodiagnostic
medicine.
In
this
narrative
review,
highlight
fundamental
principles
draw
parallels
intricacies
human
brain
networks.
Specifically,
explore
immense
potential
that
holds
studies,
other
aspects
While
there
exciting
possibilities
future,
it
is
essential
acknowledge
understand
limitations
take
proactive
steps
mitigate
challenges.
This
collective
endeavor
advancement
healthcare
through
strategic
responsible
integration
technologies.
medRxiv (Cold Spring Harbor Laboratory),
Год журнала:
2024,
Номер
unknown
Опубликована: Фев. 11, 2024
Abstract
Differential
diagnosis
of
dementia
remains
a
challenge
in
neurology
due
to
symptom
overlap
across
etiologies,
yet
it
is
crucial
for
formulating
early,
personalized
management
strategies.
Here,
we
present
an
AI
model
that
harnesses
broad
array
data,
including
demographics,
individual
and
family
medical
history,
medication
use,
neuropsychological
assessments,
functional
evaluations,
multimodal
neuroimaging,
identify
the
etiologies
contributing
individuals.
The
study,
drawing
on
51,
269
participants
9
independent,
geographically
diverse
datasets,
facilitated
identification
10
distinct
etiologies.
It
aligns
diagnoses
with
similar
strategies,
ensuring
robust
predictions
even
incomplete
data.
Our
achieved
micro-averaged
area
under
receiver
operating
characteristic
curve
(AUROC)
0.94
classifying
individuals
normal
cognition,
mild
cognitive
impairment
dementia.
Also,
AUROC
was
0.96
differentiating
demonstrated
proficiency
addressing
mixed
cases,
mean
0.78
two
cooccurring
pathologies.
In
randomly
selected
subset
100
neurologist
assessments
augmented
by
our
exceeded
neurologist-only
evaluations
26.25%.
Furthermore,
aligned
biomarker
evidence
its
associations
different
proteinopathies
were
substantiated
through
postmortem
findings.
framework
has
potential
be
integrated
as
screening
tool
various
clinical
settings
drug
trials,
promising
implications
person-level
management.
Annals of Laboratory Medicine,
Год журнала:
2024,
Номер
45(1), С. 12 - 21
Опубликована: Окт. 24, 2024
Artificial
intelligence
(AI)
and
machine
learning
(ML)
are
anticipated
to
transform
the
practice
of
medicine.
As
one
largest
sources
digital
data
in
healthcare,
laboratory
results
can
strongly
influence
AI
ML
algorithms
that
require
large
sets
healthcare
for
training.
Embedded
bias
introduced
into
models
not
only
has
disastrous
consequences
quality
care
but
also
may
perpetuate
exacerbate
health
disparities.
The
lack
test
harmonization,
which
is
defined
as
ability
produce
comparable
same
interpretation
irrespective
method
or
instrument
platform
used
result,
introduce
aggregation
with
potential
adverse
outcomes
patients.
Limited
interoperability
at
technical,
syntactic,
semantic,
organizational
levels
a
source
embedded
limits
accuracy
generalizability
algorithmic
models.
Population-specific
issues,
such
inadequate
representation
clinical
trials
inaccurate
race
attribution,
affect
erroneous
conclusions
based
on
literature.
Artificial Intelligence in Medicine,
Год журнала:
2025,
Номер
166, С. 103116 - 103116
Опубликована: Апрель 29, 2025
Multiple
Sclerosis
(MS)
is
a
chronic
neuroinflammatory
disease
of
the
Central
Nervous
System
(CNS)
in
which
body's
immune
system
attacks
and
destroys
myelin
sheath
that
protects
nerve
fibers,
leading
to
wide
range
debilitating
symptoms
causing
disruption
axonal
signal
transmission.
Accurate
prediction,
diagnosis,
monitoring
treatment
(PDMT)
MS
are
essential
improve
patient
outcomes.
Recent
advances
neuroimaging
technologies,
particularly
electroencephalography
(EEG),
combined
with
machine
learning
(ML)
techniques
-
including
Deep
Learning
(DL)
models
offer
promising
avenues
for
enhancing
management.
This
systematic
review
synthesizes
existing
research
on
application
ML
DL
EEG
data
MS.
It
explores
methodologies
used,
focus
architectures
such
as
Convolutional
Neural
Networks
(CNNs)
hybrid
models,
highlights
recent
advancements
technologies
have
significantly
improved
diagnosis
monitoring.
The
addresses
challenges
potential
biases
using
ML-based
analysis
Strategies
mitigate
these
challenges,
advanced
preprocessing
techniques,
diverse
training
datasets,
cross-validation
methods,
explainable
Artificial
Intelligence
(AI),
discussed.
Finally,
paper
outlines
future
applications
trends
underscores
transformative
ML-enhanced
improving
management,
providing
insights
into
directions
overcome
limitations
further
clinical
practice.