首页|期刊导航|中风与神经疾病杂志|人工智能与神经系统疾病的研究新进展

人工智能与神经系统疾病的研究新进展OA

New advances in research on artificial intelligence and neurological disorders

中文摘要英文摘要

近年来,人工智能(AI)技术在医学领域快速发展,并逐渐应用于神经系统疾病的诊断、治疗决策和长期管理.神经系统疾病通常具有病因复杂、临床表现异质性强、诊疗信息来源多样及全病程管理需求高等特点,传统诊疗模式在早期识别、风险预测、预后评估和个体化管理方面仍存在一定局限.机器学习、深度学习、多模态融合模型及大语言模型等AI技术,可整合医学影像、脑电信号、临床资料、实验室指标、病理及分子检测、组学数据和可穿戴设备信息,在脑卒中急诊影像识别与预后预测、癫痫脑电分析与发作监测、认知障碍早期筛查与进展预测、帕金森病运动症状量化与长期管理、脑肿瘤病灶分割与分子标志物预测,以及神经免疫性疾病辅助鉴别和风险评估等方面显示出应用潜力.与此同时,AI在神经系统疾病中的临床转化仍面临数据质量和标准化不足、外部验证有限、模型泛化能力和可解释性不足、伦理监管及责任边界尚不清晰等问题.本文围绕AI在主要神经系统疾病中的研究进展及应用价值进行述评,并分析当前挑战与未来发展方向,以期为神经系统疾病智能化诊疗和人机协同管理提供参考.

In recent years,artificial intelligence(AI)technologies have developed rapidly in the medical field and have gradually been applied to the diagnosis,treatment decision-making,and long-term management of neurological disor-ders.Neurological disorders are generally characterized by complex etiologies,marked heterogeneity in clinical manifesta-tions,diverse sources of diagnostic and therapeutic information,and a high demand for full-course disease management.Conventional diagnostic and treatment models still have certain limitations in early identification,risk prediction,prognos-tic evaluation,and individualized management.AI technologies,including machine learning,deep learning,multimodal fusion models,and large language models,can integrate medical imaging,electroencephalographic signals,clinical data,laboratory indicators,pathological and molecular testing results,omics data,and information from wearable devices.These technologies have shown potential applications in emergency stroke imaging recognition and prognostic prediction,electroencephalographic analysis and seizure monitoring for epilepsy,early screening and progression prediction for cogni-tive impairment,quantification of motor symptoms and long-term management of Parkinson disease,lesion segmentation and molecular marker prediction for brain tumors,as well as auxiliary differentiation and risk assessment of neuroimmune disorders.However,the clinical translation of AI in neurological disorders still faces several challenges,including insuffi-cient data quality and standardization,limited external validation,inadequate model generalizability and interpretability,and unclear boundaries of ethical regulation and responsibility.This review focuses on the research progress and applica-tion value of AI in major neurological disorders,and further analyzes current challenges and future development direc-tions,aiming to provide a reference for intelligent diagnosis and treatment as well as human-AI collaborative management of neurological disorders.

安丽莉;何志义

中国医科大学附属第一医院神经内科,辽宁 沈阳 110000中国医科大学附属第一医院神经内科,辽宁 沈阳 110000

医药卫生

人工智能神经系统疾病精准诊疗辅助诊断风险预测临床决策支持

Artificial intelligenceNeurological disorderPrecision diagnosis and treatmentAuxiliary di-agnosisRisk predictionClinical decision support

《中风与神经疾病杂志》 2026 (9)

771-776,6

10.19845/j.cnki.zfysjjbzz.2026.0135

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