Eye diagnosis is a method for inspecting systemic diseases and syndromes by observing the eyes.With the development of intelligent diagnosis in traditional Chinese medicine(TCM);artificial intelligence(AI)can improve ...Eye diagnosis is a method for inspecting systemic diseases and syndromes by observing the eyes.With the development of intelligent diagnosis in traditional Chinese medicine(TCM);artificial intelligence(AI)can improve the accuracy and efficiency of eye diagnosis.However;the research on intelligent eye diagnosis still faces many challenges;including the lack of standardized and precisely labeled data;multi-modal information analysis;and artificial in-telligence models for syndrome differentiation.The widespread application of AI models in medicine provides new insights and opportunities for the research of eye diagnosis intelli-gence.This study elaborates on the three key technologies of AI models in the intelligent ap-plication of TCM eye diagnosis;and explores the implications for the research of eye diagno-sis intelligence.First;a database concerning eye diagnosis was established based on self-su-pervised learning so as to solve the issues related to the lack of standardized and precisely la-beled data.Next;the cross-modal understanding and generation of deep neural network models to address the problem of lacking multi-modal information analysis.Last;the build-ing of data-driven models for eye diagnosis to tackle the issue of the absence of syndrome dif-ferentiation models.In summary;research on intelligent eye diagnosis has great potential to be applied the surge of AI model applications.展开更多
This paper introduces a systems theory-driven framework to integration artificial intelligence(AI)into traditional Chinese medicine(TCM)research,enhancing the understanding of TCM’s holistic material basis while adhe...This paper introduces a systems theory-driven framework to integration artificial intelligence(AI)into traditional Chinese medicine(TCM)research,enhancing the understanding of TCM’s holistic material basis while adhering to evidence-based principles.Utilizing the System Function Decoding Model(SFDM),the research progresses through define,quantify,infer,and validate phases to systematically explore TCM’s material basis.It employs a dual analytical approach that combines top-down,systems theory-guided perspectives with bottom-up,elements-structure-function methodologies,provides comprehensive insights into TCM’s holistic material basis.Moreover,the research examines AI’s role in quantitative assessment and predictive analysis of TCM’s material components,proposing two specific AIdriven technical applications.This interdisciplinary effort underscores AI’s potential to enhance our understanding of TCM’s holistic material basis and establishes a foundation for future research at the intersection of traditional wisdom and modern technology.展开更多
As a complementary and alternative medicine(CAM),traditional Chinese medicine(TCM)represents an established medical system with a rich history and abundant clinical experience.TCM is an empirical medicine,the process ...As a complementary and alternative medicine(CAM),traditional Chinese medicine(TCM)represents an established medical system with a rich history and abundant clinical experience.TCM is an empirical medicine,the process of which is analogous to ChatGPT’s learning and development model.In TCM,inquiry is a relatively objective way of traditional syndrome differentiation.Although various artificial intelligence systems related to TCM consultation exist,their interactive abilities remain limited.The study standardized the primary complaint and instructed ChatGPT to simulate a TCM practitioner,conducting three comprehensive inquiry tests.The results yielded unexpected conclusions,revealing that ChatGPT could simulate a TCM practitioner’s inquiry with patients,confirming its potential in the field of TCM inquiry.However,current applications still pose certain limitations and risks.Hence,to integrate ChatGPT-like language models with traditional TCM AI to establish an associative mode that can facilitate TCM diagnosis and treatment with more convenience and standardization is crucial,yet at the same time,it should be treated very carefully.展开更多
The Traditional Chinese Medicine(TCM)industry,deeply rooted in cultural heritage and complex production processes,has been advancing through technological innovations such as intelligent production systems,digital man...The Traditional Chinese Medicine(TCM)industry,deeply rooted in cultural heritage and complex production processes,has been advancing through technological innovations such as intelligent production systems,digital management,blockchain traceability,and personalized health services.Despite its historical and cultural significance,the integration of these modern technologies offers significant potential to enhance the industry’s modernization and internationalization.Empirical research and case studies indicate that adopting intelligent production systems,blockchain-enabled traceability,and data-driven resource management strategies can address industry challenges while promoting sustainable development.This paper examines the current state of new quality productivity in TCM,evaluates the challenges and opportunities of its application,and proposes strategic recommendations for the industry’s sustainable growth.The findings suggest that new quality productivity can improve production efficiency,ensure consistent product quality,and boost consumer confidence,particularly in global markets.These insights offer a theoretical foundation and practical strategies for applying advanced productivity models in TCM,with potential implications for other traditional healthcare industries.展开更多
As modern science and technology constantly progresses,the fields of artificial intelligence,mixed reality technology,remote technology,etc.have rapidly developed.Meanwhile,these technologies have been gradually appli...As modern science and technology constantly progresses,the fields of artificial intelligence,mixed reality technology,remote technology,etc.have rapidly developed.Meanwhile,these technologies have been gradually applied to the medical field,leading to the development of intelligent medicine.What’s more,intelligent medicine has greatly promoted the development of traditional Chinese medicine(TCM),causing huge changes in the diagnosis of TCM ailments,remote treatment,teaching,etc.Therefore,there are both opportunities and challenges for inheriting and developing TCM.Herein,the related research progress of intelligent medicine in the TCM in China and abroad over the years is analyzed,with the purpose of introducing the present application status of intelligent medicine in TCM and providing reference for the inheritance and development of TCM in a new era.展开更多
Artificial intelligence(AI) aims to mimic human cognitive functions and execute intellectual activities like that performed by humans dealing with an uncertain environment. The rapid development of AI technology provi...Artificial intelligence(AI) aims to mimic human cognitive functions and execute intellectual activities like that performed by humans dealing with an uncertain environment. The rapid development of AI technology provides powerful tools to analyze massive amounts of data, facilitating physicians to make better clinical decisions or even replace human judgment in healthcare.Advanced AI technology also creates novel opportunities for exploring the scientific basis of traditional Chinese medicine(TCM) and developing the standardization and digitization of TCM pulse diagnostic methodology. In the present study, we review and discuss the potential application of AI technology in TCM pulse diagnosis. The major contents include the following aspects:(1) a brief introduction of the general concepts and knowledge of TCM pulse diagnosis or palpation,(2) landmark developments in AI technology and the applications of common AI deep learning algorithms in medical practice,(3) the current progress of AI technology in TCM pulse diagnosis,(4) challenges and perspectives of AI technology in TCM pulse diagnosis. In conclusion, the pairing of TCM with modern AI technology will bring novel insights into understanding the scientific principles underlying TCM pulse diagnosis and creating opportunities for the development of AI deep learning technology for the standardization and digitalization of TCM pulse diagnosis.展开更多
Tongue diagnosis is an important process to non-invasively assess the condition of a patient’s internal organs in traditional Chinese medicine(TCM)and each part of the tongue is related to corresponding internal orga...Tongue diagnosis is an important process to non-invasively assess the condition of a patient’s internal organs in traditional Chinese medicine(TCM)and each part of the tongue is related to corresponding internal organs.Due to continuing computer technological advances,especially the artificial intelligence(AI)methods have achieved significant success in tackling tongue image acquisition,processing,and classification,novel AI methods are being introduced in traditional Chinese medicine tongue diagnosis medical practices.Traditional tongue diagnose depends on observations of tongue characteristics,such as color,shape,texture,moisture,etc.by traditional Chinese medicine physicians.The appearance of the tongue color,texture and coating reflects the improvement or deterioration of patient’s conditions.Moreover,AI can now distinguish patient’s condition through tongue images,texture or coating,which is all possible increasingly with help from traditional Chinese medicine physicians under the traditional Chinese medicine tongue theory.AI has enabled humans to do what was previously unimagined:traditional Chinese medicine tongue diagnosis with feeding a large amount of tongue image and tongue texture/coating data to train the AI modes.This review focuses on the research advances of AI in TCM tongue diagnosis thus far to identify the major scientific methods and prospects.In this article,we tried to review the AI application in resolving the tongue diagnosis of traditional Chinese medicine on color correction,tongue image extraction,tongue texture/coating segmentation.展开更多
Traditional Chinese medicine prescription is one of the treasures of traditional Chinese medicine(TCM).There are tens of thousands TCM prescriptions accumulated in the past thousands of years,corresponding to differen...Traditional Chinese medicine prescription is one of the treasures of traditional Chinese medicine(TCM).There are tens of thousands TCM prescriptions accumulated in the past thousands of years,corresponding to different diseases,symptoms and therapeutic goals.The correspondences are so complicated that there is an urgent need to leverage new technologies such as artificial intelligence(AI)to analyze,understand and utilize them effectively.In this paper,we present a brief overview of this direction,where current research progress on TCM prescription powered by AI is summarized.Our summarization focuses on three aspects,TCM prescription mining that aims at understanding the TCM prescription,TCM prescription or herb knowledge base construction that aims at extracting knowledge to support the TCM prescription-related study,and TCM prescription discovery that aims at utilizing AI technologies to further energize TCM.It is encouraging to see that steady progress in this direction has been made recently.Besides,a toy experiment on image-based TCM herb recognition by using convolutional neural networks is also conducted.It basically verifies that it is promising to use AI technologies to address challenging tasks in TCM.We also point out several research topics that could be cooperatively performed by researchers from the two disciplines.展开更多
The translation and implementation of clinical practice guidelines(CPGs)for Traditional Chinese Medicine(TCM)and Integrated Traditional Chinese and Western medicine is crucial to the adoption of medical science and te...The translation and implementation of clinical practice guidelines(CPGs)for Traditional Chinese Medicine(TCM)and Integrated Traditional Chinese and Western medicine is crucial to the adoption of medical science and technology,but the low operability and slow update of integrated traditional Chinese and Western Medicine guidelines,and the lack of integration between guidelines and clinical practice,result in the guidelines not having the desired clinical effects in practice.The application of Artificial Intelligence(AI)to the field of CPGs development aims to shorten the development time,optimize and accelerate the whole process of CPG’s development.This article summarized the current research and application status of AI in development and implementation CPGs for TCM and Integrated Traditional Chinese and Western medicine and proposed the method of Combining real world data and AI technology to enrich for TCM and Integrated Traditional Chinese and Western medicine.展开更多
Cardiovascular diseases(CVDs)are major disease burdens with high mortality worldwide.Early prediction of cardiovascular events can reduce the incidence of acute myocardial infarction and decrease the mortality rates o...Cardiovascular diseases(CVDs)are major disease burdens with high mortality worldwide.Early prediction of cardiovascular events can reduce the incidence of acute myocardial infarction and decrease the mortality rates of patients with CVDs.The pathological mechanisms and multiple factors involved in CVDs are complex;thus,traditional data analysis is insufficient and inefficient to manage multidimensional data for the risk prediction of CVDs and heart attacks,medical image interpretations,therapeutic decision-making,and disease prognosis prediction.Meanwhile,traditional Chinese medicine(TCM)has been widely used for treating CVDs.TCM offers unique theoretical and practical applications in the diagnosis and treatment of CVDs.Big data have been generated to investigate the scientific basis of TCM diagnostic methods.TCM formulae contain multiple herbal items.Elucidating the complicated interactions between the active compounds and network modulations requires advanced data-analysis capability.Recent progress in artificial intelligence(AI)technology has allowed these challenges to be resolved,which significantly facilitates the development of integrative diagnostic and therapeutic strategies for CVDs and the understanding of the therapeutic principles of TCM formulae.Herein,we briefly introduce the basic concept and current progress of AI and machine learning(ML)technology,and summarize the applications of advanced AI and ML for the diagnosis and treatment of CVDs.Furthermore,we review the progress of AI and ML technology for investigating the scientific basis of TCM diagnosis and treatment for CVDs.We expect the application of AI and ML technology to promote synergy between western medicine and TCM,which can then boost the development of integrative medicine for the diagnosis and treatment of CVDs.展开更多
Traditional Chinese Medicine Network Pharmacology(TCM-NP) is an interdisciplinary discipline that integrates information science, systems biology, network science and pharmacology, providing a systematic research meth...Traditional Chinese Medicine Network Pharmacology(TCM-NP) is an interdisciplinary discipline that integrates information science, systems biology, network science and pharmacology, providing a systematic research methodology for TCM studies. With the development of artificial intelligence(AI)and multi-omics technologies, TCM-NP has entered a new era and can incorporate multimodal and high-dimensional data in the context of big data to enhance both theoretical foundations and technical capabilities. Despite its advancement, TCM-NP still faces challenges, particularly in ensuring the quality of data and research, as well as achieving more profound scientific discoveries. The field needs further innovation to obtain more precise and biomedically meaningful results. Overall research progress in TCM-NP depends on developing more accurate algorithms together with utilizing higher-quality and larger-scale data. This paper gives a perspective on the trends and characteristics of TCM-NP development and application in the era of AI.展开更多
Objective To build a dataset encompassing a large number of stained tongue coating images and process it using deep learning to automatically recognize stained tongue coating images.Methods A total of 1001 images of s...Objective To build a dataset encompassing a large number of stained tongue coating images and process it using deep learning to automatically recognize stained tongue coating images.Methods A total of 1001 images of stained tongue coating from healthy students at Hunan University of Chinese Medicine and 1007 images of pathological(non-stained)tongue coat-ing from hospitalized patients at The First Hospital of Hunan University of Chinese Medicine withlungcancer;diabetes;andhypertensionwerecollected.Thetongueimageswererandomi-zed into the training;validation;and testing datasets in a 7:2:1 ratio.A deep learning model was constructed using the ResNet50 for recognizing stained tongue coating in the training and validation datasets.The training period was 90 epochs.The model’s performance was evaluated by its accuracy;loss curve;recall;F1 score;confusion matrix;receiver operating characteristic(ROC)curve;and precision-recall(PR)curve in the tasks of predicting stained tongue coating images in the testing dataset.The accuracy of the deep learning model was compared with that of attending physicians of traditional Chinese medicine(TCM).Results The training results showed that after 90 epochs;the model presented an excellent classification performance.The loss curve and accuracy were stable;showing no signs of overfitting.The model achieved an accuracy;recall;and F1 score of 92%;91%;and 92%;re-spectively.The confusion matrix revealed an accuracy of 92%for the model and 69%for TCM practitioners.The areas under the ROC and PR curves were 0.97 and 0.95;respectively.Conclusion The deep learning model constructed using ResNet50 can effectively recognize stained coating images with greater accuracy than visual inspection of TCM practitioners.This model has the potential to assist doctors in identifying false tongue coating and prevent-ing misdiagnosis.展开更多
Real-world clinical evaluation of traditional Chinese medicine(RWCE-TCM)is a method for comprehensively evaluating the clinical effects of TCM,with the aim of delving into the causality between TCM intervention and cl...Real-world clinical evaluation of traditional Chinese medicine(RWCE-TCM)is a method for comprehensively evaluating the clinical effects of TCM,with the aim of delving into the causality between TCM intervention and clinical outcomes.The study explored data science and causal learning methods to transform RWD into reliable real-world evidence,aiming to provide an innovative approach for RWCE-TCM.This study proposes a 10-step data science methodology to address the challenges posed by diverse and complex data in RWCE-TCM.The methodology involves several key steps,including data integration and warehouse building,high-dimensional feature selection,the use of interpretable statistical machine learning algorithms,complex networks,and graph network analysis,knowledge mining techniques such as natural language processing and machine learning,observational study design,and the application of artificial intelligence tools to build an intelligent engine for translational analysis.The goal is to establish a method for clinical positioning,applicable population screening,and mining the structural association of TCM characteristic therapies.In addition,the study adopts the principle of real-world research and a causal learning method for TCM clinical data.We constructed a multidimensional clinical knowledge map of“disease-syndrome-symptom-prescription-medicine”to enhance our understanding of the diagnosis and treatment laws of TCM,clarify the unique therapies,and explore information conducive to individualized treatment.The causal inference process of observational data can address confounding bias and reduce individual heterogeneity,promoting the transformation of TCM RWD into reliable clinical evidence.Intelligent data science improves efficiency and accuracy for implementing RWCE-TCM.The proposed data science methodology for TCM can handle complex data,ensure high-quality RWD acquisition and analysis,and provide in-depth insights into clinical benefits of TCM.This method supports the intelligent translation and demonstration of RWD in TCM,leads the data-driven translational analysis of causal learning,and innovates the path of RWCE-TCM.展开更多
基金National Natural Science Foundation of China(82274265 and 82274588)Hunan University of Traditional Chinese Medicine Research Unveiled Marshal Programs(2022XJJB003).
文摘Eye diagnosis is a method for inspecting systemic diseases and syndromes by observing the eyes.With the development of intelligent diagnosis in traditional Chinese medicine(TCM);artificial intelligence(AI)can improve the accuracy and efficiency of eye diagnosis.However;the research on intelligent eye diagnosis still faces many challenges;including the lack of standardized and precisely labeled data;multi-modal information analysis;and artificial in-telligence models for syndrome differentiation.The widespread application of AI models in medicine provides new insights and opportunities for the research of eye diagnosis intelli-gence.This study elaborates on the three key technologies of AI models in the intelligent ap-plication of TCM eye diagnosis;and explores the implications for the research of eye diagno-sis intelligence.First;a database concerning eye diagnosis was established based on self-su-pervised learning so as to solve the issues related to the lack of standardized and precisely la-beled data.Next;the cross-modal understanding and generation of deep neural network models to address the problem of lacking multi-modal information analysis.Last;the build-ing of data-driven models for eye diagnosis to tackle the issue of the absence of syndrome dif-ferentiation models.In summary;research on intelligent eye diagnosis has great potential to be applied the surge of AI model applications.
基金supported by the National Natural Science Foundation of China(82230117).
文摘This paper introduces a systems theory-driven framework to integration artificial intelligence(AI)into traditional Chinese medicine(TCM)research,enhancing the understanding of TCM’s holistic material basis while adhering to evidence-based principles.Utilizing the System Function Decoding Model(SFDM),the research progresses through define,quantify,infer,and validate phases to systematically explore TCM’s material basis.It employs a dual analytical approach that combines top-down,systems theory-guided perspectives with bottom-up,elements-structure-function methodologies,provides comprehensive insights into TCM’s holistic material basis.Moreover,the research examines AI’s role in quantitative assessment and predictive analysis of TCM’s material components,proposing two specific AIdriven technical applications.This interdisciplinary effort underscores AI’s potential to enhance our understanding of TCM’s holistic material basis and establishes a foundation for future research at the intersection of traditional wisdom and modern technology.
基金This study was financed by the grant from the Science and Technology Development Program of Shanghai University of Traditional Chinese Medicine(No.23KFKP17).
文摘As a complementary and alternative medicine(CAM),traditional Chinese medicine(TCM)represents an established medical system with a rich history and abundant clinical experience.TCM is an empirical medicine,the process of which is analogous to ChatGPT’s learning and development model.In TCM,inquiry is a relatively objective way of traditional syndrome differentiation.Although various artificial intelligence systems related to TCM consultation exist,their interactive abilities remain limited.The study standardized the primary complaint and instructed ChatGPT to simulate a TCM practitioner,conducting three comprehensive inquiry tests.The results yielded unexpected conclusions,revealing that ChatGPT could simulate a TCM practitioner’s inquiry with patients,confirming its potential in the field of TCM inquiry.However,current applications still pose certain limitations and risks.Hence,to integrate ChatGPT-like language models with traditional TCM AI to establish an associative mode that can facilitate TCM diagnosis and treatment with more convenience and standardization is crucial,yet at the same time,it should be treated very carefully.
基金Humanities and Social Science Research Project of Guizhou Provincial Department of Education(Project No.24RWZX057)。
文摘The Traditional Chinese Medicine(TCM)industry,deeply rooted in cultural heritage and complex production processes,has been advancing through technological innovations such as intelligent production systems,digital management,blockchain traceability,and personalized health services.Despite its historical and cultural significance,the integration of these modern technologies offers significant potential to enhance the industry’s modernization and internationalization.Empirical research and case studies indicate that adopting intelligent production systems,blockchain-enabled traceability,and data-driven resource management strategies can address industry challenges while promoting sustainable development.This paper examines the current state of new quality productivity in TCM,evaluates the challenges and opportunities of its application,and proposes strategic recommendations for the industry’s sustainable growth.The findings suggest that new quality productivity can improve production efficiency,ensure consistent product quality,and boost consumer confidence,particularly in global markets.These insights offer a theoretical foundation and practical strategies for applying advanced productivity models in TCM,with potential implications for other traditional healthcare industries.
基金supported by grants from the National Natural Science Foundation of China(No.81974355 and No.82172525)a Hubei Province Technology Innovation Major Special Project(No.2018AAA067).
文摘As modern science and technology constantly progresses,the fields of artificial intelligence,mixed reality technology,remote technology,etc.have rapidly developed.Meanwhile,these technologies have been gradually applied to the medical field,leading to the development of intelligent medicine.What’s more,intelligent medicine has greatly promoted the development of traditional Chinese medicine(TCM),causing huge changes in the diagnosis of TCM ailments,remote treatment,teaching,etc.Therefore,there are both opportunities and challenges for inheriting and developing TCM.Herein,the related research progress of intelligent medicine in the TCM in China and abroad over the years is analyzed,with the purpose of introducing the present application status of intelligent medicine in TCM and providing reference for the inheritance and development of TCM in a new era.
基金We thank for the funding support form the Health and Medical Research Fund,Hong Kong SAR(No.17181811).
文摘Artificial intelligence(AI) aims to mimic human cognitive functions and execute intellectual activities like that performed by humans dealing with an uncertain environment. The rapid development of AI technology provides powerful tools to analyze massive amounts of data, facilitating physicians to make better clinical decisions or even replace human judgment in healthcare.Advanced AI technology also creates novel opportunities for exploring the scientific basis of traditional Chinese medicine(TCM) and developing the standardization and digitization of TCM pulse diagnostic methodology. In the present study, we review and discuss the potential application of AI technology in TCM pulse diagnosis. The major contents include the following aspects:(1) a brief introduction of the general concepts and knowledge of TCM pulse diagnosis or palpation,(2) landmark developments in AI technology and the applications of common AI deep learning algorithms in medical practice,(3) the current progress of AI technology in TCM pulse diagnosis,(4) challenges and perspectives of AI technology in TCM pulse diagnosis. In conclusion, the pairing of TCM with modern AI technology will bring novel insights into understanding the scientific principles underlying TCM pulse diagnosis and creating opportunities for the development of AI deep learning technology for the standardization and digitalization of TCM pulse diagnosis.
基金China National Funds for Distinguished Young Scientists(CN)(Grants No.81725024)China Postdoctoral Science Foundation(No.2020M670236).
文摘Tongue diagnosis is an important process to non-invasively assess the condition of a patient’s internal organs in traditional Chinese medicine(TCM)and each part of the tongue is related to corresponding internal organs.Due to continuing computer technological advances,especially the artificial intelligence(AI)methods have achieved significant success in tackling tongue image acquisition,processing,and classification,novel AI methods are being introduced in traditional Chinese medicine tongue diagnosis medical practices.Traditional tongue diagnose depends on observations of tongue characteristics,such as color,shape,texture,moisture,etc.by traditional Chinese medicine physicians.The appearance of the tongue color,texture and coating reflects the improvement or deterioration of patient’s conditions.Moreover,AI can now distinguish patient’s condition through tongue images,texture or coating,which is all possible increasingly with help from traditional Chinese medicine physicians under the traditional Chinese medicine tongue theory.AI has enabled humans to do what was previously unimagined:traditional Chinese medicine tongue diagnosis with feeding a large amount of tongue image and tongue texture/coating data to train the AI modes.This review focuses on the research advances of AI in TCM tongue diagnosis thus far to identify the major scientific methods and prospects.In this article,we tried to review the AI application in resolving the tongue diagnosis of traditional Chinese medicine on color correction,tongue image extraction,tongue texture/coating segmentation.
基金the National Natural Science Foundation of China(No.2019YFC1710400,2019YFC1710404).
文摘Traditional Chinese medicine prescription is one of the treasures of traditional Chinese medicine(TCM).There are tens of thousands TCM prescriptions accumulated in the past thousands of years,corresponding to different diseases,symptoms and therapeutic goals.The correspondences are so complicated that there is an urgent need to leverage new technologies such as artificial intelligence(AI)to analyze,understand and utilize them effectively.In this paper,we present a brief overview of this direction,where current research progress on TCM prescription powered by AI is summarized.Our summarization focuses on three aspects,TCM prescription mining that aims at understanding the TCM prescription,TCM prescription or herb knowledge base construction that aims at extracting knowledge to support the TCM prescription-related study,and TCM prescription discovery that aims at utilizing AI technologies to further energize TCM.It is encouraging to see that steady progress in this direction has been made recently.Besides,a toy experiment on image-based TCM herb recognition by using convolutional neural networks is also conducted.It basically verifies that it is promising to use AI technologies to address challenging tasks in TCM.We also point out several research topics that could be cooperatively performed by researchers from the two disciplines.
基金the National Key Research and Development Program of China(No.2016YFC0106300)Health and Family Planning Commission of Hubei province joint funding project(No.WJ2018H0009).
文摘The translation and implementation of clinical practice guidelines(CPGs)for Traditional Chinese Medicine(TCM)and Integrated Traditional Chinese and Western medicine is crucial to the adoption of medical science and technology,but the low operability and slow update of integrated traditional Chinese and Western Medicine guidelines,and the lack of integration between guidelines and clinical practice,result in the guidelines not having the desired clinical effects in practice.The application of Artificial Intelligence(AI)to the field of CPGs development aims to shorten the development time,optimize and accelerate the whole process of CPG’s development.This article summarized the current research and application status of AI in development and implementation CPGs for TCM and Integrated Traditional Chinese and Western medicine and proposed the method of Combining real world data and AI technology to enrich for TCM and Integrated Traditional Chinese and Western medicine.
基金The Health and Medical Research Fund,Hong Kong(17181811)。
文摘Cardiovascular diseases(CVDs)are major disease burdens with high mortality worldwide.Early prediction of cardiovascular events can reduce the incidence of acute myocardial infarction and decrease the mortality rates of patients with CVDs.The pathological mechanisms and multiple factors involved in CVDs are complex;thus,traditional data analysis is insufficient and inefficient to manage multidimensional data for the risk prediction of CVDs and heart attacks,medical image interpretations,therapeutic decision-making,and disease prognosis prediction.Meanwhile,traditional Chinese medicine(TCM)has been widely used for treating CVDs.TCM offers unique theoretical and practical applications in the diagnosis and treatment of CVDs.Big data have been generated to investigate the scientific basis of TCM diagnostic methods.TCM formulae contain multiple herbal items.Elucidating the complicated interactions between the active compounds and network modulations requires advanced data-analysis capability.Recent progress in artificial intelligence(AI)technology has allowed these challenges to be resolved,which significantly facilitates the development of integrative diagnostic and therapeutic strategies for CVDs and the understanding of the therapeutic principles of TCM formulae.Herein,we briefly introduce the basic concept and current progress of AI and machine learning(ML)technology,and summarize the applications of advanced AI and ML for the diagnosis and treatment of CVDs.Furthermore,we review the progress of AI and ML technology for investigating the scientific basis of TCM diagnosis and treatment for CVDs.We expect the application of AI and ML technology to promote synergy between western medicine and TCM,which can then boost the development of integrative medicine for the diagnosis and treatment of CVDs.
文摘Traditional Chinese Medicine Network Pharmacology(TCM-NP) is an interdisciplinary discipline that integrates information science, systems biology, network science and pharmacology, providing a systematic research methodology for TCM studies. With the development of artificial intelligence(AI)and multi-omics technologies, TCM-NP has entered a new era and can incorporate multimodal and high-dimensional data in the context of big data to enhance both theoretical foundations and technical capabilities. Despite its advancement, TCM-NP still faces challenges, particularly in ensuring the quality of data and research, as well as achieving more profound scientific discoveries. The field needs further innovation to obtain more precise and biomedically meaningful results. Overall research progress in TCM-NP depends on developing more accurate algorithms together with utilizing higher-quality and larger-scale data. This paper gives a perspective on the trends and characteristics of TCM-NP development and application in the era of AI.
基金National Natural Science Foundation of China(82274411)Science and Technology Innovation Program of Hunan Province(2022RC1021)Leading Research Project of Hunan University of Chinese Medicine(2022XJJB002).
文摘Objective To build a dataset encompassing a large number of stained tongue coating images and process it using deep learning to automatically recognize stained tongue coating images.Methods A total of 1001 images of stained tongue coating from healthy students at Hunan University of Chinese Medicine and 1007 images of pathological(non-stained)tongue coat-ing from hospitalized patients at The First Hospital of Hunan University of Chinese Medicine withlungcancer;diabetes;andhypertensionwerecollected.Thetongueimageswererandomi-zed into the training;validation;and testing datasets in a 7:2:1 ratio.A deep learning model was constructed using the ResNet50 for recognizing stained tongue coating in the training and validation datasets.The training period was 90 epochs.The model’s performance was evaluated by its accuracy;loss curve;recall;F1 score;confusion matrix;receiver operating characteristic(ROC)curve;and precision-recall(PR)curve in the tasks of predicting stained tongue coating images in the testing dataset.The accuracy of the deep learning model was compared with that of attending physicians of traditional Chinese medicine(TCM).Results The training results showed that after 90 epochs;the model presented an excellent classification performance.The loss curve and accuracy were stable;showing no signs of overfitting.The model achieved an accuracy;recall;and F1 score of 92%;91%;and 92%;re-spectively.The confusion matrix revealed an accuracy of 92%for the model and 69%for TCM practitioners.The areas under the ROC and PR curves were 0.97 and 0.95;respectively.Conclusion The deep learning model constructed using ResNet50 can effectively recognize stained coating images with greater accuracy than visual inspection of TCM practitioners.This model has the potential to assist doctors in identifying false tongue coating and prevent-ing misdiagnosis.
基金This work was funded by the scientific and technological innovation project of China Academy of Chinese Medical Sciences(CI2021A04706,CI2021B003)the National Key Research and Development Program of China(2023YFC3503404,2017YFC1700406-2,2018YFC1704306)the independent selection project of China Academy of Chinese Medical Sciences(Z0643,Z0723).
文摘Real-world clinical evaluation of traditional Chinese medicine(RWCE-TCM)is a method for comprehensively evaluating the clinical effects of TCM,with the aim of delving into the causality between TCM intervention and clinical outcomes.The study explored data science and causal learning methods to transform RWD into reliable real-world evidence,aiming to provide an innovative approach for RWCE-TCM.This study proposes a 10-step data science methodology to address the challenges posed by diverse and complex data in RWCE-TCM.The methodology involves several key steps,including data integration and warehouse building,high-dimensional feature selection,the use of interpretable statistical machine learning algorithms,complex networks,and graph network analysis,knowledge mining techniques such as natural language processing and machine learning,observational study design,and the application of artificial intelligence tools to build an intelligent engine for translational analysis.The goal is to establish a method for clinical positioning,applicable population screening,and mining the structural association of TCM characteristic therapies.In addition,the study adopts the principle of real-world research and a causal learning method for TCM clinical data.We constructed a multidimensional clinical knowledge map of“disease-syndrome-symptom-prescription-medicine”to enhance our understanding of the diagnosis and treatment laws of TCM,clarify the unique therapies,and explore information conducive to individualized treatment.The causal inference process of observational data can address confounding bias and reduce individual heterogeneity,promoting the transformation of TCM RWD into reliable clinical evidence.Intelligent data science improves efficiency and accuracy for implementing RWCE-TCM.The proposed data science methodology for TCM can handle complex data,ensure high-quality RWD acquisition and analysis,and provide in-depth insights into clinical benefits of TCM.This method supports the intelligent translation and demonstration of RWD in TCM,leads the data-driven translational analysis of causal learning,and innovates the path of RWCE-TCM.