人工智能与机器人辅助医学发展研究

韩晓光, 朱小龙, 姜宇桢, 何达, 刘文勇, 段星光, 田伟

中国工程科学 ›› 2023, Vol. 25 ›› Issue (5) : 43-54.

PDF(641 KB)
PDF(641 KB)
中国工程科学 ›› 2023, Vol. 25 ›› Issue (5) : 43-54. DOI: 10.15302/J-SSCAE-2023.07.031
医药健康产业技术创新与发展研究
Orginal Article

人工智能与机器人辅助医学发展研究

作者信息 +

Development Strategies for Artificial Intelligence and Robotics in Medicine

Author information +
History +

摘要

我国人口老龄化严重,医疗需求持续攀升,加之医疗资源分布尚不均衡,对医疗保障能力建设提出重大挑战。将人工智能(AI)与机器人技术运用于人类医学健康领域,将为医生、研究者、患者提供理论与诊疗方面的创新支持,有助于提升诊疗效果、降低医疗成本、促进医疗资源均衡分布。本文从手术机器人、康复和护理机器人、辅助远程医疗、医学AI 4 个方面出发,提炼了AI与机器人在医学领域中的典型应用,梳理了AI与机器人辅助医学发展现状和政策情况。在对我国AI与机器人辅助医学发展面临挑战的认知基础上,阐述了阶段性发展目标,指出了未来重点发展方向:迈向差异化、小型化、智能化的手术机器人,坚持以人为本的康复和护理机器人,多任务与高临场感的辅助远程医疗,促进医疗健康创新的医学AI。研究建议,确定具有前景的手术机器人研究方向,开展手术机器人核心部件国产化,探索适合国情的商业化模式,提高产品应用的覆盖率,注重专业化人才队伍建设,实施以临床需求为导向的技术创新,加强监管以减少医疗事故并保障数据隐私,以此促进我国AI与机器人辅助医学领域的高质量发展。

Abstract

China is facing significant challenges in healthcare owing to a severe aging population, continuously increasing healthcare demands, and uneven distribution of healthcare resources. The application of artificial intelligence (AI) and robotics in the human medical and health field can provide innovative support in theory and diagnosis for surgeons, researchers, and patients, contributing to improved clinical outcomes, reduced medical costs, and the promotion of balanced distribution of healthcare resources. This paper starts from four aspects: surgical robots, rehabilitation and nursing robots, assisted telemedicine, and medical AI, extracts the typical applications of AI and robots in the medical field, assesses the current status of AI and robotics in medicine, and evaluates pertinent policies, laws, and regulatory frameworks. Based on the understanding of the challenges faced in the development of AI and robotics in medicine in China, it delineates phased development goals and identifies future key directions: advancing toward differentiated, miniaturized, and intelligent surgical robotics; emphasizing patient-centered rehabilitation and nursing robotics; achieving multi-tasking and high situational awareness in assisted telemedicine; and promoting medical AI for healthcare innovation. This paper suggests determining promising research directions for surgical robotics, promoting domestic production of core components, exploring commercially viable models that align with national conditions, expanding the coverage of product applications, focusing on the development of specialized talent pools, implementing technology innovation driven by clinical demands, and strengthening regulations to reduce medical accidents and safeguard data privacy. These measures are expected to foster high-quality development of AI and robotics in medicine in China.

关键词

智慧医疗 / 人工智能 / 手术机器人 / 康复和护理机器人 / 辅助远程医疗 中

Keywords

smart healthcare / artificial intelligence / surgical robotics / rehabilitation and nursing robotics / assisted telemedicine

引用本文

导出引用
韩晓光, 朱小龙, 姜宇桢. 人工智能与机器人辅助医学发展研究. 中国工程科学. 2023, 25(5): 43-54 https://doi.org/10.15302/J-SSCAE-2023.07.031

参考文献

[1]
陈晶‍‍ . 国家卫健委: 持续推进优质医疗资源扩容下沉和区域均衡布局 [N]‍. 人民政协报 , 2023-04-19 05‍.
[2]
Panayides A S, Amini A, Filipovic N D, al et‍. AI in medical imaging informatics: Current challenges and future directions [J]‍. IEEE Journal of Biomedical and Health Informatics, 2020, 24(7): 1837‒1857‍.
[3]
Shi F, Wang J, Shi J, al et‍. Review of artificial intelligence techniques in imaging data acquisition, segmentation, and diagnosis for COVID-19 [J]‍. IEEE Reviews in Biomedical Engineering, 2020, 14: 4‒15‍.
[4]
Mak K K, R‍ Pichika M. Artificial intelligence in drug development: Present status and future prospects [J]‍. Drug Discovery Today, 2019, 24(3): 773‒780‍.
[5]
陈妍 , 吴秋蓬 , 曾德威 , 等‍ . 机器人流程自动化在医疗领域面临的机遇与挑战 [J]‍. 医学信息学杂志 , 2023 , 44 3 : 69 ‒ 73 ‍.
[6]
杜志江 , 孙立宁 , 富历新‍ . 医疗机器人发展概况综述 [J]‍. 机器人 , 2003 , 25 2 : 182 ‒ 187 ‍.
[7]
赵新刚 , 段星光 , 王启宁 , 等‍ . 医疗机器人技术研究展望 [J]‍. 机器人 , 2021 , 43 4 : 385 ‍.
[8]
Soomro N A, Hashimoto D A, Porteous A J, al et‍. Systematic review of learning curves in robot-assisted surgery [J]‍. BJS Open, 2020, 4(1): 27‒44‍.
[9]
黎文娟 , 马泽洋 , 曾磊 , 等‍ . 国内外医疗机器人发展现状及趋势 [J]‍. 机器人产业 , 2022 6 : 72 ‒ 86 ‍.
[10]
杨丽晓 , 侯正松 , 唐伟 , 等‍ . 近年手术机器人的发展 [J]‍. 中国医疗器械杂志 , 2023 , 47 1 : 1 ‒ 12 ‍.
[11]
刘哲 , 石钰 , 林延带 , 等‍ . 智能医学的现状与未来 [J]‍. 科学通报 , 2023 , 68 10 : 1165 ‒ 1181 ‍.
[12]
韩晓光 , 刘亚军 , 范明星 , 等‍ . 骨科手术机器人技术发展及临床应用 [J]‍. 科技导报 , 2017 , 35 10 : 19 ‒ 25 ‍.
[13]
王树新 , 王晓菲 , 张建勋 , 等‍ . 辅助腹腔微创手术的新型机器人"妙手A" [J]‍. 机器人技术与应用 , 2011 4 : 17 ‒ 21 ‍.
[14]
田伟 , 范明星 , 张琦 , 等‍ . 中国骨科手术机器人的发展 [J]‍. 应用力学学报 , 2023 , 40 1 : 1 ‒ 6 ‍.
[15]
Khanna O, Beasley R, Franco D, al et‍. The path to surgical robotics in neurosurgery [J]‍. Operative Neurosurgery, 2021, 20(6): 514‒520‍.
[16]
Ebrahimi A, Sefati S, Gehlbach P, al et‍. Simultaneous online registration-independent stiffness identification and tip localization of surgical instruments in robot-assisted eye surgery [J]‍. IEEE Transactions on Robotics, 2022, 39(2): 1373‒1387‍.
[17]
Cacciamani G E, Rajarubendra N, Artibani W, al et‍. Robotic intracorporeal urinary diversion: State of the art [J]‍. Current Opinion in Urology, 2019, 29(3): 293‒300‍.
[18]
Xiao X, Li C, Gu X, al et‍. A tubular dual-roller bending mechanism toward robotic transurethral prostate biopsy [J]‍. IEEE/ASME Transactions on Mechatronics, 2020, 26(5): 2483‒2494‍.
[19]
段星光 , 高亮 , 李建玺 , 等‍ . 颅颌面外科手术机器人空间配准及实验 [J]‍. 机器人 , 2018 , 40 1 : 64 ‒ 71 ‍.
[20]
Yang G Z, Cambias J, Cleary K, al et‍. Medical robotics—Regulatory, ethical, and legal considerations for increasing levels of autonomy [J]‍. Science Robotics, 2017, 2(4): eaam8638‍.
[21]
毕文倩 , 张锴文 , 刘金 , 等‍ . 智能机器人康复手套对脑卒中偏瘫患者手功能的疗效 [J]‍. 中国康复 , 2023 , 38 3 : 131 ‒ 135 ‍.
[22]
庞洪波 , 李励 , 王艳武‍ . 脊髓损伤患者步行功能康复设备的应用进展 [J]‍. 黑龙江医学 , 2022 , 46 24 : 3070 ‒ 3072 ‍.
[23]
D‍ Argall B. Autonomy in rehabilitation robotics: An intersection [J]‍. Annual Review of Control, Robotics, and Autonomous Systems, 2018, 1: 441‒463‍.
[24]
Jiang J G, Huang Z Y, Huo B, al et‍. Research progress and prospect of nursing robot [J]‍. Recent Patents on Mechanical Engineering, 2018, 11(1): 41‒57‍.
[25]
韩晓光 , 张琦 , 何达‍ . 远程医疗机器人手术研究进展 [J]‍. 邵阳学院学报 自然科学版 , 2022 , 19 5 : 103 ‒ 107 ‍.
[26]
Lacy A M, Bravo R, Otero-Piñeiro A M, al et‍. 5G-assisted telementored surgery [J]‍. British Journal of Surgery, 2019, 106(12): 1576‒1579‍.
[27]
Zhai Y K, Xu X, Chen B Z, al et‍. 5G-network-enabled smart ambulance: Architecture, application, and evaluation [J]‍. IEEE Network, 2021, 35(1): 190‒196‍.
[28]
Zhang Y G, Chen G C, Du H, al et‍. Real-time remote health monitoring system driven by 5G MEC-IoT [J]‍. Electronics, 2020, 9(11): 1753‍.
[29]
Hamet P, Tremblay J‍. Artificial intelligence in medicine [J]‍. Metabolism, 2017, 69: S36‒S40‍.
[30]
段星光 , 李长胜 , 靳励行 , 等‍ . 手术机器人: 机遇与挑战并存 未来前景可期 [J]‍. 前沿科学 , 2020 , 14 3 : 50 ‒ 55 ‍.
基金
中国工程院咨询项目“人工智能与机器人辅助医学发展战略研究”(2022-XY-42);北京自然科学基金项目(L202032)
PDF(641 KB)

Accesses

Citation

Detail

段落导航
相关文章

/