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中国器官移植AI辅助临床决策专家共识

摘要:

我国器官捐献与移植事业发展迅速,已跃居成为世界第二捐献与移植大国,但是器官移植数量和质量仍有待进一步提高,以满足广大等待移植受者需求。人工智能(AI)支持多源临床大数据的整合、分析与应用,能够辅助拓展可用供器官、提升移植物质量,为缓解移植器官供需失衡提供新的技术基础。为规范AI在我国器官捐献与移植全流程的辅助应用,现组织多学科专家制定《中国器官移植AI辅助临床决策专家共识》,通过构建统一的数据与模型要求,形成覆盖供者评估维护及器官匹配、器官保存与转运、器官移植手术和术后受者管理等全流程器官捐献与移植临床场景的技术框架,并规范伦理法规约束与责任主体边界,以进一步提升AI辅助器官捐献与移植工作的规范化、安全化水平,促进我国器官捐献与移植事业的高质量发展。

Abstract:

Organ donation and transplantation in China have developed rapidly, ranking second in the world in terms of both donation and transplantation volume. However, both the quantity and quality of organ transplants remain to be further improved to satisfy the demands of the vast number of recipients awaiting transplantation. Artificial intelligence (AI) facilitates the integration, analysis, and application of multi-source clinical big data. It is capable of assisting in expanding the pool of available donor organs and enhancing graft quality, thereby providing a novel technological foundation for alleviating the imbalance between the supply and demand of transplant organs. To standardize the auxiliary application of AI throughout the entire process of organ donation and transplantation in China, a team of multidisciplinary experts were convened to formulate the Chinese Expert Consensus on AI-Assisted Clinical Decision-Making in Organ Transplantation. By establishing unified requirements for data and models, this consensus forms a technical framework covering clinical scenarios across the entire workflow of organ donation and transplantation, including donor assessment and maintenance, organ matching, organ preservation and transport, transplant surgery, and post-transplant recipient management. Furthermore, it clarifies ethical and regulatory constraints as well as the boundaries of responsibility subjects. The aim is to further enhance the standardization and safety of AI-assisted organ donation and transplantation, ultimately promoting the high-quality development of this field in China.

图  1   AI辅助全流程器官捐献与移植服务技术体系

Figure  1.   AI-assisted full-process organ donation and transplantation service technology system

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