Journal Home Online First Current Issue Archive For Authors Journal Information 中文版

Strategic Study of CAE >> 2023, Volume 25, Issue 5 doi: 10.15302/J-SSCAE-2023.07.031

Development Strategies for Artificial Intelligence and Robotics in Medicine

1. Beijing Jishuitan Hospital, Capital Medical University, Beijing 100035, China;

2. School of Medical Technology, Beijing Institute of Technology, Beijing 100081, China;

3. School of Biological Science and Medical Engineering, Beihang University, Beijing 100083, China

Funding project:Chinese Academy of Engineering project “Development Strategy of Artificial Intelligence and Robotics in Medicine” (2022-XY-42); Beijing Natural Science Foundation project (L202032) Received: 2023-04-28 Revised: 2023-07-02

Next Previous

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.

References

[ 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.
Chen J‍ . National Health Commission: Continue to promote the expansion and sinking of high-quality medical resources and the balanced layout of regions [N]‍. CPPCC Daily , 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 ‍.
Chen Y , Wu Q P , Zeng D W , al e t ‍. Opportunities and challenges of robotic process automation in healthcare [J]‍. Journal of Medical Informatics , 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 ‍.
Du Z J , Sun L N , Fu L X‍ . An review of medical robots [J]‍. Robot , 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 ‍.
Zhao X G , Duan X G , Wang Q N , al e t ‍. Prospect of the medical robotics research [J]‍. Robot , 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 ‍.
Li W J , Ma Z Y , Zeng L , al e t ‍. Development status and trends of medical robots at home and abroad [J]‍. Robot Industry , 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 ‍.
Yang L X , Hou Z S , Tang W , al e t ‍. Development of surgical robots in recent years [J]‍. Chinese Journal of Medical Instrumentation , 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 ‍.
Liu Z , Shi J , Lin Y D , al e t ‍. Intelligent Medicine and beyond [J]‍. Chinese Science Bulletin , 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 ‍.
Han X G , Liu Y J , Fan M X , al e t ‍. Development and clinical application of the orthopaedic surgical robot [J]‍. Science Technology Review , 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 ‍.
Wang S X , Wang X F , Zhang J X , al e t ‍. A new robot "MicroHand A" for assisting abdominal minimally invasive surgery [J]‍. Robot Technique and Application , 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 ‍.
Tian W , Fan M X , Zhang Q , al e t ‍. Development of orthopaedic surgical robots in China [J]‍. Chinese Journal of Applied Mechanics , 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 ‍.
Duan X G , Gao L , Li J X , al e t ‍. Spatial registration of a cranio-maxillofacial surgery robot and its experiments [J]‍. Robot , 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 ‍.
Bi W Q , Zhang K W , Liu J , al e t ‍. Effectiveness of intelligent robotic rehabilitation gloves for stroke-induced hemiplegic hands [J]‍. Chinses Journal of Rehabilitation , 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 ‍.
Pang H B , Li L , Wang Y W‍ . Progress in the application of rehabilitation equipment for walking function in patients with spinal cord injury [J]‍. Heilongjiang Medical Journal , 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 ‍.
Han X G , Zhang Q , He D‍ . Progress of telerobotic surgery [J]‍. Journal of Shaoyang University Natural Science Edition , 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 ‍.
Duan X G , Li C S , Jin L X , al e t ‍. Surgical robots: Opportunities and challenges coexist, future prospects can be expected [J]‍. Frontiers Science , 2020 , 14 3 : 50 ‒ 55 ‍.

Related Research