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Streszczenie:
Recently, significant efforts have been made to create Health Digital Twins (HDTs), Digital Twins for clinical applications. Heart modeling is one of the fastest-growing fields, which favors the effective application of HDTs. The clinical application of HDTs will be increasingly widespread in the future of healthcare services and has huge potential to form part of mainstream medicine. However, it requires the development of both models and algorithms for the analysis of medical data, and advances in Artificial Intelligence (AI)-based algorithms have already revolutionized image segmentation processes. Precise segmentation of lesions may contribute to an efficient diagnostics process and a more effective selection of targeted therapy. In this systematic review, a brief overview of recent achievements in HDT technologies in the field of cardiology, including interventional cardiology, was conducted. HDTs were studied taking into account the application of Extended Reality (XR) and AI, as well as data security, technical risks, and ethics-related issues. Special emphasis was put on automatic segmentation issues. In this study, 253 literature sources were taken into account. It appears that improvements in data processing will focus on automatic segmentation of medical imaging in addition to three-dimensional (3D) pictures to reconstruct the anatomy of the heart and torso that can be displayed in XR-based devices. This will contribute to the development of effective heart diagnostics. The combination of AI, XR, and an HDT-based solution will help to avoid technical errors and serve as a universal methodology in the development of personalized cardiology. Additionally, we describe potential applications, limitations, and further research directions.

Słowa kluczowe:
Artificial Intelligence,Machine Learning,Metaverse,Virtual Reality,Extended Reality,Augmented Reality,Digital Twin,Health Digital Twin,personalized medicine,cardiology

Streszczenie:
This paper aims to thoroughly discuss the impact of artificial intelligence (AI) on clinical practice in interventional cardiology (IC) with special recognition of its most recent advancements. Thus, recent years have been exceptionally abundant in advancements in computational tools, including the development of AI. The application of AI development is currently in its early stages, nevertheless new technologies have proven to be a promising concept, particularly considering IC showing great impact on patient safety, risk stratification and outcomes during the whole therapeutic process. The primary goal is to achieve the integration of multiple cardiac imaging modalities, establish online decision support systems and platforms based on augmented and/or virtual realities, and finally to create automatic medical systems, providing electronic health data on patients. In a simplified way, two main areas of AI utilization in IC may be distinguished, namely, virtual and physical. Consequently, numerous studies have provided data regarding AI utilization in terms of automated interpretation and analysis from various cardiac modalities, including electrocardiogram, echocardiography, angiography, cardiac magnetic resonance imaging, and computed tomography as well as data collected during robotic-assisted percutaneous coronary intervention procedures. Thus, this paper aims to thoroughly discuss the impact of AI on clinical practice in IC with special recognition of its most recent advancements.

Słowa kluczowe:
artificial intelligence (AI), interventional cardiology (IC), cardiac modalities, augmented and/or virtual realities, automatic medical systems

Streszczenie:
Artificial Intelligence (AI) has an increasing role to play in medical education and has great potential to revolutionize health professional education systems overall. However, this is accompanied by substantial questions concerning technical and ethical risks which are of particular importance because the quality of medical education has a direct effect on physical and psychological health and wellbeing. This article establishes an overarching distinction of AI across two typological dimensions, functional and humanistic. As indispensable foundations, these are then related to medical practice overall, and forms of implementation with examples are described in both general and medical education. Increasingly, the conditions for successful medical education will depend on an understanding of AI and the ethical issues surrounding its implementation, as well as the formulation of appropriate guidelines by regulatory and other authorities. Within that discussion, the limits of both narrow or Routine AI (RAI) and artificial general intelligence or Decision AI (DAI) are examined particularly in view of the ethical need for Trustworthy AI (TAI) as part of the humanistic dimension. All stakeholders, from patients to medical practitioners, managers, and institutions, need to be able to trust AI, and loss of confidence could be catastrophic in some cases.

Słowa kluczowe:
artificial intelligence typology,artificial intelligence in medicine,ethics,bioethics,medical education,health professional education

Streszczenie:
Artificial intelligence (AI) is penetrating higher medical education; however, its adoption remains low. A PRISMA-S search of the Web of Science database from 2020 to 2024, utilizing the search terms “artificial intelligence,” “medicine,” “education,” and “ethics,” reveals this trend. Four key areas of AI application in medical education are examined for their potential benefits: Educational support (such as personalized distance education), radiology (diagnostics), virtual reality (VR) (visualization and simulations), and generative text engines (GenText), such as ChatGPT (from the production of notes to syllabus design). However, significant ethical risks accompany AI adoption, and specific concerns are linked to each of these four areas. While AI is recognized as an important support tool in medical education, its slow integration hampers learning and diminishes student motivation, as evidenced by the challenges in implementing VR. In radiology, data-intensive training is hindered by poor connectivity, particularly affecting learners in developing countries. Ethical risks, such as bias in datasets (whether intentional or unintentional), need to be highlighted within educational programs. Students must be informed of the possible motivation behind the introduction of social and political bias in datasets, as well as the profit motive. Finally, the ethical risks accompanying the use of GenText are discussed, ranging from student reliance on instant text generation for assignments, which can hinder the development of critical thinking skills, to the potential danger of relying on AI-generated learning and treatment plans without sufficient human moderation.

Słowa kluczowe:
Artificial intelligence, Metaverse, Medical education, Education system, Ethics