Article record

神经耳科学的数字化必要性

The Digital Imperative for Neuro-Otology.

综述 Meta耳科IF 3.3Q2

文献信息

PMID	42869513
原文	在 PubMed 查看原文 ↗
发表日期	2026
作者	David E Newman-Toker 查看其他 2 位作者 Anand Kumar Bery；Ali S Saber Tehrani
作者单位	Department of Neurology, Division of Neuro-Visual & Vestibular Disorders, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Pathology 2-210, Baltimore, MD 21287, USA. Electronic address: toker@jhu.edu. 查看其他 2 条单位信息 Department of Otolaryngology, Massachusetts Eye and Ear, 243 Charles Street, Boston, MA 02114, USA; Department of Otolaryngology-Head and Neck Surgery, Harvard Medical School, Boston, MA, USA. Electronic address: abery@meei.harvard.edu.；Department of Neurology, Johns Hopkins University School of Medicine, 600 N. Wolfe Street, Pathology 2-210, Baltimore, MD 21287, USA. Electronic address: ali.tehrani@jhmi.edu.
期刊	Neurologic clinics
SCI 分区	Q2
IF	3.3
研究类型	综述 Meta · 临床
所属专科	耳科

中文摘要

本文强调了数字医学在改变头晕、眩晕及其他前庭疾病的诊断和管理方面日益重要的作用。视频眼震图、视频头脉冲试验、基于智能手机的诊断工具以及人工智能（AI）驱动的临床决策支持系统等进展，为大规模提供专家级前庭诊疗创造了机会。作者强调，由于诊断错误率高、卒中漏诊、不适当的检查以及常见疾病的治疗率低，当前临床实践常常未能满足前庭患者的需求。尽管数字创新前景广阔，但验证、监管、数据质量以及AI可靠性相关的挑战仍需解决。

英文摘要

This article highlights the growing role of digital medicine in transforming the diagnosis and management of dizziness, vertigo, and other vestibular disorders. Advances such as video-oculography, video head impulse testing, smartphone-based diagnostic tools, and artificial intelligence (AI)-driven clinical decision support systems have created opportunities to deliver expert vestibular care at scale. The authors emphasize that current clinical practice often fails vestibular patients because of high diagnostic error rates, missed strokes, inappropriate testing, and low treatment rates for common conditions. While digital innovations hold great promise, challenges related to validation, regulation, data quality, and AI reliability still must be addressed.