系统梳理便携医疗影像的AI技术,提升图像质量与临床可用性。
Portable Medical Imaging in Modern Healthcare: Fundamentals, AI-Based Taxonomy, Image Quality, and Open Challenges

- 构建基于机器学习、深度学习等的AI方法分类体系
- 揭示运动伪影等导致图像退化的关键问题及应对策略
- 适合医疗AI研究者和便携设备开发者参考
便携式医疗影像(PMI)在急诊、偏远及资源匮乏地区成为床旁诊断的重要解决方案。包括便携式CT、MRI、超声和无线胶囊内镜在内的多种模态提升了及时诊断的可及性,但易受运动伪影、环境干扰、硬件限制和采集条件不稳定等因素影响,导致图像质量下降。本文系统综述了近年PMI在图像质量方面的进展,提出涵盖机器学习、深度学习、迁移学习和基于Transformer方法的AI分类体系,分析其在图像增强、重建、质量评估、检测与分类中的作用。同时考察了各类PMI设备、传感流程、模态特异性失真、评价指标及公开数据集。区别于以往以模态或应用为中心的综述,本工作强调图像质量、AI鲁棒性与临床可用性的内在关联。最后识别当前研究空白,展望未来实现可靠、可解释、临床部署的PMI系统的发展方向。
原文摘要 · Abstract (English)
Portable medical imaging (PMI) has emerged as an important solution for point-of-care diagnosis in emergency, rural, and resource-limited settings where conventional imaging infrastructure is not readily available. Modalities such as portable computed tomography, portable magnetic resonance imaging, portable ultrasound, and wireless capsule endoscopy improve access to timely diagnosis, but they remain highly vulnerable to image-quality degradation caused by motion artifacts, environmental interference, hardware limitations, and unstable acquisition conditions. This review provides a systematic and quality-centered synthesis of recent advances in PMI. It introduces a taxonomy of AI-based PMI methods spanning machine learning, deep learning, transfer learning, and Transformer-based approaches, and examines their roles in image enhancement, reconstruction, quality assessment, detection, and classification. The review also analyzes PMI devices, sensing pipelines, modality-specific distortions, evaluation metrics, and publicly available datasets. In contrast to existing surveys that are mainly modality-driven or application-focused, this work emphasizes the relationship between image quality, AI robustness, and clinical usability in portable settings. Finally, it identifies current research gaps and outlines future directions toward reliable, interpretable, and clinically deployable PMI systems.
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