计算机化神经认知评估系统研究综述

神经及精神类疾病、外科损伤、肿瘤以及衰老会导致人类神经认知功能减退。干预和康复需要专业的神经认知评估工具来确定认知受损情况、跟踪认知变化。为了推进适合中国人群的计算机化神经认知评估系统的研发,提高中国认知神经心理学的临床应用水平,首先,对神经认知评估的研究背景与发展历史进行了概述;其次,调查研究了国内外近10年间有论文或临床数据支撑其信效度的计算机化神经认知评估系统,对比了各自的特点;接着,论证了开发适用于中国人的计算机化神经认知评估系统的必要性,并初步介绍了其开发流程,提出将计算机自适应测试策略用于评估系统;然后,分析了目前计算机化的神经认知评估系统所面临的主要问题,并在此基础上,展望了虚拟现实、脑认知计算模型和在线评估等现代信息技术在未来计算机化神经认知评估系统中的应用;最后,提出了基于人工智能医疗、移动医疗和数字医疗等的计算机化神经认知评估系统的商业化模式。

Survey on Computerized Neurocognitive Assessment System

Neurological and psychiatric disorders,surgical injuries,tumors,and aging can lead to neurocognitive decline in humans.Intervention and rehabilitation require specialized neurocognitive assessment tools to evaluate cognitive decline and track cognitive changes.In order to promote the research and development of computerized neurocognitive assessment system suitable for Chinese population and improve the clinical application level of cognitive neuropsychology in China,firstly,the research background and development history of neurocognitive assessment were summarized.Secondly,the computerized neurocognitive assessment system with empirical evidences supporting its reliability and validity over the past decade at home and abroad was investigated and its characteristics were compared.Then,this paper demonstrated the necessity of developing a computerized neurocognitive assessment system suitable for Chinese people,introduced its development process and put forward the computer adaptive testing strategy for the assessment system.Subsequently,the main problems of the current computerized neurocognitive assessment system were analyzed.On this basis,the application of modern information technology such as virtual reality,brain cognitive computing model and online assessment in the future computerized neurocognitive assessment system was prospected.Finally,a commercial model of computerized neurocognitive assessment system based on artificial intelligence,mobile medicine and digital medicine was proposed.