Cultura

On the Expressive Limitations of Prompt-Directed Image Generation

VOLUME 22, 2025

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Musa Haydar
Independent Researcher

Abstract

Though images produced with generative AI today are often met with negative reception, Kathryn Wojtkiewicz has convincingly argued that these images may still be considered works of art. To do so, she relies on Claire Anscomb’s notion of creative agency pertaining to automatic processes and leverages an analogy between generative AI and photography. Wojtkiewicz’s additionally argues that the causes for distaste towards generative AI are social, and not aesthetic, ones. Her analogy between photography and generative AI relies on the fact that the artist can predict the outcomes of the process to realize creative agency. However, in her analogy, she hand-waves the differences between these processes, differences which affect how well a generative AI user can predict the resulting features of the image. In particular, photography begins with something seen before the camera, whereas generative AI begins with a linguistic prompt, introducing ambiguity about the user’s intentions. Furthermore, the user iteratively adjusts the prompts and selects the image’s features from what was generated, and thereby expressing fewer of the user’s beleifs, attitudes, and emotions than other mediums. Consequently, we find that these limit the potential for representational expression in a work created with generative AI as compared to other artistic processes.

Keywords : Artificial Intelligence, Art Creation, Expressive Limitations, Image Generation.
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty