Cultura

AI & Big Data in Tourism for Decision Making. Ecuador Case

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

Fausto Calderón-Pineda, Arturo Benavides-Rodríguez, German Mosquera-Soriano

Abstract

This research presents a systematic review of the literature on the application of Artificial Intelligence (AI) and Big Data in tourism, with an emphasis on Ecuador. The main objective is to analyse approaches from empirical studies, scientific articles and industry reports from the last 20 years. The focus is on AI techniques such as machine learning, natural language processing, computer vision and Big Data analysis methods. These are applied to massive data from travellers and online platforms. The methodology combines a comprehensive systematic literature review of Scopus, Web of Science and Dimensions with a field survey of 25 tourism companies in Quito, Guayaquil and Cuenca using non-probabilistic convenience sampling. The survey gathered data on AI and Big Data adoption, perceived impact, investment plans and barriers to adoption. The results show that AI and Big Data have broad applications in areas such as market segmentation, experience personalisation, price optimisation and trend analysis. However, adoption gaps exist in developing countries such as Ecuador. Preliminary results suggest great potential to boost the competitiveness and sustainability of Ecuadorian tourism through AI and Big Data by adapting existing approaches to the local context. Future research areas and the need for integrative methodological frameworks are highlighted.

Keywords : Information Management , Tourism Management, Artificial Intelligence , Big Data, Decision Support Systems, Systematic Literature Review.
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