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深度学习在图像分析中的应用:将个性化医疗更贴近医疗现场。

Deep learning for image analysis: Personalizing medicine closer to the point of care.

机构信息

a Department of Laboratory Medicine and Pathobiology , University of Toronto , Toronto , Canada.

b MacFeeters-Hamilton Brain Tumour Centre , Princess Margaret Cancer Centre , Toronto , Canada.

出版信息

Crit Rev Clin Lab Sci. 2019 Jan;56(1):61-73. doi: 10.1080/10408363.2018.1536111. Epub 2019 Jan 10.

Abstract

The precision-based revolution in medicine continues to demand stratification of patients into smaller and more personalized subgroups. While genomic technologies have largely led this movement, diagnostic results can take days to weeks to generate. Management at, or closer to, the point of care still heavily relies on the subjective qualitative interpretation of clinical and diagnostic imaging findings. New and emerging technological advances in artificial intelligence (AI) now appear poised to help bring objectivity and precision to these traditionally qualitative analytic tools. In particular, one specific form of AI, known as deep learning, is achieving expert-level disease classifications in many areas of diagnostic medicine dependent on visual and image-based findings. Here, we briefly review concepts of deep learning, and more specifically recent developments in convolutional neural networks (CNNs), to highlight their transformative potential in personalized medicine and, in particular, diagnostic histopathology. Understanding the opportunities and challenges of these quantitative machine-based decision support tools is critical to their widespread introduction into routine diagnostics.

摘要

医学领域的精准革命持续要求将患者细分为更小、更个体化的亚组。虽然基因组技术在很大程度上引领了这一趋势,但诊断结果通常需要数天到数周的时间才能得出。在护理点或更接近护理点的地方进行管理仍然严重依赖于对临床和诊断成像结果的主观定性解释。人工智能 (AI) 的新技术和新兴技术似乎即将为这些传统的定性分析工具带来客观性和精确性。特别是,一种称为深度学习的特定形式的 AI,在依赖视觉和基于图像的发现的许多诊断医学领域实现了专家级别的疾病分类。在这里,我们简要回顾了深度学习的概念,特别是卷积神经网络 (CNN) 的最新发展,以强调它们在个性化医疗中的变革潜力,特别是在诊断组织病理学中。了解这些基于机器的定量决策支持工具的机遇和挑战对于将它们广泛引入常规诊断至关重要。

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