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人工智能、机器学习、计算机辅助诊断和放射组学:影像学向精准医学迈进的进展。

Artificial intelligence, machine learning, computer-aided diagnosis, and radiomics: advances in imaging towards to precision medicine.

作者信息

Santos Marcel Koenigkam, Ferreira Júnior José Raniery, Wada Danilo Tadao, Tenório Ariane Priscilla Magalhães, Barbosa Marcello Henrique Nogueira, Marques Paulo Mazzoncini de Azevedo

机构信息

Centro de Ciências das Imagens e Física Médica (CCIFM) da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (FMRP-USP), Ribeirão Preto, SP, Brazil.

Escola de Engenharia de São Carlos da Universidade de São Paulo (EESC-USP), São Carlos, SP, Brazil.

出版信息

Radiol Bras. 2019 Nov-Dec;52(6):387-396. doi: 10.1590/0100-3984.2019.0049.

Abstract

The discipline of radiology and diagnostic imaging has evolved greatly in recent years. We have observed an exponential increase in the number of exams performed, subspecialization of medical fields, and increases in accuracy of the various imaging methods, making it a challenge for the radiologist to "know everything about all exams and regions". In addition, imaging exams are no longer only qualitative and diagnostic, providing now quantitative information on disease severity, as well as identifying biomarkers of prognosis and treatment response. In view of this, computer-aided diagnosis systems have been developed with the objective of complementing diagnostic imaging and helping the therapeutic decision-making process. With the advent of artificial intelligence, "big data", and machine learning, we are moving toward the rapid expansion of the use of these tools in daily life of physicians, making each patient unique, as well as leading radiology toward the concept of multidisciplinary approach and precision medicine. In this article, we will present the main aspects of the computational tools currently available for analysis of images and the principles of such analysis, together with the main terms and concepts involved, as well as examining the impact that the development of artificial intelligence has had on radiology and diagnostic imaging.

摘要

近年来,放射学和诊断成像学科发展迅速。我们注意到检查数量呈指数级增长、医学领域细分以及各种成像方法的准确性提高,这使得放射科医生很难“了解所有检查和部位的所有情况”。此外,成像检查不再只是定性和诊断性的,现在还能提供有关疾病严重程度的定量信息,以及识别预后和治疗反应的生物标志物。鉴于此,已开发出计算机辅助诊断系统,旨在辅助诊断成像并帮助进行治疗决策。随着人工智能、“大数据”和机器学习的出现,我们正朝着在医生日常工作中迅速扩大这些工具的使用方向发展,使每个患者都具有独特性,同时引领放射学朝着多学科方法和精准医学的概念发展。在本文中,我们将介绍目前可用于图像分析的计算工具的主要方面及其分析原理,以及相关的主要术语和概念,同时探讨人工智能发展对放射学和诊断成像的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1e6/7007049/c39eecb7f774/rb-52-06-0387-g01.jpg

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