School of Dentistry, University of Maryland, Baltimore, MD, USA.
Max Planck Institute for Informatics, Saarbrucken, Germany.
J Oral Pathol Med. 2020 Oct;49(9):849-856. doi: 10.1111/jop.13042. Epub 2020 Jun 15.
Recently, there has been a momentous drive to apply advanced artificial intelligence (AI) technologies to diagnostic medicine. The introduction of AI has provided vast new opportunities to improve health care and has introduced a new wave of heightened precision in oncologic pathology. The impact of AI on oncologic pathology has now become apparent, and its use with respect to oral oncology is still in the nascent stage.
A foundational overview of AI classification systems used in medicine and a review of common terminology used in machine learning and computational pathology will be presented. This paper provides a focused review on the recent advances in AI and deep learning in oncologic histopathology and oral oncology. In addition, specific emphasis on recent studies that have applied these technologies to oral cancer prognostication will also be discussed.
Machine and deep learning methods designed to enhance prognostication of oral cancer have been proposed with much of the work focused on prediction models on patient survival and locoregional recurrences in patients with oral squamous cell carcinomas (OSCC). Few studies have explored machine learning methods on OSCC digital histopathologic images. It is evident that further research at the whole slide image level is needed and future collaborations with computer scientists may progress the field of oral oncology.
最近,将先进的人工智能(AI)技术应用于诊断医学的势头十分迅猛。AI 的引入为改善医疗保健提供了广阔的新机会,并为肿瘤病理学带来了新一波的高精度浪潮。AI 对肿瘤病理学的影响现在已经很明显,而其在口腔肿瘤学中的应用仍处于起步阶段。
本文将对医学中使用的 AI 分类系统进行基础概述,并对机器学习和计算病理学中常用的术语进行回顾。本文重点介绍了 AI 和深度学习在肿瘤组织病理学和口腔肿瘤学中的最新进展。此外,还将特别讨论最近应用这些技术进行口腔癌预后预测的研究。
已经提出了旨在增强口腔癌预后预测的机器和深度学习方法,其中大部分工作集中在预测模型上,用于预测口腔鳞状细胞癌(OSCC)患者的生存和局部区域复发。很少有研究探索 OSCC 数字组织病理学图像的机器学习方法。显然,需要在全切片图像水平上进行进一步的研究,并且与计算机科学家的未来合作可能会推动口腔肿瘤学领域的发展。