Department of Otolaryngology Head and Neck Surgery, Xiangya Hospital, Central South University, Changsha 410078, Hunan, China.
Int J Biol Sci. 2021 Jan 1;17(2):475-486. doi: 10.7150/ijbs.55716. eCollection 2021.
With the continuous development of medical image informatics technology, more and more high-throughput quantitative data could be extracted from digital medical images, which has resulted in a new kind of omics-Radiomics. In recent years, in addition to genomics, proteomics and metabolomics, radiomic has attracted the interest of more and more researchers. Compared to other omics, radiomics can be perfectly integrated with clinical data, even with the pathology and molecular biomarker, so that the study can be closer to the clinical reality and more revealing of the tumor development. Mass data will also be generated in this process. Machine learning, due to its own characteristics, has a unique advantage in processing massive radiomic data. By analyzing mass amounts of data with strong clinical relevance, people can construct models that more accurately reflect tumor development and progression, thereby providing the possibility of personalized and sequential treatment of patients. As one of the cancer types whose treatment and diagnosis rely on imaging examination, radiomics has a very broad application prospect in head and neck cancers (HNC). Until now, there have been some notable results in HNC. In this review, we will introduce the concepts and workflow of radiomics and machine learning and their current applications in head and neck cancers, as well as the directions and applications of artificial intelligence in the treatment and diagnosis of HNC.
随着医学影像信息学技术的不断发展,越来越多的高通量定量数据可以从数字医学图像中提取出来,这导致了一种新的组学——放射组学的产生。近年来,除了基因组学、蛋白质组学和代谢组学之外,放射组学也引起了越来越多研究人员的兴趣。与其他组学相比,放射组学可以与临床数据完美结合,甚至与病理学和分子生物标志物结合,使研究更接近临床实际,更能揭示肿瘤的发展。在此过程中也会产生大量数据。由于自身的特点,机器学习在处理大量放射组学数据方面具有独特的优势。通过对具有强临床相关性的大量数据进行分析,人们可以构建更能准确反映肿瘤发展和进展的模型,从而为患者的个体化和序贯治疗提供可能。作为一种依赖于影像学检查的癌症类型,放射组学在头颈部癌症(HNC)中有非常广阔的应用前景。到目前为止,在 HNC 中已经有一些显著的研究成果。在这篇综述中,我们将介绍放射组学和机器学习的概念和工作流程及其在头颈部癌症中的当前应用,以及人工智能在 HNC 治疗和诊断中的方向和应用。