Goyal Hemant, Mann Rupinder, Gandhi Zainab, Perisetti Abhilash, Zhang Zhongheng, Sharma Neil, Saligram Shreyas, Inamdar Sumant, Tharian Benjamin
The Wright Center for Graduate Medical Education, 501 S. Washington Avenue, Scranton, PA 18505, USA.
Academic Hospitalist, Saint Agnes Medical Center, Fresno, CA, USA.
Ther Adv Gastrointest Endosc. 2021 Feb 15;14:2631774521993059. doi: 10.1177/2631774521993059. eCollection 2021 Jan-Dec.
The role of artificial intelligence and its applications has been increasing at a rapid pace in the field of gastroenterology. The application of artificial intelligence in gastroenterology ranges from colon cancer screening and characterization of dysplastic and neoplastic polyps to the endoscopic ultrasonographic evaluation of pancreatic diseases. Artificial intelligence has been found to be useful in the evaluation and enhancement of the quality measure for endoscopic retrograde cholangiopancreatography. Similarly, artificial intelligence techniques like artificial neural networks and faster region-based convolution network are showing promising results in early and accurate diagnosis of pancreatic cancer and its differentiation from chronic pancreatitis. Other artificial intelligence techniques like radiomics-based computer-aided diagnosis systems could help to differentiate between various types of cystic pancreatic lesions. Artificial intelligence and computer-aided systems also showing promising results in the diagnosis of cholangiocarcinoma and the prediction of choledocholithiasis. In this review, we discuss the role of artificial intelligence in establishing diagnosis, prognosis, predicting response to treatment, and guiding therapeutics in the pancreaticobiliary system.
人工智能及其应用在胃肠病学领域的作用一直在迅速增加。人工智能在胃肠病学中的应用范围从结肠癌筛查、发育异常和肿瘤性息肉的特征描述到胰腺疾病的内镜超声评估。已发现人工智能在内镜逆行胰胆管造影术的质量评估和提高方面很有用。同样，像人工神经网络和基于区域的快速卷积网络这样的人工智能技术在胰腺癌的早期准确诊断及其与慢性胰腺炎的鉴别诊断中显示出有希望的结果。其他人工智能技术，如基于放射组学的计算机辅助诊断系统，有助于区分各种类型的胰腺囊性病变。人工智能和计算机辅助系统在胆管癌的诊断和胆总管结石的预测方面也显示出有希望的结果。在这篇综述中，我们讨论了人工智能在胰腺胆道系统的诊断、预后、预测治疗反应和指导治疗方面的作用。
