Department of General Surgery, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing 100730, China.
School of Medicine, Tsinghua University, Beijing, 100084, China.
Theranostics. 2022 Oct 3;12(16):6931-6954. doi: 10.7150/thno.77949. eCollection 2022.
Pancreatic cancer is the deadliest disease, with a five-year overall survival rate of just 11%. The pancreatic cancer patients diagnosed with early screening have a median overall survival of nearly ten years, compared with 1.5 years for those not diagnosed with early screening. Therefore, early diagnosis and early treatment of pancreatic cancer are particularly critical. However, as a rare disease, the general screening cost of pancreatic cancer is high, the accuracy of existing tumor markers is not enough, and the efficacy of treatment methods is not exact. In terms of early diagnosis, artificial intelligence technology can quickly locate high-risk groups through medical images, pathological examination, biomarkers, and other aspects, then screening pancreatic cancer lesions early. At the same time, the artificial intelligence algorithm can also be used to predict the survival time, recurrence risk, metastasis, and therapy response which could affect the prognosis. In addition, artificial intelligence is widely used in pancreatic cancer health records, estimating medical imaging parameters, developing computer-aided diagnosis systems, etc. Advances in AI applications for pancreatic cancer will require a concerted effort among clinicians, basic scientists, statisticians, and engineers. Although it has some limitations, it will play an essential role in overcoming pancreatic cancer in the foreseeable future due to its mighty computing power.
胰腺癌是最致命的疾病,五年总生存率仅为 11%。通过早期筛查诊断出的胰腺癌患者的中位总生存率接近十年,而未通过早期筛查诊断出的患者的中位总生存率仅为 1.5 年。因此,早期诊断和早期治疗胰腺癌尤为关键。然而,由于胰腺癌是一种罕见疾病,其一般筛查费用较高,现有肿瘤标志物的准确性不足,治疗方法的疗效也不确切。在早期诊断方面,人工智能技术可以通过医学影像、病理检查、生物标志物等方面快速定位高危人群,然后早期筛查胰腺癌病变。同时,人工智能算法还可以用于预测生存时间、复发风险、转移和治疗反应等影响预后的因素。此外,人工智能还广泛应用于胰腺癌健康记录、估计医学影像参数、开发计算机辅助诊断系统等方面。人工智能在胰腺癌应用方面的进展需要临床医生、基础科学家、统计学家和工程师共同努力。尽管它存在一些局限性,但由于其强大的计算能力,它将在可预见的未来在克服胰腺癌方面发挥重要作用。