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人工智能在肺癌诊断中的价值:系统评价和荟萃分析。

The value of artificial intelligence in the diagnosis of lung cancer: A systematic review and meta-analysis.

机构信息

Department of Computer and Artificial Intelligence, Zhengzhou University, Zhengzhou, Henan, China.

College of Life Science, Sichuan University, Chengdu, Sichuan, China.

出版信息

PLoS One. 2023 Mar 23;18(3):e0273445. doi: 10.1371/journal.pone.0273445. eCollection 2023.


DOI:10.1371/journal.pone.0273445
PMID:36952523
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10035910/
Abstract

Lung cancer is a common malignant tumor disease with high clinical disability and death rates. Currently, lung cancer diagnosis mainly relies on manual pathology section analysis, but the low efficiency and subjective nature of manual film reading can lead to certain misdiagnoses and omissions. With the continuous development of science and technology, artificial intelligence (AI) has been gradually applied to imaging diagnosis. Although there are reports on AI-assisted lung cancer diagnosis, there are still problems such as small sample size and untimely data updates. Therefore, in this study, a large amount of recent data was included, and meta-analysis was used to evaluate the value of AI for lung cancer diagnosis. With the help of STATA16.0, the value of AI-assisted lung cancer diagnosis was assessed by specificity, sensitivity, negative likelihood ratio, positive likelihood ratio, diagnostic ratio, and plotting the working characteristic curves of subjects. Meta-regression and subgroup analysis were used to investigate the value of AI-assisted lung cancer diagnosis. The results of the meta-analysis showed that the combined sensitivity of the AI-aided diagnosis system for lung cancer diagnosis was 0.87 [95% CI (0.82, 0.90)], specificity was 0.87 [95% CI (0.82, 0.91)] (CI stands for confidence interval.), the missed diagnosis rate was 13%, the misdiagnosis rate was 13%, the positive likelihood ratio was 6.5 [95% CI (4.6, 9.3)], the negative likelihood ratio was 0.15 [95% CI (0.11, 0.21)], a diagnostic ratio of 43 [95% CI (24, 76)] and a sum of area under the combined subject operating characteristic (SROC) curve of 0.93 [95% CI (0.91, 0.95)]. Based on the results, the AI-assisted diagnostic system for CT (Computerized Tomography), imaging has considerable diagnostic accuracy for lung cancer diagnosis, which is of significant value for lung cancer diagnosis and has greater feasibility of realizing the extension application in the field of clinical diagnosis.

摘要

肺癌是一种常见的恶性肿瘤疾病,具有较高的临床失能率和死亡率。目前,肺癌的诊断主要依赖于人工病理学切片分析,但人工阅片的低效率和主观性可能导致一定的误诊和漏诊。随着科学技术的不断发展,人工智能(AI)已逐渐应用于影像学诊断。虽然已经有关于 AI 辅助肺癌诊断的报道,但仍存在样本量小、数据更新不及时等问题。因此,在本研究中,我们纳入了大量最新数据,并通过荟萃分析评估了 AI 用于肺癌诊断的价值。借助 STATA16.0,我们通过受试者工作特征曲线绘制评估了 AI 辅助肺癌诊断的特异性、敏感性、负似然比、正似然比、诊断比等。同时,我们还进行了元回归和亚组分析,以探讨 AI 辅助肺癌诊断的价值。荟萃分析结果显示,AI 辅助诊断系统诊断肺癌的合并敏感性为 0.87[95%CI(0.82,0.90)],特异性为 0.87[95%CI(0.82,0.91)](CI 代表置信区间),漏诊率为 13%,误诊率为 13%,阳性似然比为 6.5[95%CI(4.6,9.3)],阴性似然比为 0.15[95%CI(0.11,0.21)],诊断比为 43[95%CI(24,76)],综合受试者工作特征曲线下面积(SROC)为 0.93[95%CI(0.91,0.95)]。基于这些结果,CT 成像的 AI 辅助诊断系统对肺癌诊断具有相当的诊断准确性,对肺癌诊断具有重要价值,在临床诊断领域具有更大的扩展应用可行性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64c6/10035910/c2c8f2343fc7/pone.0273445.g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64c6/10035910/6b1c1db28497/pone.0273445.g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64c6/10035910/7ad3aafbd3f0/pone.0273445.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64c6/10035910/db3e87b0ce3c/pone.0273445.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64c6/10035910/8c5f85ce4b50/pone.0273445.g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64c6/10035910/eb92c64af41d/pone.0273445.g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64c6/10035910/82cdf10ce4d3/pone.0273445.g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64c6/10035910/c2c8f2343fc7/pone.0273445.g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64c6/10035910/6b1c1db28497/pone.0273445.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64c6/10035910/ad3063fc33c6/pone.0273445.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64c6/10035910/7ad3aafbd3f0/pone.0273445.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64c6/10035910/db3e87b0ce3c/pone.0273445.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64c6/10035910/8c5f85ce4b50/pone.0273445.g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64c6/10035910/eb92c64af41d/pone.0273445.g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64c6/10035910/82cdf10ce4d3/pone.0273445.g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64c6/10035910/c2c8f2343fc7/pone.0273445.g008.jpg

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本文引用的文献

[1]
Artificial Intelligence in Dermatology Image Analysis: Current Developments and Future Trends.

J Clin Med. 2022-11-18

[2]
High Infiltration of CD68+/CD163- Macrophages Is an Adverse Prognostic Factor after Neoadjuvant Chemotherapy in Esophageal and Gastric Adenocarcinoma.

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