Department of Anatomy and Embriology, "Victor Babeș" University of Medicine and Pharmacy Timișoara, Timișoara 300041, Timiș, Romania.
Department V of Internal Medicine I, Discipline of Internal Medicine IV, University of Medicine and Pharmacy "Victor Babes" Timișoara, Timișoara 300041, Timiș, Romania.
World J Gastroenterol. 2023 Mar 28;29(12):1811-1823. doi: 10.3748/wjg.v29.i12.1811.
Pancreatic cancer (PC) has a low incidence rate but a high mortality, with patients often in the advanced stage of the disease at the time of the first diagnosis. If detected, early neoplastic lesions are ideal for surgery, offering the best prognosis. Preneoplastic lesions of the pancreas include pancreatic intraepithelial neoplasia and mucinous cystic neoplasms, with intraductal papillary mucinous neoplasms being the most commonly diagnosed. Our study focused on predicting PC by identifying early signs using noninvasive techniques and artificial intelligence (AI). A systematic English literature search was conducted on the PubMed electronic database and other sources. We obtained a total of 97 studies on the subject of pancreatic neoplasms. The final number of articles included in our study was 44, 34 of which focused on the use of AI algorithms in the early diagnosis and prediction of pancreatic lesions. AI algorithms can facilitate diagnosis by analyzing massive amounts of data in a short period of time. Correlations can be made through AI algorithms by expanding image and electronic medical records databases, which can later be used as part of a screening program for the general population. AI-based screening models should involve a combination of biomarkers and medical and imaging data from different sources. This requires large numbers of resources, collaboration between medical practitioners, and investment in medical infrastructures.
胰腺癌(PC)的发病率较低,但死亡率较高,患者在首次诊断时通常已处于疾病晚期。如果能够早期发现肿瘤,手术是最佳选择,可提供最佳预后。胰腺的癌前病变包括胰腺上皮内瘤变和黏液性囊腺瘤,其中导管内乳头状黏液性肿瘤是最常见的诊断类型。我们的研究旨在通过使用非侵入性技术和人工智能(AI)来识别早期迹象,从而预测 PC。我们对 PubMed 电子数据库和其他来源进行了系统的英文文献检索。共获得了 97 篇关于胰腺肿瘤的研究,其中 44 篇被纳入本研究,其中 34 篇重点研究了 AI 算法在胰腺病变的早期诊断和预测中的应用。AI 算法可以通过在短时间内分析大量数据来辅助诊断。通过 AI 算法扩展图像和电子病历数据库,可以建立相关性,以后可将其作为一般人群筛查计划的一部分。基于 AI 的筛查模型应结合生物标志物以及来自不同来源的医学和成像数据。这需要大量资源、医学从业者之间的合作以及对医疗基础设施的投资。