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胰腺囊性病变:影像学评估的新纪元。

Pancreatic Cystic Lesions: Next Generation of Radiologic Assessment.

机构信息

Department of Radiology, NYU Grossman School of Medicine, 660 1st Avenue, 3F, New York, NY 10016, USA.

Department of Radiology, NYU Grossman School of Medicine, 650 First Avenue, 4th Floor, New York, NY 10016, USA.

出版信息

Gastrointest Endosc Clin N Am. 2023 Jul;33(3):533-546. doi: 10.1016/j.giec.2023.03.004. Epub 2023 Apr 8.

Abstract

Pancreatic cystic lesions are frequently identified on cross-sectional imaging. As many of these are presumed branch-duct intraductal papillary mucinous neoplasms, these lesions generate much anxiety for the patients and clinicians, often necessitating long-term follow-up imaging and even unnecessary surgical resections. However, the incidence of pancreatic cancer is overall low for patients with incidental pancreatic cystic lesions. Radiomics and deep learning are advanced tools of imaging analysis that have attracted much attention in addressing this unmet need, however, current publications on this topic show limited success and large-scale research is needed.

摘要

胰腺囊性病变在横断面成像中经常被发现。由于这些病变中有许多被认为是分支胰管内乳头状黏液性肿瘤,因此这些病变给患者和临床医生带来了很大的焦虑,通常需要长期随访成像,甚至进行不必要的手术切除。然而,对于偶然发现胰腺囊性病变的患者,总体上胰腺癌的发病率较低。放射组学和深度学习是影像学分析的先进工具,在解决这一未满足的需求方面引起了广泛关注,然而,目前关于这一主题的出版物显示出有限的成功,需要进行大规模的研究。

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