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人工智能在前列腺癌中的应用。

Artificial intelligence applications in prostate cancer.

机构信息

Department of Radiation Oncology, University Hospitals Seidman Cancer Center, Case Western Reserve University, Cleveland, OH, 44106, USA.

Department of Medicine, University Hospitals Seidman Cancer Center, Case Western Reserve University, Cleveland, OH, 44106, USA.

出版信息

Prostate Cancer Prostatic Dis. 2024 Mar;27(1):37-45. doi: 10.1038/s41391-023-00684-0. Epub 2023 Jun 9.

Abstract

Artificial intelligence (AI) applications have enabled remarkable advancements in healthcare delivery. These AI tools are often aimed to improve accuracy and efficiency of histopathology assessment and diagnostic imaging interpretation, risk stratification (i.e., prognostication), and prediction of therapeutic benefit for personalized treatment recommendations. To date, multiple AI algorithms have been explored for prostate cancer to address automation of clinical workflow, integration of data from multiple domains in the decision-making process, and the generation of diagnostic, prognostic, and predictive biomarkers. While many studies remain within the pre-clinical space or lack validation, the last few years have witnessed the emergence of robust AI-based biomarkers validated on thousands of patients, and the prospective deployment of clinically-integrated workflows for automated radiation therapy design. To advance the field forward, multi-institutional and multi-disciplinary collaborations are needed in order to prospectively implement interoperable and accountable AI technology routinely in clinic.

摘要

人工智能 (AI) 应用在医疗保健领域取得了显著的进展。这些 AI 工具通常旨在提高病理评估和诊断成像解释的准确性和效率、风险分层(即预后),以及预测治疗效果以制定个性化治疗建议。迄今为止,已经探索了多种 AI 算法来解决前列腺癌的临床工作流程自动化、决策过程中多个领域数据的整合,以及诊断、预后和预测生物标志物的生成等问题。虽然许多研究仍处于临床前阶段或缺乏验证,但在过去几年中,已经出现了基于 AI 的强大生物标志物,这些标志物在数千名患者身上得到了验证,并在临床上集成了自动化放射治疗设计的工作流程。为了推动该领域的发展,需要多机构和多学科的合作,以便在临床上有前瞻性地实施可互操作和负责任的 AI 技术。

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