Moscalu Mihaela, Moscalu Roxana, Dascălu Cristina Gena, Țarcă Viorel, Cojocaru Elena, Costin Ioana Mădălina, Țarcă Elena, Șerban Ionela Lăcrămioara
Department of Preventive Medicine and Interdisciplinarity, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iassy, Romania.
Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester M139PT, UK.
Diagnostics (Basel). 2023 Jul 14;13(14):2379. doi: 10.3390/diagnostics13142379.
In modern clinical practice, digital pathology has an essential role, being a technological necessity for the activity in the pathological anatomy laboratories. The development of information technology has majorly facilitated the management of digital images and their sharing for clinical use; the methods to analyze digital histopathological images, based on artificial intelligence techniques and specific models, quantify the required information with significantly higher consistency and precision compared to that provided by optical microscopy. In parallel, the unprecedented advances in machine learning facilitate, through the synergy of artificial intelligence and digital pathology, the possibility of diagnosis based on image analysis, previously limited only to certain specialties. Therefore, the integration of digital images into the study of pathology, combined with advanced algorithms and computer-assisted diagnostic techniques, extends the boundaries of the pathologist's vision beyond the microscopic image and allows the specialist to use and integrate his knowledge and experience adequately. We conducted a search in PubMed on the topic of digital pathology and its applications, to quantify the current state of knowledge. We found that computer-aided image analysis has a superior potential to identify, extract and quantify features in more detail compared to the human pathologist's evaluating possibilities; it performs tasks that exceed its manual capacity, and can produce new diagnostic algorithms and prediction models applicable in translational research that are able to identify new characteristics of diseases based on changes at the cellular and molecular level.
在现代临床实践中,数字病理学发挥着至关重要的作用,是病理解剖实验室工作的一项技术必需。信息技术的发展极大地促进了数字图像的管理及其临床应用共享;基于人工智能技术和特定模型的数字组织病理学图像分析方法,与光学显微镜相比,能以更高的一致性和精度量化所需信息。与此同时,机器学习方面前所未有的进展,通过人工智能与数字病理学的协同作用,使得基于图像分析的诊断成为可能,而这在以前仅局限于某些专业领域。因此,将数字图像整合到病理学研究中,结合先进算法和计算机辅助诊断技术,拓展了病理学家的视野边界,超越了微观图像,使专家能够充分运用和整合其知识与经验。我们在PubMed上搜索了关于数字病理学及其应用的主题,以量化当前的知识状况。我们发现,与人类病理学家的评估能力相比,计算机辅助图像分析在更详细地识别、提取和量化特征方面具有更大的潜力;它能执行超出其手工能力的任务,并能生成适用于转化研究的新诊断算法和预测模型,这些模型能够基于细胞和分子水平的变化识别疾病的新特征。