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癌症诊断、预后和预测中的计算病理学 - 现状与展望。

Computational pathology in cancer diagnosis, prognosis, and prediction - present day and prospects.

机构信息

School of Cancer & Pharmaceutical Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK.

The Breast Cancer Now Research Unit, School of Cancer and Pharmaceutical Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK.

出版信息

J Pathol. 2023 Aug;260(5):551-563. doi: 10.1002/path.6163. Epub 2023 Aug 14.

Abstract

Computational pathology refers to applying deep learning techniques and algorithms to analyse and interpret histopathology images. Advances in artificial intelligence (AI) have led to an explosion in innovation in computational pathology, ranging from the prospect of automation of routine diagnostic tasks to the discovery of new prognostic and predictive biomarkers from tissue morphology. Despite the promising potential of computational pathology, its integration in clinical settings has been limited by a range of obstacles including operational, technical, regulatory, ethical, financial, and cultural challenges. Here, we focus on the pathologists' perspective of computational pathology: we map its current translational research landscape, evaluate its clinical utility, and address the more common challenges slowing clinical adoption and implementation. We conclude by describing contemporary approaches to drive forward these techniques. © 2023 The Authors. The Journal of Pathology published by John Wiley & Sons Ltd on behalf of The Pathological Society of Great Britain and Ireland.

摘要

计算病理学是指应用深度学习技术和算法来分析和解释组织病理学图像。人工智能(AI)的进步推动了计算病理学领域的创新爆炸式发展,从常规诊断任务自动化的前景到从组织形态学中发现新的预后和预测生物标志物。尽管计算病理学具有广阔的发展前景,但由于一系列障碍,包括操作、技术、监管、伦理、财务和文化挑战,其在临床环境中的应用受到了限制。在这里,我们专注于病理学家对计算病理学的看法:我们绘制了其当前转化研究的现状,评估了其临床实用性,并解决了阻碍其临床应用和实施的更为常见的挑战。最后,我们描述了推动这些技术发展的现代方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3864/10785705/cac52cb01cf4/PATH-260-551-g002.jpg

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