Department of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research, Chandigarh, 160 012, India.
Department of Computer Science and Engineering, Indian Institute of Technology - Delhi, New Delhi, 110 016, India.
Indian J Gastroenterol. 2024 Aug;43(4):717-728. doi: 10.1007/s12664-024-01518-0. Epub 2024 Mar 1.
Biliary tract cancers are malignant neoplasms arising from bile duct epithelial cells. They include cholangiocarcinomas and gallbladder cancer. Gallbladder cancer has a marked geographical preference and is one of the most common cancers in women in northern India. Biliary tract cancers are usually diagnosed at an advanced, unresectable stage. Hence, the prognosis is extremely dismal. The five-year survival rate in advanced gallbladder cancer is < 5%. Hence, early detection and radical surgery are critical to improving biliary tract cancer prognoses. Radiological imaging plays an essential role in diagnosing and managing biliary tract cancers. However, the diagnosis is challenging because the biliary tract is affected by many diseases that may have radiological appearances similar to cancer. Artificial intelligence (AI) can improve radiologists' performance in various tasks. Deep learning (DL)-based approaches are increasingly incorporated into medical imaging to improve diagnostic performance. This paper reviews the AI-based strategies in biliary tract cancers to improve the diagnosis and prognosis.
胆道癌是源自胆管上皮细胞的恶性肿瘤。它们包括胆管癌和胆囊癌。胆囊癌具有明显的地域偏好,是印度北部女性最常见的癌症之一。胆道癌通常在晚期、不可切除的阶段被诊断出来。因此,预后极差。晚期胆囊癌的五年生存率<5%。因此,早期发现和根治性手术对于改善胆道癌的预后至关重要。放射影像学在诊断和管理胆道癌方面发挥着重要作用。然而,由于胆道受许多可能具有类似癌症放射学表现的疾病影响,因此诊断具有挑战性。人工智能 (AI) 可以提高放射科医生在各种任务中的表现。基于深度学习 (DL) 的方法越来越多地被纳入医学成像中,以提高诊断性能。本文综述了胆道癌中基于 AI 的策略,以提高诊断和预后。