人工智能在肺癌影像中的应用:从数据到治疗。

Artificial Intelligence in Lung Cancer Imaging: From Data to Therapy.

机构信息

Radiology Department, Fatebenefratelli Hospital, ASST Fatebenefratelli Sacco, Milano, Piazza Principessa Clotilde 3, 20121, Milan, Italy.

Postgraduation School in Radiodiagnostics, Università degli Studi di Milano, Via Festa del Perdono, 7, 20122 Milan, Italy.

出版信息

Crit Rev Oncog. 2024;29(2):1-13. doi: 10.1615/CritRevOncog.2023050439.

Abstract

Lung cancer remains a global health challenge, leading to substantial morbidity and mortality. While prevention and early detection strategies have improved, the need for precise diagnosis, prognosis, and treatment remains crucial. In this comprehensive review article, we explore the role of artificial intelligence (AI) in reshaping the management of lung cancer. AI may have different potential applications in lung cancer characterization and outcome prediction. Manual segmentation is a time-consuming task, with high inter-observer variability, that can be replaced by AI-based approaches, including deep learning models such as U-Net, BCDU-Net, and others, to quantify lung nodules and cancers objectively and to extract radiomics features for the characterization of the tissue. AI models have also demonstrated their ability to predict treatment responses, such as immunotherapy and targeted therapy, by integrating radiomic features with clinical data. Additionally, AI-based prognostic models have been developed to identify patients at higher risk and personalize treatment strategies. In conclusion, this review article provides a comprehensive overview of the current state of AI applications in lung cancer management, spanning from segmentation and virtual biopsy to outcome prediction. The evolving role of AI in improving the precision and effectiveness of lung cancer diagnosis and treatment underscores its potential to significantly impact clinical practice and patient outcomes.

摘要

肺癌仍然是一个全球性的健康挑战,导致了大量的发病率和死亡率。虽然预防和早期检测策略已经有所改善,但对精确诊断、预后和治疗的需求仍然至关重要。在这篇全面的综述文章中,我们探讨了人工智能(AI)在重塑肺癌管理中的作用。人工智能在肺癌特征描述和预后预测方面可能有不同的潜在应用。手动分割是一项耗时的任务,观察者间的变异性很高,可以用基于人工智能的方法代替,包括 U-Net、BCDU-Net 等深度学习模型,客观地对肺结节和癌症进行量化,并提取放射组学特征来描述组织特征。人工智能模型还证明了它们通过将放射组学特征与临床数据相结合来预测治疗反应(如免疫治疗和靶向治疗)的能力。此外,还开发了基于人工智能的预后模型来识别风险较高的患者并制定个性化的治疗策略。总之,这篇综述文章全面概述了人工智能在肺癌管理中的应用现状,涵盖了从分割和虚拟活检到预后预测。人工智能在提高肺癌诊断和治疗的准确性和有效性方面的作用不断发展,突显了其对临床实践和患者结果产生重大影响的潜力。

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