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使用深度学习算法对结直肠癌组织病理学图像进行组织分类和诊断。临床实践应用的时机成熟了吗?

Tissue classification and diagnosis of colorectal cancer histopathology images using deep learning algorithms. Is the time ripe for clinical practice implementation?

作者信息

Chlorogiannis David Dimitris, Verras Georgios-Ioannis, Tzelepi Vasiliki, Chlorogiannis Anargyros, Apostolos Anastasios, Kotis Konstantinos, Anagnostopoulos Christos-Nikolaos, Antzoulas Andreas, Davakis Spyridon, Vailas Michail, Schizas Dimitrios, Mulita Francesk

机构信息

Department of D/I Radiology, Patras General Hospital, Patras, Greece.

Department of Surgery, General University Hospital of Patras, Patras, Greece.

出版信息

Prz Gastroenterol. 2023;18(4):353-367. doi: 10.5114/pg.2023.130337. Epub 2023 Aug 7.


DOI:10.5114/pg.2023.130337
PMID:38572457
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10985751/
Abstract

Colorectal cancer is one of the most prevalent types of cancer, with histopathologic examination of biopsied tissue samples remaining the gold standard for diagnosis. During the past years, artificial intelligence (AI) has steadily found its way into the field of medicine and pathology, especially with the introduction of whole slide imaging (WSI). The main outcome of interest was the composite balanced accuracy (ACC) as well as the F1 score. The average reported ACC from the collected studies was 95.8 ±3.8%. Reported F1 scores reached as high as 0.975, with an average of 89.7 ±9.8%, indicating that existing deep learning algorithms can achieve distinction between malignant and benign. Overall, the available state-of-the-art algorithms are non-inferior to pathologists for image analysis and classification tasks. However, due to their inherent uniqueness in their training and lack of widely accepted external validation datasets, their generalization potential is still limited.

摘要

结直肠癌是最常见的癌症类型之一,对活检组织样本进行组织病理学检查仍然是诊断的金标准。在过去几年中,人工智能(AI)已稳步进入医学和病理学领域,尤其是随着全切片成像(WSI)的引入。主要关注的结果是综合平衡准确率(ACC)以及F1分数。收集到的研究报告的平均ACC为95.8±3.8%。报告的F1分数高达0.975,平均为89.7±9.8%,这表明现有的深度学习算法能够区分恶性和良性。总体而言,现有的最先进算法在图像分析和分类任务方面并不逊色于病理学家。然而,由于其训练中固有的独特性以及缺乏广泛接受的外部验证数据集,它们的泛化潜力仍然有限。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48c7/10985751/8d30de2a027d/PG-18-51207-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48c7/10985751/8d30de2a027d/PG-18-51207-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48c7/10985751/8d30de2a027d/PG-18-51207-g001.jpg

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Tissue classification and diagnosis of colorectal cancer histopathology images using deep learning algorithms. Is the time ripe for clinical practice implementation?

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本文引用的文献

[1]
The role of deep learning in diagnosing colorectal cancer.

Prz Gastroenterol. 2023

[2]
Improving feature extraction from histopathological images through a fine-tuning ImageNet model.

J Pathol Inform. 2022-6-30

[3]
Transfer Learning Approach and Nucleus Segmentation with MedCLNet Colon Cancer Database.

J Digit Imaging. 2023-2

[4]
Divide-and-Attention Network for HE-Stained Pathological Image Classification.

Biology (Basel). 2022-6-29

[5]
Automatic optical biopsy for colorectal cancer using hyperspectral imaging and artificial neural networks.

Surg Endosc. 2022-11

[6]
A Smarter Health through the Internet of Surgical Things.

Sensors (Basel). 2022-6-17

[7]
A convolution neural network with multi-level convolutional and attention learning for classification of cancer grades and tissue structures in colon histopathological images.

Comput Biol Med. 2022-8

[8]
Lung and colon cancer classification using medical imaging: a feature engineering approach.

Phys Eng Sci Med. 2022-9

[9]
Perineal colostomy: advantages and disadvantages.

Prz Gastroenterol. 2022

[10]
Postoperative sepsis after colorectal surgery: a prospective single-center observational study and review of the literature.

Prz Gastroenterol. 2022

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