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开拓新天地:人工智能和机器学习能否改变毛细胞型星形细胞瘤的诊断?

Breaking new ground: can artificial intelligence and machine learning transform papillary glioneuronal tumor diagnosis?

机构信息

Islamic International Medical College, Rawalpindi, Pakistan.

, 332, street 12, phase 4, Bahria Town, Islamabad, 46220, Pakistan.

出版信息

Neurosurg Rev. 2024 Jun 7;47(1):261. doi: 10.1007/s10143-024-02504-y.

Abstract

Papillary glioneuronal tumors (PGNTs), classified as Grade I by the WHO in 2016, present diagnostic challenges due to their rarity and potential for malignancy. Xiaodan Du et al.'s recent study of 36 confirmed PGNT cases provides critical insights into their imaging characteristics, revealing frequent presentation with headaches, seizures, and mass effect symptoms, predominantly located in the supratentorial region near the lateral ventricles. Lesions often appeared as mixed cystic and solid masses with septations or as cystic masses with mural nodules. Given these complexities, artificial intelligence (AI) and machine learning (ML) offer promising advancements for PGNT diagnosis. Previous studies have demonstrated AI's efficacy in diagnosing various brain tumors, utilizing deep learning and advanced imaging techniques for rapid and accurate identification. Implementing AI in PGNT diagnosis involves assembling comprehensive datasets, preprocessing data, extracting relevant features, and iteratively training models for optimal performance. Despite AI's potential, medical professionals must validate AI predictions, ensuring they complement rather than replace clinical expertise. This integration of AI and ML into PGNT diagnostics could significantly enhance preoperative accuracy, ultimately improving patient outcomes through more precise and timely interventions.

摘要

乳头状胶质神经元肿瘤(PGNTs)在 2016 年被世界卫生组织(WHO)归类为 I 级,由于其罕见性和潜在的恶性程度,诊断具有挑战性。Xiaodan Du 等人最近对 36 例确诊的 PGNT 病例的研究提供了对其影像学特征的重要见解,揭示了其频繁出现的头痛、癫痫和肿块效应症状,主要位于侧脑室附近的幕上区域。病变常表现为混合囊实性肿块伴分隔或囊性肿块伴壁结节。鉴于这些复杂性,人工智能(AI)和机器学习(ML)为 PGNT 诊断提供了有前途的进展。先前的研究表明,人工智能在诊断各种脑肿瘤方面具有功效,利用深度学习和先进的成像技术进行快速准确的识别。在 PGNT 诊断中实施人工智能涉及到组装全面的数据集、数据预处理、提取相关特征以及迭代训练模型以获得最佳性能。尽管人工智能具有潜力,但医疗专业人员必须验证人工智能的预测结果,以确保其补充而不是替代临床专业知识。将人工智能和机器学习融入 PGNT 诊断中,可以显著提高术前准确性,最终通过更精确和及时的干预措施改善患者的预后。

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