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基于人工智能的乳腺癌影像学诊断的现状与展望。

Current status and prospects of breast cancer imaging-based diagnosis using artificial intelligence.

机构信息

Department of Breast Surgery, International University of Health and Welfare, Narita Hospital, 852 Hatakeda Narita, Chiba, 286-0124, Japan.

出版信息

Int J Clin Oncol. 2024 Nov;29(11):1641-1647. doi: 10.1007/s10147-024-02594-0. Epub 2024 Sep 19.

DOI:10.1007/s10147-024-02594-0
PMID:39297908
Abstract

Breast imaging has several modalities, each unique in terms of its imaging position, evaluation index, and imaging method. Breast diagnosis is made by combining a large number of past imaging features with the clinical course and histological findings. Artificial intelligence (AI), which extracts the features from image data and evaluates them based on comprehensive analysis, has been making rapid progress in this regard. Many previous studies have demonstrated the usefulness and development potential of AI, such as machine learning and deep learning, in breast imaging. However, despite studies showing the good performance of AI models, their overall utilization remains low, since a large amount of diverse imaging data is required, and prospective verification is necessary to prove its high reproducibility and robustness. Sharing information and collaborating with multiple institutions to collect and verify images of different conditions and backgrounds are vital. If image diagnosis using AI can indeed ensure a more detailed diagnosis, such as breast cancer subtypes or prognosis, it can help develop personalized medicine, which is urgently required. The positive results of AI research, using such image information, can make each modality more valuable than ever. The current review summarized the results of previous studies using AI in each evaluation field and discussed the related future prospects.

摘要

乳腺影像学有多种模态,每种模态在成像位置、评价指标和成像方法上都有其独特性。乳腺诊断是通过将大量过去的影像学特征与临床过程和组织学发现相结合来做出的。人工智能(AI)从图像数据中提取特征,并通过综合分析进行评估,在这方面取得了快速进展。许多先前的研究表明,人工智能在乳腺影像学中的应用具有实用性和发展潜力,例如机器学习和深度学习。然而,尽管研究表明 AI 模型具有良好的性能,但由于需要大量不同的成像数据,并且需要前瞻性验证来证明其高可重复性和稳健性,因此其总体利用率仍然较低。共享信息并与多个机构合作,收集和验证不同条件和背景下的图像至关重要。如果使用 AI 进行图像诊断确实可以确保更详细的诊断,例如乳腺癌亚型或预后,它可以帮助制定个性化医疗,这是迫切需要的。AI 研究的积极结果,利用这种图像信息,可以使每种模态比以往任何时候都更有价值。本文综述了使用 AI 在各个评估领域的先前研究结果,并讨论了相关的未来展望。

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本文引用的文献

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Can multi-modal radiomics using pretreatment ultrasound and tomosynthesis predict response to neoadjuvant systemic treatment in breast cancer?多模态放射组学能否利用预处理超声和断层合成术预测乳腺癌新辅助全身治疗的反应?
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Breast cancer screening in women with extremely dense breasts recommendations of the European Society of Breast Imaging (EUSOBI).欧洲乳腺影像学会(EUSOBI)关于致密型乳腺女性乳腺癌筛查的建议。
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Artificial intelligence in mammographic phenotyping of breast cancer risk: a narrative review.人工智能在乳腺癌风险的乳腺摄影表型中的应用:叙述性综述。
Breast Cancer Res. 2022 Feb 20;24(1):14. doi: 10.1186/s13058-022-01509-z.
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Radiomics in predicting recurrence for patients with locally advanced breast cancer using quantitative ultrasound.基于定量超声的影像组学在预测局部晚期乳腺癌患者复发中的应用
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Analysis of mammograms using artificial intelligence to predict response to neoadjuvant chemotherapy in breast cancer patients: proof of concept.利用人工智能分析乳腺 X 光照片预测乳腺癌患者新辅助化疗反应:概念验证。
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