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人工智能在介入肿瘤学中的应用:文献综述

Applications of artificial intelligence in interventional oncology: An up-to-date review of the literature.

作者信息

Matsui Yusuke, Ueda Daiju, Fujita Shohei, Fushimi Yasutaka, Tsuboyama Takahiro, Kamagata Koji, Ito Rintaro, Yanagawa Masahiro, Yamada Akira, Kawamura Mariko, Nakaura Takeshi, Fujima Noriyuki, Nozaki Taiki, Tatsugami Fuminari, Fujioka Tomoyuki, Hirata Kenji, Naganawa Shinji

机构信息

Department of Radiology, Faculty of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, 2-5-1 Shikata-Cho, Kita-Ku, Okayama, 700-8558, Japan.

Department of Artificial Intelligence, Graduate School of Medicine, Osaka Metropolitan University, Abeno-Ku, Osaka, Japan.

出版信息

Jpn J Radiol. 2025 Feb;43(2):164-176. doi: 10.1007/s11604-024-01668-3. Epub 2024 Oct 2.

Abstract

Interventional oncology provides image-guided therapies, including transarterial tumor embolization and percutaneous tumor ablation, for malignant tumors in a minimally invasive manner. As in other medical fields, the application of artificial intelligence (AI) in interventional oncology has garnered significant attention. This narrative review describes the current state of AI applications in interventional oncology based on recent literature. A literature search revealed a rapid increase in the number of studies relevant to this topic recently. Investigators have attempted to use AI for various tasks, including automatic segmentation of organs, tumors, and treatment areas; treatment simulation; improvement of intraprocedural image quality; prediction of treatment outcomes; and detection of post-treatment recurrence. Among these, the AI-based prediction of treatment outcomes has been the most studied. Various deep and conventional machine learning algorithms have been proposed for these tasks. Radiomics has often been incorporated into prediction and detection models. Current literature suggests that AI is potentially useful in various aspects of interventional oncology, from treatment planning to post-treatment follow-up. However, most AI-based methods discussed in this review are still at the research stage, and few have been implemented in clinical practice. To achieve widespread adoption of AI technologies in interventional oncology procedures, further research on their reliability and clinical utility is necessary. Nevertheless, considering the rapid research progress in this field, various AI technologies will be integrated into interventional oncology practices in the near future.

摘要

介入肿瘤学以微创方式为恶性肿瘤提供图像引导治疗,包括经动脉肿瘤栓塞和经皮肿瘤消融。与其他医学领域一样,人工智能(AI)在介入肿瘤学中的应用已引起广泛关注。这篇叙述性综述基于近期文献描述了人工智能在介入肿瘤学中的应用现状。文献检索显示,近期与该主题相关的研究数量迅速增加。研究人员已尝试将人工智能用于各种任务,包括器官、肿瘤和治疗区域的自动分割;治疗模拟;改善术中图像质量;预测治疗结果;以及检测治疗后复发。其中,基于人工智能的治疗结果预测研究最多。针对这些任务,已经提出了各种深度学习和传统机器学习算法。影像组学常常被纳入预测和检测模型。当前文献表明,人工智能在介入肿瘤学的各个方面都可能有用,从治疗计划到治疗后随访。然而,本综述中讨论的大多数基于人工智能的方法仍处于研究阶段,很少有方法在临床实践中得到应用。为了使人工智能技术在介入肿瘤学程序中得到广泛应用,有必要对其可靠性和临床实用性进行进一步研究。尽管如此,考虑到该领域的快速研究进展,各种人工智能技术将在不久的将来被整合到介入肿瘤学实践中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f8e/11790735/12e9f67c8348/11604_2024_1668_Fig1_HTML.jpg

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