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利用F-FDG PET/CT成像增强淋巴瘤的诊断、治疗及随访:人工智能和影像组学分析的贡献

Enhancing Lymphoma Diagnosis, Treatment, and Follow-Up Using F-FDG PET/CT Imaging: Contribution of Artificial Intelligence and Radiomics Analysis.

作者信息

Hasanabadi Setareh, Aghamiri Seyed Mahmud Reza, Abin Ahmad Ali, Abdollahi Hamid, Arabi Hossein, Zaidi Habib

机构信息

Department of Medical Radiation Engineering, Shahid Beheshti University, Tehran 1983969411, Iran.

Faculty of Computer Science and Engineering, Shahid Beheshti University, Tehran 1983969411, Iran.

出版信息

Cancers (Basel). 2024 Oct 17;16(20):3511. doi: 10.3390/cancers16203511.

Abstract

Lymphoma, encompassing a wide spectrum of immune system malignancies, presents significant complexities in its early detection, management, and prognosis assessment since it can mimic post-infectious/inflammatory diseases. The heterogeneous nature of lymphoma makes it challenging to definitively pinpoint valuable biomarkers for predicting tumor biology and selecting the most effective treatment strategies. Although molecular imaging modalities, such as positron emission tomography/computed tomography (PET/CT), specifically F-FDG PET/CT, hold significant importance in the diagnosis of lymphoma, prognostication, and assessment of treatment response, they still face significant challenges. Over the past few years, radiomics and artificial intelligence (AI) have surfaced as valuable tools for detecting subtle features within medical images that may not be easily discerned by visual assessment. The rapid expansion of AI and its application in medicine/radiomics is opening up new opportunities in the nuclear medicine field. Radiomics and AI capabilities seem to hold promise across various clinical scenarios related to lymphoma. Nevertheless, the need for more extensive prospective trials is evident to substantiate their reliability and standardize their applications. This review aims to provide a comprehensive perspective on the current literature regarding the application of AI and radiomics applied/extracted on/from F-FDG PET/CT in the management of lymphoma patients.

摘要

淋巴瘤涵盖了广泛的免疫系统恶性肿瘤,由于它可能模仿感染后/炎症性疾病,因此在早期检测、管理和预后评估方面存在显著复杂性。淋巴瘤的异质性使得明确找出用于预测肿瘤生物学特性和选择最有效治疗策略的有价值生物标志物具有挑战性。尽管分子成像模态,如正电子发射断层扫描/计算机断层扫描(PET/CT),特别是F-FDG PET/CT,在淋巴瘤的诊断、预后评估和治疗反应评估中具有重要意义,但它们仍然面临重大挑战。在过去几年中,放射组学和人工智能(AI)已成为检测医学图像中视觉评估可能不易察觉的细微特征的宝贵工具。AI的迅速发展及其在医学/放射组学中的应用正在核医学领域开辟新的机遇。放射组学和AI能力似乎在与淋巴瘤相关的各种临床场景中都有前景。然而,显然需要进行更广泛的前瞻性试验,以证实其可靠性并规范其应用。本综述旨在全面介绍当前关于在淋巴瘤患者管理中应用/从F-FDG PET/CT应用/提取的AI和放射组学的文献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a438/11505665/a8245d3da6cf/cancers-16-03511-g001.jpg

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