Jiang Xuji, Feng Chuanli, Sun Wanying, Feng Lianlian, Hao Yiping, Liu Qingqing, Cui Baoxia
Department of Obstetrics and Gynecology, Qilu Hospital of Shandong University, Jinan City, China.
Digit Health. 2024 Nov 18;10:20552076241297053. doi: 10.1177/20552076241297053. eCollection 2024 Jan-Dec.
Endometrial cancer (EC), a growing malignancy among women, underscores an urgent need for early detection and intervention, critical for enhancing patient outcomes and survival rates. Traditional diagnostic approaches, including ultrasound (US), magnetic resonance imaging (MRI), hysteroscopy, and histopathology, have been essential in establishing robust diagnostic and prognostic frameworks for EC. These methods offer detailed insights into tumor morphology, vital for clinical decision-making. However, their analysis relies heavily on the expertise of radiologists and pathologists, a process that is not only time-consuming and labor-intensive but also prone to human error. The emergence of deep learning (DL) in computer vision has significantly transformed medical image analysis, presenting substantial potential for EC diagnosis. DL models, capable of autonomously learning and extracting complex features from imaging and histopathological data, have demonstrated remarkable accuracy in discriminating EC and stratifying patient prognoses. This review comprehensively examines and synthesizes the current literature on DL-based imaging techniques for EC diagnosis and management. It also aims to identify challenges faced by DL in this context and to explore avenues for its future development. Through these detailed analyses, our objective is to inform future research directions and promote the integration of DL into EC diagnostic and treatment strategies, thereby enhancing the precision and efficiency of clinical practice.
子宫内膜癌(EC)是女性中日益常见的恶性肿瘤,凸显了早期检测和干预的迫切需求,这对于提高患者预后和生存率至关重要。传统的诊断方法,包括超声(US)、磁共振成像(MRI)、宫腔镜检查和组织病理学,对于建立强大的EC诊断和预后框架至关重要。这些方法能够详细洞察肿瘤形态,对临床决策至关重要。然而,它们的分析严重依赖放射科医生和病理科医生的专业知识,这个过程不仅耗时费力,而且容易出现人为错误。计算机视觉领域深度学习(DL)的出现显著改变了医学图像分析,为EC诊断展现出巨大潜力。DL模型能够自动从成像和组织病理学数据中学习并提取复杂特征,在鉴别EC和对患者预后进行分层方面已显示出卓越的准确性。本综述全面审视并综合了当前关于基于DL的成像技术用于EC诊断和管理的文献。它还旨在识别DL在这方面面临的挑战,并探索其未来发展途径。通过这些详细分析,我们的目标是为未来研究方向提供信息,并促进DL融入EC诊断和治疗策略,从而提高临床实践的精准度和效率。