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人工智能在肺癌临床应用的全面综述

A Thorough Review of the Clinical Applications of Artificial Intelligence in Lung Cancer.

作者信息

Kotoulas Serafeim-Chrysovalantis, Spyratos Dionysios, Porpodis Konstantinos, Domvri Kalliopi, Boutou Afroditi, Kaimakamis Evangelos, Mouratidou Christina, Alevroudis Ioannis, Dourliou Vasiliki, Tsakiri Kalliopi, Sakkou Agni, Marneri Alexandra, Angeloudi Elena, Papagiouvanni Ioanna, Michailidou Anastasia, Malandris Konstantinos, Mourelatos Constantinos, Tsantos Alexandros, Pataka Athanasia

机构信息

Adult ICU, General Hospital of Thessaloniki "Ippokrateio", Konstantinoupoleos 49, 54642 Thessaloniki, Greece.

Pulmonary Department, Unit of thoracic Malignancies Research, General Hospital of Thessaloniki "G. Papanikolaou", Aristotle's University of Thessaloniki, Leoforos Papanikolaou Municipality of Chortiatis, 57010 Thessaloniki, Greece.

出版信息

Cancers (Basel). 2025 Mar 4;17(5):882. doi: 10.3390/cancers17050882.

Abstract

According to data from the World Health Organization (WHO), lung cancer is becoming a global epidemic. It is particularly high in the list of the leading causes of death not only in developed countries, but also worldwide; furthermore, it holds the leading place in terms of cancer-related mortality. Nevertheless, many breakthroughs have been made the last two decades regarding its management, with one of the most prominent being the implementation of artificial intelligence (AI) in various aspects of disease management. We included 473 papers in this thorough review, most of which have been published during the last 5-10 years, in order to describe these breakthroughs. In screening programs, AI is capable of not only detecting suspicious lung nodules in different imaging modalities-such as chest X-rays, computed tomography (CT), and positron emission tomography (PET) scans-but also discriminating between benign and malignant nodules as well, with success rates comparable to or even better than those of experienced radiologists. Furthermore, AI seems to be able to recognize biomarkers that appear in patients who may develop lung cancer, even years before this event. Moreover, it can also assist pathologists and cytologists in recognizing the type of lung tumor, as well as specific histologic or genetic markers that play a key role in treating the disease. Finally, in the treatment field, AI can guide in the development of personalized options for lung cancer patients, possibly improving their prognosis.

摘要

根据世界卫生组织(WHO)的数据,肺癌正在成为一种全球流行病。它不仅在发达国家,而且在全球范围内,都在主要死因名单中名列前茅;此外,在癌症相关死亡率方面,它位居首位。然而,在过去二十年里,肺癌治疗方面取得了许多突破,其中最显著的之一是人工智能(AI)在疾病管理各个方面的应用。为了描述这些突破,我们在本次全面综述中纳入了473篇论文,其中大部分是在过去5至10年发表的。在筛查项目中,人工智能不仅能够在不同的成像模式下检测可疑的肺结节,如胸部X光、计算机断层扫描(CT)和正电子发射断层扫描(PET),还能区分良性和恶性结节,成功率与经验丰富的放射科医生相当,甚至更高。此外,人工智能似乎能够识别出可能患肺癌的患者身上出现的生物标志物,甚至在肺癌发生前数年就能做到。而且,它还可以协助病理学家和细胞学家识别肺肿瘤的类型,以及在治疗该疾病中起关键作用的特定组织学或基因标记。最后,在治疗领域,人工智能可以指导为肺癌患者制定个性化的治疗方案,可能改善他们的预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6357/11898928/e6f6fba6c895/cancers-17-00882-g001.jpg

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