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人工智能在食管癌管理中的当前作用

Current Role of Artificial Intelligence in the Management of Esophageal Cancer.

作者信息

Mela Evgenia, Tsapralis Dimitrios, Papaconstantinou Dimitrios, Sakarellos Panagiotis, Vergadis Chrysovalantis, Klontzas Michail E, Rouvelas Ioannis, Tzortzakakis Antonios, Schizas Dimitrios

机构信息

First Department of Surgery, National and Kapodistrian University of Athens, Laikon General Hospital, 11527 Athens, Greece.

Department of Surgery, General Hospital of Ierapetra, 72200 Ierapetra, Greece.

出版信息

J Clin Med. 2025 Mar 9;14(6):1845. doi: 10.3390/jcm14061845.


DOI:10.3390/jcm14061845
PMID:40142652
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11943403/
Abstract

: Esophageal cancer (EC) represents a major global contributor to cancer-related mortality. The advent of artificial intelligence (AI), including machine learning, deep learning, and radiomics, holds promise for enhancing treatment decisions and predicting outcomes. The aim of this review is to present an overview of the current landscape and future perspectives of AI in the management of EC. : A literature search was performed on MEDLINE using the following keywords: "Artificial Intelligence", "Esophageal cancer", "Barrett's esophagus", "Esophageal Adenocarcinoma", and "Esophageal Squamous cell carcinoma". All titles and abstracts were screened; the results included 41 studies. : Over the past five years, the number of studies focusing on the application of AI to the treatment and prognosis of EC has surged, leveraging increasingly larger datasets with external validation. The simultaneous incorporation in AI models of clinical factors and features from several imaging modalities displays improved predictive performance, which may enhance patient outcomes, based on direct personalized therapeutic options. However, clinicians and researchers must address existing limitations, conduct randomized controlled trials, and consider the ethical and legal aspects that arise to establish AI as a standard decision-support tool. : AI applications may result in substantial advances in EC management, heralding a new era. Considering the complexity of EC as a clinical entity, the evolving potential of AI is anticipated to ameliorate patients' quality of life and survival rates.

摘要

食管癌(EC)是全球癌症相关死亡的主要原因之一。包括机器学习、深度学习和放射组学在内的人工智能(AI)的出现,有望改善治疗决策并预测预后。本综述的目的是概述人工智能在食管癌管理中的现状和未来前景。

使用以下关键词在MEDLINE上进行了文献检索:“人工智能”、“食管癌”、“巴雷特食管”、“食管腺癌”和“食管鳞状细胞癌”。对所有标题和摘要进行了筛选;结果包括41项研究。

在过去五年中,专注于人工智能在食管癌治疗和预后应用的研究数量激增,利用了越来越大的数据集并进行外部验证。将临床因素和几种成像模式的特征同时纳入人工智能模型显示出更好的预测性能,这可能会基于直接的个性化治疗方案改善患者预后。然而,临床医生和研究人员必须解决现有局限性,进行随机对照试验,并考虑将人工智能确立为标准决策支持工具时出现的伦理和法律问题。

人工智能应用可能会在食管癌管理方面取得重大进展,开创一个新时代。考虑到食管癌作为一种临床实体的复杂性,预计人工智能不断发展的潜力将改善患者的生活质量和生存率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe31/11943403/32816531f0da/jcm-14-01845-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe31/11943403/32816531f0da/jcm-14-01845-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe31/11943403/32816531f0da/jcm-14-01845-g001.jpg

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Current Role of Artificial Intelligence in the Management of Esophageal Cancer.

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引用本文的文献

[1]
Quantitative image analysis of the extracellular matrix of esophageal squamous cell carcinoma and high grade dysplasia via two-photon microscopy.

Sci Rep. 2025-8-7

[2]
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[3]
Dual Targeting of Inflammatory and Immune Checkpoint Pathways to Overcome Radiotherapy Resistance in Esophageal Squamous Cell Carcinoma.

J Inflamm Res. 2025-7-12

本文引用的文献

[1]
Decoding the black box: Explainable AI (XAI) for cancer diagnosis, prognosis, and treatment planning-A state-of-the art systematic review.

Int J Med Inform. 2025-1

[2]
Radiomics in Oesogastric Cancer: Staging and Prediction of Preoperative Treatment Response: A Narrative Review and the Results of Personal Experience.

Cancers (Basel). 2024-7-26

[3]
Prediction of Anastomotic Leakage in Esophageal Cancer Surgery: A Multimodal Machine Learning Model Integrating Imaging and Clinical Data.

Acad Radiol. 2024-12

[4]
The Applications of Artificial Intelligence in Digestive System Neoplasms: A Review.

Health Data Sci. 2023-2-6

[5]
From pixels to patient care: deep learning-enabled pathomics signature offers precise outcome predictions for immunotherapy in esophageal squamous cell cancer.

J Transl Med. 2024-2-22

[6]
A machine learning approach using F-FDG PET and enhanced CT scan-based radiomics combined with clinical model to predict pathological complete response in ESCC patients after neoadjuvant chemoradiotherapy and anti-PD-1 inhibitors.

Front Immunol. 2024

[7]
Assessment of Narrow-Band Imaging Algorithm for Video Capsule Endoscopy Based on Decorrelated Color Space for Esophageal Cancer: Part II, Detection and Classification of Esophageal Cancer.

Cancers (Basel). 2024-1-29

[8]
Automated artificial intelligence-based phase-recognition system for esophageal endoscopic submucosal dissection (with video).

Gastrointest Endosc. 2024-5

[9]
AS-NeSt: A Novel 3D Deep Learning Model for Radiation Therapy Dose Distribution Prediction in Esophageal Cancer Treatment With Multiple Prescriptions.

Int J Radiat Oncol Biol Phys. 2024-7-1

[10]
A Radiotherapy Dose Map-Guided Deep Learning Method for Predicting Pathological Complete Response in Esophageal Cancer Patients after Neoadjuvant Chemoradiotherapy Followed by Surgery.

Biomedicines. 2023-11-16

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