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人工智能模型在前列腺癌检测与管理中的当前架构与发展方法:技术报告

Current Architectural and Developmental Approaches in Artificial Intelligence Models for Prostate Cancer Detection and Management: A Technical Report.

作者信息

Huang Kian A, Choudhary Haris K, Lee Kyoung A V, Tesdahl Corey D, Kuo Paul C

机构信息

General Surgery, University of South Florida Health Morsani College of Medicine, Tampa, USA.

出版信息

Cureus. 2025 Apr 5;17(4):e81748. doi: 10.7759/cureus.81748. eCollection 2025 Apr.

DOI:10.7759/cureus.81748
PMID:40330342
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12051356/
Abstract

Prostate cancer is a prevalent malignancy among men and remains a major cause of cancer-related mortality. The increasing incidence of cases underscores the need for advancements in diagnostic methodologies. Artificial intelligence (AI) is emerging as a transformative tool in addressing challenges in prostate cancer diagnostics, particularly in the analysis of histopathological whole-slide images and the refinement of algorithmic Gleason grading. Traditional diagnostic approaches, including the Gleason grading system and prostate-specific antigen (PSA) testing, are subject to variability and inefficiencies, placing a significant burden on pathologists and potentially delaying accurate diagnoses. This report explores the role of AI-driven models, such as convolutional neural networks and clinically validated deep learning systems, in enhancing diagnostic accuracy for tumor detection and Gleason grading. These models incorporate advanced techniques, including ensemble learning, specialized pooling mechanisms, and semi-supervised learning, to improve efficiency in feature extraction. Additionally, AI models integrating PSA data have demonstrated improved accuracy in risk stratification, reducing the reliance on traditional PSA thresholds and minimizing unnecessary biopsies. However, challenges persist, such as inconsistencies in data sources, imaging domain shifts, and the absence of standardized stain normalization, which hinder AI's widespread clinical adoption. By examining the current technological landscape, this report highlights AI's potential to revolutionize prostate cancer diagnostics, enhancing workflow efficiency and diagnostic precision in clinical practice.

摘要

前列腺癌是男性中常见的恶性肿瘤,仍然是癌症相关死亡的主要原因。病例发病率的不断上升凸显了诊断方法进步的必要性。人工智能(AI)正在成为应对前列腺癌诊断挑战的变革性工具,特别是在组织病理学全切片图像分析和算法Gleason分级的优化方面。包括Gleason分级系统和前列腺特异性抗原(PSA)检测在内的传统诊断方法存在变异性和效率低下的问题,给病理学家带来了沉重负担,并可能延误准确诊断。本报告探讨了人工智能驱动的模型,如卷积神经网络和经过临床验证的深度学习系统,在提高肿瘤检测和Gleason分级诊断准确性方面的作用。这些模型采用了先进技术,包括集成学习、专门的池化机制和半监督学习,以提高特征提取的效率。此外,整合PSA数据的人工智能模型在风险分层方面显示出更高的准确性,减少了对传统PSA阈值的依赖,并最大限度地减少了不必要的活检。然而,挑战依然存在,如数据源不一致、成像领域变化以及缺乏标准化的染色归一化,这些都阻碍了人工智能在临床中的广泛应用。通过审视当前的技术格局,本报告强调了人工智能在彻底改变前列腺癌诊断方面的潜力,提高临床实践中的工作流程效率和诊断精度。

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本文引用的文献

1
Artificial Intelligence Improves the Ability of Physicians to Identify Prostate Cancer Extent.人工智能提高医生识别前列腺癌范围的能力。
J Urol. 2024 Jul;212(1):52-62. doi: 10.1097/JU.0000000000003960. Epub 2024 Jun 11.
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Harnessing artificial intelligence for prostate cancer management.利用人工智能进行前列腺癌管理。
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The Lancet Commission on prostate cancer: planning for the surge in cases.《柳叶刀》前列腺癌委员会:应对病例激增的规划
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Radiomic Models Predict Tumor Microenvironment Using Artificial Intelligence-the Novel Biomarkers in Breast Cancer Immune Microenvironment.基于人工智能的放射组学模型预测肿瘤微环境-乳腺癌免疫微环境的新型生物标志物。
Technol Cancer Res Treat. 2023 Jan-Dec;22:15330338231218227. doi: 10.1177/15330338231218227.
5
Molecular classifications of prostate cancer: basis for individualized risk stratification and precision therapy.前列腺癌的分子分类:个体化风险分层和精准治疗的基础。
Ann Med. 2023;55(2):2279235. doi: 10.1080/07853890.2023.2279235. Epub 2023 Nov 8.
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Don't Fear the Artificial Intelligence: A Systematic Review of Machine Learning for Prostate Cancer Detection in Pathology.不要害怕人工智能:病理学中机器学习用于前列腺癌检测的系统评价。
Arch Pathol Lab Med. 2024 May 1;148(5):603-612. doi: 10.5858/arpa.2022-0460-RA.
7
Multi-Omic Integration of Blood-Based Tumor-Associated Genomic and Lipidomic Profiles Using Machine Learning Models in Metastatic Prostate Cancer.基于机器学习模型的转移性前列腺癌血液肿瘤相关基因组和脂质组学的多组学整合。
JCO Clin Cancer Inform. 2023 Jul;7:e2300057. doi: 10.1200/CCI.23.00057.
8
Machine-learning predicts time-series prognosis factors in metastatic prostate cancer patients treated with androgen deprivation therapy.机器学习预测接受雄激素剥夺治疗的转移性前列腺癌患者的时间序列预后因素。
Sci Rep. 2023 Apr 18;13(1):6325. doi: 10.1038/s41598-023-32987-6.
9
Artificial intelligence system shows performance at the level of uropathologists for the detection and grading of prostate cancer in core needle biopsy: an independent external validation study.人工智能系统在核心针活检前列腺癌的检测和分级方面表现出与泌尿病理学家相当的性能:一项独立的外部验证研究。
Mod Pathol. 2022 Oct;35(10):1449-1457. doi: 10.1038/s41379-022-01077-9. Epub 2022 Apr 29.
10
A deep learning system for prostate cancer diagnosis and grading in whole slide images of core needle biopsies.深度学习系统在核心针活检的全切片图像中用于前列腺癌的诊断和分级。
Sci Rep. 2022 Mar 1;12(1):3383. doi: 10.1038/s41598-022-07217-0.