Huang Kian A, Choudhary Haris K, Lee Kyoung A V, Tesdahl Corey D, Kuo Paul C
General Surgery, University of South Florida Health Morsani College of Medicine, Tampa, USA.
Cureus. 2025 Apr 5;17(4):e81748. doi: 10.7759/cureus.81748. eCollection 2025 Apr.
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.
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。