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超声人工智能在子宫内膜疾病诊断中的应用:当前实践与未来发展

The application of ultrasound artificial intelligence in the diagnosis of endometrial diseases: Current practice and future development.

作者信息

Wei Qiao, Xiao Zhang, Liang Xiaowen, Guo Zhili, Zhang Yanfen, Chen Zhiyi

机构信息

Key Laboratory of Medical Imaging Precision Theranostics and Radiation Protection, College of Hunan Province, the Affiliated Changsha Central Hospital, Hengyang Medical School, University of South China, Changsha, China.

Institute of Medical Imaging, Hengyang Medical School, University of South China, Hengyang, China.

出版信息

Digit Health. 2025 May 14;11:20552076241310060. doi: 10.1177/20552076241310060. eCollection 2025 Jan-Dec.

DOI:10.1177/20552076241310060
PMID:40376569
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12078975/
Abstract

Diagnosis and treatment of endometrial diseases are crucial for women's health. Over the past decade, ultrasound has emerged as a non-invasive, safe, and cost-effective imaging tool, significantly contributing to endometrial disease diagnosis and generating extensive datasets. The introduction of artificial intelligence has enabled the application of machine learning and deep learning to extract valuable information from these datasets, enhancing ultrasound diagnostic capabilities. This paper reviews the progress of artificial intelligence in ultrasound image analysis for endometrial diseases, focusing on applications in diagnosis, decision support, and prognosis analysis. We also summarize current research challenges and propose potential solutions and future directions to advance ultrasound artificial intelligence technology in endometrial disease diagnosis, ultimately improving women's health through digital tools.

摘要

子宫内膜疾病的诊断和治疗对女性健康至关重要。在过去十年中,超声已成为一种无创、安全且经济高效的成像工具,对子宫内膜疾病的诊断做出了重大贡献,并产生了大量数据集。人工智能的引入使得机器学习和深度学习能够应用于从这些数据集中提取有价值的信息,从而提高了超声诊断能力。本文综述了人工智能在子宫内膜疾病超声图像分析中的进展,重点介绍其在诊断、决策支持和预后分析中的应用。我们还总结了当前的研究挑战,并提出了潜在的解决方案和未来方向,以推动超声人工智能技术在子宫内膜疾病诊断中的发展,最终通过数字工具改善女性健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f58/12078975/67b1756cbc3c/10.1177_20552076241310060-fig12.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f58/12078975/a0184dce9ef4/10.1177_20552076241310060-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f58/12078975/ea706ef6e6a9/10.1177_20552076241310060-fig2.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f58/12078975/ecf86d941bec/10.1177_20552076241310060-fig4.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f58/12078975/b8e4a97bbbab/10.1177_20552076241310060-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f58/12078975/a606f337d8ba/10.1177_20552076241310060-fig8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f58/12078975/aeeba0029971/10.1177_20552076241310060-fig9.jpg
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本文引用的文献

1
A Transvaginal Ultrasound-Based Deep Learning Model for the Noninvasive Diagnosis of Myometrial Invasion in Patients with Endometrial Cancer: Comparison with Radiologists.基于经阴道超声的深度学习模型在子宫内膜癌患者中进行肌层浸润的无创诊断:与放射科医师的比较。
Acad Radiol. 2024 Jul;31(7):2818-2826. doi: 10.1016/j.acra.2023.12.035. Epub 2024 Jan 5.
2
A self-supervised classification model for endometrial diseases.用于子宫内膜疾病的自监督分类模型。
J Cancer Res Clin Oncol. 2023 Dec;149(20):17855-17863. doi: 10.1007/s00432-023-05467-7. Epub 2023 Nov 10.
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Reproductive Factors and Endometrial Cancer Risk Among Women.
生育因素与女性子宫内膜癌风险
JAMA Netw Open. 2023 Sep 5;6(9):e2332296. doi: 10.1001/jamanetworkopen.2023.32296.
4
An ultrasound-based radiomics model for survival prediction in patients with endometrial cancer.基于超声的放射组学模型预测子宫内膜癌患者的生存情况。
J Med Ultrason (2001). 2023 Oct;50(4):501-510. doi: 10.1007/s10396-023-01331-w. Epub 2023 Jun 13.
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An ultrasound-based deep learning radiomic model combined with clinical data to predict clinical pregnancy after frozen embryo transfer: a pilot cohort study.基于超声的深度学习放射组学模型结合临床数据预测冻融胚胎移植后的临床妊娠:一项初步队列研究。
Reprod Biomed Online. 2023 Aug;47(2):103204. doi: 10.1016/j.rbmo.2023.03.015. Epub 2023 Mar 27.
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Real-Time Automatic Assisted Detection of Uterine Fibroid in Ultrasound Images Using a Deep Learning Detector.使用深度学习检测器对超声图像中的子宫肌瘤进行实时自动辅助检测
Ultrasound Med Biol. 2023 Jul;49(7):1616-1626. doi: 10.1016/j.ultrasmedbio.2023.03.013. Epub 2023 Apr 28.
7
Evaluation of endometrial receptivity by ultrasound elastography to predict pregnancy outcome is a non-invasive and worthwhile method.超声弹性成像评价子宫内膜容受性预测妊娠结局是一种非侵入性且有价值的方法。
Biotechnol Genet Eng Rev. 2024 Apr;40(1):284-298. doi: 10.1080/02648725.2023.2183585. Epub 2023 Mar 8.
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Ultrasound image-based deep learning to differentiate tubal-ovarian abscess from ovarian endometriosis cyst.基于超声图像的深度学习用于鉴别输卵管卵巢脓肿与卵巢子宫内膜异位囊肿。
Front Physiol. 2023 Feb 7;14:1101810. doi: 10.3389/fphys.2023.1101810. eCollection 2023.
9
Radiomics and Molecular Classification in Endometrial Cancer (The ROME Study): A Step Forward to a Simplified Precision Medicine.子宫内膜癌的影像组学与分子分类(ROME研究):迈向简化精准医学的一步
Healthcare (Basel). 2022 Dec 7;10(12):2464. doi: 10.3390/healthcare10122464.
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A Deep Learning Model System for Diagnosis and Management of Adnexal Masses.一种用于附件包块诊断与管理的深度学习模型系统。
Cancers (Basel). 2022 Oct 27;14(21):5291. doi: 10.3390/cancers14215291.