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机器学习在宫颈癌研究中的应用新进展:聚焦预测模型

Recent advances in applications of machine learning in cervical cancer research: a focus on prediction models.

作者信息

Abrar Syed S, Isa Seoparjoo Azmel Mohd, Hairon Suhaily Mohd, Ismail Mohd Pazudin, Kadir Mohd Nasrullah Bin Nik Ab

机构信息

Department of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Malaysia.

Department of Pathology, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Malaysia.

出版信息

Obstet Gynecol Sci. 2025 Jul;68(4):247-259. doi: 10.5468/ogs.25041. Epub 2025 May 29.

DOI:10.5468/ogs.25041
PMID:40441737
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12301556/
Abstract

Artificial intelligence (AI) and machine learning (ML) are transforming cervical cancer research and offering advancements in diagnosis, prognosis, screening, and treatment. This review explores ML applications with particular emphasis on prediction models. A comprehensive literature search identified studies using ML for survival prediction, risk assessment, and treatment optimization. ML-driven prognostic models integrate clinical, histopathological, and genomic data to improve survival prediction and patient stratification. Screening methods, including deep-learning-based cytology analysis and human papillomavirus detection, enhance accuracy and efficiency. ML-driven imaging techniques facilitate early and precise cancer diagnosis, while risk prediction models assess susceptibility based on demographic and genetic factors. AI also optimizes treatment planning by predicting therapeutic responses and guiding personalized interventions. Despite significant progress, challenges remain regarding data availability, model interpretability, and clinical implementation. Standardized datasets, external validation, and cross-disciplinary collaborations are crucial for implementing ML innovations in clinical settings. Subsequent investigations should prioritize joint initiatives among data scientists, healthcare providers, and health authorities to translate AI innovations into real-world applications and to enhance the impact of ML on cervical cancer care. By synthesizing recent developments, this review highlights the potential of ML to improve clinical outcomes and shaping the future of cervical cancer management.

摘要

人工智能(AI)和机器学习(ML)正在改变宫颈癌研究,并在诊断、预后、筛查和治疗方面取得进展。本综述探讨了机器学习的应用,特别强调预测模型。全面的文献检索确定了使用机器学习进行生存预测、风险评估和治疗优化的研究。机器学习驱动的预后模型整合临床、组织病理学和基因组数据,以改善生存预测和患者分层。筛查方法,包括基于深度学习的细胞学分析和人乳头瘤病毒检测,提高了准确性和效率。机器学习驱动的成像技术有助于早期和精确的癌症诊断,而风险预测模型则根据人口统计学和遗传因素评估易感性。人工智能还通过预测治疗反应和指导个性化干预来优化治疗计划。尽管取得了重大进展,但在数据可用性、模型可解释性和临床实施方面仍存在挑战。标准化数据集、外部验证和跨学科合作对于在临床环境中实施机器学习创新至关重要。后续研究应优先考虑数据科学家、医疗保健提供者和卫生当局之间的联合倡议,将人工智能创新转化为实际应用,并增强机器学习对宫颈癌护理的影响。通过综合近期的发展,本综述强调了机器学习改善临床结果和塑造宫颈癌管理未来的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c858/12301556/a500d0dce598/ogs-25041f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c858/12301556/a500d0dce598/ogs-25041f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c858/12301556/a500d0dce598/ogs-25041f1.jpg

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本文引用的文献

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Performance of a Full-Coverage Cervical Cancer Screening Program Using on an Artificial Intelligence- and Cloud-Based Diagnostic System: Observational Study of an Ultralarge Population.基于人工智能和云的诊断系统进行全覆盖宫颈癌筛查方案的表现:超大规模人群的观察性研究。
J Med Internet Res. 2024 Nov 20;26:e51477. doi: 10.2196/51477.
2
CerviXpert: A multi-structural convolutional neural network for predicting cervix type and cervical cell abnormalities.CerviXpert:一种用于预测宫颈类型和宫颈细胞异常的多结构卷积神经网络。
Digit Health. 2024 Nov 10;10:20552076241295440. doi: 10.1177/20552076241295440. eCollection 2024 Jan-Dec.
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Analysis of effectiveness in an artificial intelligent film reading system combined with liquid based cytology examination for cervical cancer screening.
人工智能薄膜阅读系统联合液基细胞学检查用于宫颈癌筛查的有效性分析
Am J Transl Res. 2024 Sep 15;16(9):4979-4987. doi: 10.62347/EVXV1402. eCollection 2024.
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Development and validation of radiomic signature for predicting overall survival in advanced-stage cervical cancer.预测晚期宫颈癌总生存期的放射组学特征的开发与验证
Front Nucl Med. 2023 May 17;3:1138552. doi: 10.3389/fnume.2023.1138552. eCollection 2023.
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An Artificial Neural Network Prediction Model of Depressive Symptoms among Women with Abnormal Papanicolaou Smear Results before and after Diagnostic Procedures.诊断程序前后巴氏涂片结果异常的女性抑郁症状的人工神经网络预测模型
Life (Basel). 2024 Sep 7;14(9):1130. doi: 10.3390/life14091130.
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Comparative study of machine learning and statistical survival models for enhancing cervical cancer prognosis and risk factor assessment using SEER data.基于 SEER 数据的机器学习与统计生存模型在宫颈癌预后与风险因素评估中的比较研究。
Sci Rep. 2024 Sep 27;14(1):22203. doi: 10.1038/s41598-024-72790-5.
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Dose prediction for cervical cancer in radiotherapy based on the beam channel generative adversarial network.基于束流通道生成对抗网络的宫颈癌放疗剂量预测
Heliyon. 2024 Sep 7;10(18):e37472. doi: 10.1016/j.heliyon.2024.e37472. eCollection 2024 Sep 30.
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Hematological indicator-based machine learning models for preoperative prediction of lymph node metastasis in cervical cancer.基于血液学指标的机器学习模型用于宫颈癌淋巴结转移的术前预测
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Integrating a deep neural network and Transformer architecture for the automatic segmentation and survival prediction in cervical cancer.将深度神经网络与Transformer架构相结合用于宫颈癌的自动分割和生存预测。
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Utilising deep learning networks to classify ZEB2 expression images in cervical cancer.利用深度学习网络对宫颈癌中 ZEB2 表达图像进行分类。
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