Abrar Syed S, Isa Seoparjoo Azmel Mohd, Hairon Suhaily Mohd, Ismail Mohd Pazudin, Kadir Mohd Nasrullah Bin Nik Ab
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.
Obstet Gynecol Sci. 2025 Jul;68(4):247-259. doi: 10.5468/ogs.25041. Epub 2025 May 29.
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.
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。