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基于人工智能的肝癌病理分析:当前进展与解读策略

Artificial intelligence-based pathological analysis of liver cancer: Current advancements and interpretative strategies.

作者信息

Ding Guang-Yu, Shi Jie-Yi, Wang Xiao-Dong, Yan Bo, Liu Xi-Yang, Gao Qiang

机构信息

Department of Liver Surgery and Transplantation, Liver Cancer Institute, Zhongshan Hospital, Shanghai 200032, China.

Key Laboratory of Carcinogenesis and Cancer Invasion of Ministry of Education, Fudan University, Shanghai 200032, China.

出版信息

ILIVER. 2024 Feb 8;3(1):100082. doi: 10.1016/j.iliver.2024.100082. eCollection 2024 Mar.

DOI:10.1016/j.iliver.2024.100082
PMID:40636729
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12212694/
Abstract

In recent years, significant advances have been achieved in liver cancer management with the development of artificial intelligence (AI). AI-based pathological analysis can extract crucial information from whole slide images to assist clinicians in all aspects from diagnosis to prognosis and molecular profiling. However, AI techniques have a "black box" nature, which means that interpretability is of utmost importance because it is key to ensuring the reliability of the methods and building trust among clinicians for actual clinical implementation. In this paper, we provide an overview of current technical advancements in the AI-based pathological analysis of liver cancer, and delve into the strategies used in recent studies to unravel the "black box" of AI's decision-making process.

摘要

近年来,随着人工智能(AI)的发展,肝癌管理取得了重大进展。基于AI的病理分析可以从全切片图像中提取关键信息,以协助临床医生在从诊断到预后及分子特征分析的各个方面做出决策。然而,AI技术具有“黑箱”性质,这意味着可解释性至关重要,因为它是确保方法可靠性以及在实际临床应用中建立临床医生信任的关键。在本文中,我们概述了基于AI的肝癌病理分析的当前技术进展,并深入探讨了近期研究中用于揭开AI决策过程“黑箱”的策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/848c/12212694/d733dd58e281/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/848c/12212694/a9280deb14d4/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/848c/12212694/d733dd58e281/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/848c/12212694/a9280deb14d4/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/848c/12212694/d733dd58e281/gr2.jpg

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本文引用的文献

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Artificial intelligence-based pathology as a biomarker of sensitivity to atezolizumab-bevacizumab in patients with hepatocellular carcinoma: a multicentre retrospective study.基于人工智能的病理学作为肝癌患者对阿替利珠单抗联合贝伐珠单抗敏感性的生物标志物:一项多中心回顾性研究。
Lancet Oncol. 2023 Dec;24(12):1411-1422. doi: 10.1016/S1470-2045(23)00468-0. Epub 2023 Nov 8.
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Toward Explainable Artificial Intelligence for Precision Pathology.迈向精准病理学的可解释人工智能
Annu Rev Pathol. 2024 Jan 24;19:541-570. doi: 10.1146/annurev-pathmechdis-051222-113147. Epub 2023 Oct 23.
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Grad-CAM-Based Explainable Artificial Intelligence Related to Medical Text Processing.
基于Grad-CAM的与医学文本处理相关的可解释人工智能
Bioengineering (Basel). 2023 Sep 10;10(9):1070. doi: 10.3390/bioengineering10091070.
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Implementation of deep learning in liver pathology optimizes diagnosis of benign lesions and adenocarcinoma metastasis.深度学习在肝病理学中的应用优化了良性病变和腺癌转移的诊断。
Clin Transl Med. 2023 Jul;13(7):e1299. doi: 10.1002/ctm2.1299.
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Methods for identifying emergent concepts in deep neural networks.用于识别深度神经网络中新兴概念的方法。
Patterns (N Y). 2023 Jun 9;4(6):100761. doi: 10.1016/j.patter.2023.100761.
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Increasing Trust in AI Using Explainable Artificial Intelligence for Histopathology - An Overview.利用可解释人工智能提高病理图像 AI 可信度:概述
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Development of a deep pathomics score for predicting hepatocellular carcinoma recurrence after liver transplantation.开发一种深度病理评分系统,以预测肝移植后肝细胞癌复发。
Hepatol Int. 2023 Aug;17(4):927-941. doi: 10.1007/s12072-023-10511-2. Epub 2023 Apr 8.
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Generating post-hoc explanation from deep neural networks for multi-modal medical image analysis tasks.从深度神经网络生成事后解释以用于多模态医学图像分析任务。
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