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深度学习在淋巴瘤分割方面的最新进展:临床应用与挑战

Recent advances in deep learning for lymphoma segmentation: Clinical applications and challenges.

作者信息

Liang Wanru, Yang Feiyang, Teng Peihong, Zhang Tianyang, Shen Weizhang

机构信息

Department of Hematology and Oncology, The Second Hospital of Jilin University, Changchun, China.

College of Computer Science and Technology, Jilin University, Changchun, China.

出版信息

Digit Health. 2025 Jul 28;11:20552076251362508. doi: 10.1177/20552076251362508. eCollection 2025 Jan-Dec.

DOI:10.1177/20552076251362508
PMID:40735544
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12304644/
Abstract

Lymphoma is a prevalent malignant tumor within the hematological system, posing significant challenges to clinical practice due to its diverse subtypes, intricate radiological and metabolic manifestations. Lymphoma segmentation studies based on positron emission tomography/computed tomography (PET/CT), CT, and magnetic resonance imaging represent key strategies for addressing these challenges. This article reviews the advancements in lymphoma segmentation research utilizing deep learning methods, offering a comparative analysis with traditional approaches, and conducting an in-depth examination and summary of aspects such as dataset characteristics, backbone networks of models, adjustments to network structures based on research objectives, and model performance. The article also explores the potential and challenges of translating deep learning-based lymphoma segmentation research into clinical scenarios, with a focus on practical clinical applications. The future research priorities in lymphoma segmentation are identified as enhancing the models' clinical generalizability, integrating into clinical workflows, reducing computational demands, and expanding high-quality datasets. These efforts aim to facilitate the broad application of deep learning in the diagnosis and treatment monitoring of lymphoma.

摘要

淋巴瘤是血液系统中一种常见的恶性肿瘤,由于其亚型多样、放射学和代谢表现复杂,给临床实践带来了重大挑战。基于正电子发射断层扫描/计算机断层扫描(PET/CT)、CT和磁共振成像的淋巴瘤分割研究是应对这些挑战的关键策略。本文综述了利用深度学习方法进行淋巴瘤分割研究的进展,与传统方法进行了对比分析,并对数据集特征、模型骨干网络、基于研究目标的网络结构调整以及模型性能等方面进行了深入研究和总结。本文还探讨了将基于深度学习的淋巴瘤分割研究转化为临床场景的潜力和挑战,重点关注实际临床应用。淋巴瘤分割未来的研究重点被确定为提高模型的临床通用性、融入临床工作流程、降低计算需求以及扩大高质量数据集。这些努力旨在促进深度学习在淋巴瘤诊断和治疗监测中的广泛应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ff5/12304644/b9e5eac9be48/10.1177_20552076251362508-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ff5/12304644/01743026edf2/10.1177_20552076251362508-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ff5/12304644/43cb38592fa0/10.1177_20552076251362508-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ff5/12304644/520830582a33/10.1177_20552076251362508-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ff5/12304644/db7033a11807/10.1177_20552076251362508-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ff5/12304644/388010ee5e77/10.1177_20552076251362508-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ff5/12304644/b9e5eac9be48/10.1177_20552076251362508-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ff5/12304644/01743026edf2/10.1177_20552076251362508-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ff5/12304644/43cb38592fa0/10.1177_20552076251362508-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ff5/12304644/520830582a33/10.1177_20552076251362508-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ff5/12304644/db7033a11807/10.1177_20552076251362508-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ff5/12304644/388010ee5e77/10.1177_20552076251362508-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ff5/12304644/b9e5eac9be48/10.1177_20552076251362508-fig6.jpg

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本文引用的文献

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Applications of Multimodal Artificial Intelligence in Non-Hodgkin Lymphoma B Cells.多模态人工智能在非霍奇金淋巴瘤B细胞中的应用
Biomedicines. 2024 Aug 5;12(8):1753. doi: 10.3390/biomedicines12081753.
3
International Benchmark for Total Metabolic Tumor Volume Measurement in Baseline F-FDG PET/CT of Lymphoma Patients: A Milestone Toward Clinical Implementation.
国际淋巴瘤患者基线 F-FDG PET/CT 总代谢肿瘤体积测量基准:迈向临床应用的里程碑。
J Nucl Med. 2024 Sep 3;65(9):1343-1348. doi: 10.2967/jnumed.124.267789.
4
An improved attention module based on nnU-Net for segmenting primary central nervous system lymphoma (PCNSL) in MRI images1.基于 nnU-Net 的改进注意力模块用于 MRI 图像中原发性中枢神经系统淋巴瘤 (PCNSL) 的分割 1 。
J Xray Sci Technol. 2024;32(4):993-1009. doi: 10.3233/XST-240016.
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Application of machine learning in the management of lymphoma: Current practice and future prospects.机器学习在淋巴瘤管理中的应用:当前实践与未来前景
Digit Health. 2024 Apr 16;10:20552076241247963. doi: 10.1177/20552076241247963. eCollection 2024 Jan-Dec.
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Semi-supervised learning towards automated segmentation of PET images with limited annotations: application to lymphoma patients.半监督学习在有限标注 PET 图像自动分割中的应用:在淋巴瘤患者中的应用。
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