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头颈外科中的人工智能保障:现状与未来。

Artificial Intelligence Assurance in Head and Neck Surgery: Now and Next.

作者信息

Liu Yuansan, Wijewickrema Sudanthi, Copson Bridget, Gerard Jean-Marc, Antani Sameer

机构信息

School of Mathematics and Statistics, University of Melbourne, Melbourne, Australia.

Department of Surgery (Otolaryngology), University of Melbourne, Melbourne, Australia.

出版信息

Proc IEEE Int Symp Comput Based Med Syst. 2025 Jun;2025:977-982. doi: 10.1109/cbms65348.2025.00195. Epub 2025 Jul 4.

DOI:10.1109/cbms65348.2025.00195
PMID:40852407
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12369650/
Abstract

Artificial intelligence (AI) is making significant advances toward becoming a well-established and promise-bearing technology in various medical domains such as screening, diagnostics, and biopharma research. However, its state remains relatively nascent in surgery and surgical therapeutics. This presents an opportunity for leveraging ongoing rapid advances in AI technology and the increasing availability of large, diverse datasets to pave the way for their use in these domains. Expanding the use of AI to include various processes in surgery-related workflows could provide several benefits, such as greater assurance for reduced errors, better assistance to surgeons, and overall improved patient outcomes. To encourage further research in surgical AI, this article summarizes the state-of-the-art in AI assurance in various aspects of a patient's timeline when undergoing head and neck surgeries, including diagnostics, preoperative considerations, intraoperative guidance, and postoperative and outcome predictions. The work aims to highlight gaps in the state-of-the-art and identify opportunities for the computer-based medical systems community to encourage future research and development on the subject.

摘要

人工智能(AI)在成为筛查、诊断和生物制药研究等各个医学领域中成熟且有前景的技术方面正取得重大进展。然而,其在手术和手术治疗领域的发展仍相对处于初期阶段。这为利用人工智能技术的持续快速进步以及日益丰富多样的大型数据集创造了契机,从而为其在这些领域的应用铺平道路。将人工智能的应用扩展到手术相关工作流程的各个环节可能会带来诸多益处,比如更可靠地减少错误、更好地协助外科医生以及全面改善患者预后。为鼓励对外科人工智能的进一步研究,本文总结了在患者接受头颈外科手术的各个阶段(包括诊断、术前考量、术中指导以及术后和预后预测)人工智能保障方面的最新进展。这项工作旨在突出当前技术水平的差距,并为基于计算机的医疗系统领域指明机遇,以鼓励未来针对该主题的研发。

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本文引用的文献

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Automatic classification of temporomandibular joint disorders by magnetic resonance imaging and convolutional neural networks.基于磁共振成像和卷积神经网络的颞下颌关节紊乱症自动分类
J Dent Sci. 2025 Jan;20(1):393-401. doi: 10.1016/j.jds.2024.06.001. Epub 2024 Jun 15.
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Neoplasms in the Nasal Cavity Identified and Tracked with an Artificial Intelligence-Assisted Nasal Endoscopic Diagnostic System.利用人工智能辅助鼻内镜诊断系统识别和追踪鼻腔肿瘤
Bioengineering (Basel). 2024 Dec 25;12(1):10. doi: 10.3390/bioengineering12010010.
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Using a machine learning algorithm and clinical data to predict the risk factors of disease recurrence after adjuvant treatment of advanced-stage oral cavity cancer.使用机器学习算法和临床数据预测晚期口腔癌辅助治疗后疾病复发的危险因素。
Tzu Chi Med J. 2024 Jul 8;37(1):91-98. doi: 10.4103/tcmj.tcmj_56_24. eCollection 2025 Jan-Mar.
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Random survival forest predicts survival in patients with metastatic laryngeal and hypopharyngeal cancer and the prognostic benefits of surgery and radiotherapy.随机生存森林预测转移性喉癌和下咽癌患者的生存情况以及手术和放疗的预后益处。
J Cancer. 2025 Jan 1;16(2):603-621. doi: 10.7150/jca.103793. eCollection 2025.
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Mucoepidermoid carcinoma: Enhancing diagnostic accuracy and treatment strategy through machine learning models and web-based prognostic tool.黏液表皮样癌:通过机器学习模型和基于网络的预后工具提高诊断准确性和治疗策略。
J Stomatol Oral Maxillofac Surg. 2025 Jun;126(3S):102209. doi: 10.1016/j.jormas.2024.102209. Epub 2024 Dec 25.
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Integrating machine learning with web-based tools for personalized prognosis in oral adenoid cystic carcinoma.将机器学习与基于网络的工具相结合用于口腔腺样囊性癌的个性化预后评估。
J Stomatol Oral Maxillofac Surg. 2024 Nov 8;126(5):102143. doi: 10.1016/j.jormas.2024.102143.
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Ann Surg Oncol. 2024 Dec;31(13):9344-9351. doi: 10.1245/s10434-024-16157-0. Epub 2024 Sep 12.
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The utility and reliability of a deep learning algorithm as a diagnosis support tool in head & neck non-melanoma skin malignancies.一种深度学习算法作为头颈部非黑色素瘤皮肤恶性肿瘤诊断支持工具的实用性和可靠性。
Eur Arch Otorhinolaryngol. 2025 Mar;282(3):1585-1592. doi: 10.1007/s00405-024-08951-z. Epub 2024 Sep 6.
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