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使用磁共振成像评估人工智能在诊断胶质瘤中的新兴作用:系统评价和荟萃分析。

Assessment of the emerging role of AI in diagnosing gliomas using MRI: Systematic review and meta-analysis.

作者信息

Alsaedi Amirah, Alsharif Walaa, Gareeballah Awadia, Alshoabi Sultan, Alhazmi Fahad, Alshamrani Khalid, Alofy Lama, Samman Rahaf, Al-Bakri Raneem, Shukr Yara

机构信息

Department of Diagnostic Radiology, College of Applied Medical Sciences, Taibah University, Madinah, Saudi Arabia.

Ministry of the National Guard - Health Affairs, Jeddah, Saudi Arabia.

出版信息

Neurooncol Adv. 2025 Aug 5;7(1):vdaf162. doi: 10.1093/noajnl/vdaf162. eCollection 2025 Jan-Dec.

Abstract

Despite the emerging role of artificial intelligence (AI) in glioma grading, its clinical adoption remains in its early stages. This meta-analysis aims to assess the role of AI in differentiating glioma grades using magnetic resonance imaging (MRI). Twenty-five studies matched the inclusion criteria and were included after systematic searches through "PubMed" electronic database. The quality of the included studies was assessed utilizing Quality Assessment of Diagnostic Accuracy Studies-2 (QUADAS-2). A bivariate random-effects model was employed to estimate the pooled effect of the sensitivity and specificity, followed by an estimation of the summary receiver operating characteristic (SROC) curve. The overall results suggest relatively high sensitivity and specificity among the assessed AI methods for discriminating glioma grades. Convolutional Neural Networks (CNN) demonstrated the highest diagnostic accuracy, with a sensitivity of 93% (95% CI: 88%-97%) and specificity of 92% (95% CI: 90%-94%). This meta-analysis highlights the potential role of AI models based on MRI in supporting clinicians in glioma grading.

摘要

尽管人工智能(AI)在胶质瘤分级中的作用日益凸显,但其在临床中的应用仍处于早期阶段。本荟萃分析旨在评估人工智能利用磁共振成像(MRI)鉴别胶质瘤分级的作用。通过对“PubMed”电子数据库进行系统检索,25项研究符合纳入标准并被纳入。采用诊断准确性研究质量评估-2(QUADAS-2)对纳入研究的质量进行评估。采用双变量随机效应模型估计敏感性和特异性的合并效应,随后估计汇总受试者工作特征(SROC)曲线。总体结果表明,在评估的人工智能鉴别胶质瘤分级的方法中,敏感性和特异性相对较高。卷积神经网络(CNN)显示出最高的诊断准确性,敏感性为93%(95%CI:88%-97%),特异性为92%(95%CI:90%-94%)。本荟萃分析强调了基于MRI的人工智能模型在支持临床医生进行胶质瘤分级方面的潜在作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/943f/12448723/233ebb7b1338/vdaf162_fig1.jpg

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