食管癌淋巴结转移的智能影像研究进展述评及展望
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国家自然科学基金面上项目(82271959)


Review and prospect of new progress in intelligent imaging research on lymph node metastasis of esophageal cancer
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    摘要:

    食管癌是癌症相关死亡的第六大原因,也是全球第七大常见癌症,食管癌切除术是局部进展期食管癌根治性治疗的基础,术前准确判断淋巴结状态对患者手术方式的制定,术后生存质量和生存时间的预测至关重要。但目前传统的影像学检查手段对转移性淋巴结的漏诊率及误诊率较高。随着人工智能技术和数字化影像的发展,基于人工智能的医学影像图像分析方法为食管癌淋巴结转移的诊断研究带来了新思路。目前研究应用最多的主要包括纹理分析、影像组学和深度学习,这些技术从医学影像中提取定量特征来描述肿瘤特征和异质性等生物学信息,进而指导临床实践。因此,本文主要对基于纹理分析、影像组学及深度学习三种人工智能技术对食管癌淋巴结转移的影像研究进展做一述评,并对将来可能的重点研究方向进行展望,以期提高我国食管癌淋巴结转移的诊断水平

    Abstract:

    Carcinoma of esophagus ranks seventh in terms of incidence and sixth in cancer-related mortality in the world, and radical esophagectomy is considered as the basis for comprehensive therapy of locally advanced carcinoma of esophagus.Accurate preoperative determination of lymph node status is crucial to the treatment planning, assessment of life quality and survival time of patients after surgery. However, the rate of missed diagnosis and misdiagnosis of metastatic lymph nodes by traditional imaging methods is high. With the development of artificial intelligence technology and medical image digitization, the medical image analysis method based on artificial intelligence has brought new ideas to the diagnosis and research of lymph node metastasis secondary to carcinoma of esophagus. At present, the texture analysis, radiomics and deep learning are the most widely used technologies. These technologies extract quantitative features from medical images to describe biological information such as tumor characteristics and heterogeneity to guide clinical practice. Therefore, this paper mainly introduced and commented the current status of imaging research on lymph node metastasis of carcinoma of esophagus based on texture analysis, radiomics and deep learning, and prospected the significant research directions in the future with a view to improving the diagnostic level of lymph node metastasis of carcinoma of esophagus in China

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  • 在线发布日期: 2023-04-19
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