首页|CT影像组学在胃癌风险分级及鉴别胃淋巴瘤中的研究进展

CT影像组学在胃癌风险分级及鉴别胃淋巴瘤中的研究进展

Research progress of CT imaging omics in risk classification of gastric cancer and differentiation of gastric lymphomas

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胃作为人类重要的消化器官,胃肿瘤的发生严重危害人类的身体健康.胃部肿瘤有多种类型,恶性肿瘤中以胃腺癌最常见,其次是胃淋巴瘤.胃腺癌肿瘤患者的的组织学分化程度与临床结局相关,肿瘤分化程度低的患者临床病理状态更差,面临着更高的淋巴结转移和复发风险.同时,低分化型胃癌与胃淋巴瘤在内镜下、CT检查表现上类似,而二者治疗方法差异甚远,常规影像学检查方法常常由于诊断者主观性太强而存在不足.在大数据的背景下,影像组学应运而生,它利用计算机算法从影像学图像中提取并分析大量肉眼难以捕捉的定量特征,并进行分析和计算,以辅助影像科医生做出更精准的诊断.本文主要对基于CT的影像组学在胃腺癌分级及其与胃淋巴瘤鉴别诊断中的研究进展进行综述.
Stomach is an important digestive organ of human beings,and the occurrence of gastric tumors seriously endangers human health.There are many types of gastric tumors,with gastric adenocarcinomas being the most common malignant tumors,followed by gastric lymphomas.Histological differentiation of gastric adenocarcinomas is correlated with the clinical outcome,and patients with a poor differentiation have worse clinicopathological status and higher risks of lymph node metastasis and recurrence.Moreover,lowly differentiated gastric cancer share similar endoscopic and CT manifestations with those of gastric lymphomas,but quite different treatment methods.Generally,routine imaging methods have limitations due to the subjective diagnosis.Imaging omics emerges under the background of big data.Using computer algorithms,it extracts and analyzes a large number of quantitative features that are difficult to capture with the naked eye from imaging images,and through analysis and calculation,thus assisting imaging doctors to make a more accurate diagnosis.This article reviewed the progress of CT-based imaging in the classification of gastric adenocarcinomas and the differential diagnosis of gastric lymphomas.

gastric adenocarcinomagastric lymphomacomputed tomography(CT)imaging omicssummarize

赵晓亮、张文缓、李政良、郝恒聪、李凤菊

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050022 石家庄市,河北省第八人民医院放射科

武警河北省总队医院医学影像科

胃腺癌 胃淋巴瘤 CT 影像组学 综述

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(11)
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