首页|人工智能在结直肠癌内镜与影像学诊断中的应用现状与进展

人工智能在结直肠癌内镜与影像学诊断中的应用现状与进展

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结直肠癌是全世界常见消化道恶性肿瘤,在中国其发病率和病死率均逐年上升.近年来,基于人工智能的技术呈指数级增长,在医学影像学诊断领域取得飞跃式发展.特别是在结肠镜、CT和磁共振成像(MRI)等检查的应用上,人工智能凭借其高级图像识别和特征分析能力为结直肠癌的诊断提供了新视角,从而推动精准医学的实现.目前,各种人工智能算法正在开发或优化中,如各种人工智能辅助系统的性能比较、多种算法的协同应用以及与其他组学的结合.此外,人工智能在临床实践中的融合难度、解释性和可信度,以及成本和资源限制等问题仍具挑战,需要进一步规范和完善.笔者从结肠镜、CT、MRI和其他影像学检查4个方面对人工智能在结直肠癌内镜与影像学诊断方面的应用现状与进展进行探讨,以供同行参考与借鉴.
Current status and progress of artificial intelligence in endoscopic and imaging diagnosis of colorectal cancer
J Colorectal cancer is a common malignant tumor of the digestive system globally,with both its incidence and mortality rates increasing annually in China.In recent years,there has been exponential growth in technology based on artificial intelligence,leading to significant advance-ments in the field of medical imaging diagnosis.Particularly in the application of colonoscopy,CT and magnetic resonance imaging(MRI),artificial intelligence,leveraging its advanced image recogni-tion and feature analysis capabilities,has provided new perspectives for the diagnosis of colorectal cancer,thereby driving the realization of precision medicine.Currently,various artificial intelligence algorithms are either under development or optimization,such as performance comparisons of vari-ous artificial intelligence-assisted systems,the collaborative application of multiple algorithms,and integration with other omics.Additionally,challenges persist in the integration diffiiculty,interpre-tability and credibility,as well as cost and resource limitations of Al in clinical practice,necessitating further standardization and improvement.The authors explore the current status and progress of artificial intelligence in endoscopic and imaging diagnosis of colorectal cancer from four aspects:colonoscopy,CT,MRI and other imaging examination for reference and reference by peers.

Colonic neoplasmsRectal neoplasmsArtificial intelligenceImage diag-nosisApplication progress

张娴、王庆国、程云章、黄陈

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上海理工大学健康科学与工程学院,上海 200093

上海交通大学医学院附属第一人民医院放射科,上海 200080

上海交通大学医学院附属第一人民医院胃肠外科,上海 200080

结肠肿瘤 直肠肿瘤 人工智能 影像学诊断 应用进展

国家自然科学基金上海市市级医院临床技能与临床创新三年行动计划上海交通大学医学院高峰高原计划

82072662SHDC 2020CR402220191425

2024

中华消化外科杂志
中华医学会

中华消化外科杂志

CSTPCD北大核心
影响因子:1.899
ISSN:1673-9752
年,卷(期):2024.23(4)
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