人工智能在乳腺癌影像和病理组学整合诊断中的进展

Advances in artificial intelligence for integrated diagnostic approaches based onradiomics and pathomics in breast cancer

  • 摘要: 乳腺癌是全球女性最常见的恶性肿瘤,发病率逐年上升,早期诊断对改善患者预后至关重要。近年来,人工智能(artificial intelligence,AI)技术成为乳腺癌诊断领域的变革性工具,其在乳腺癌筛查、多模态影像诊断、病理诊断以及治疗与预后等领域的研究进展,为乳腺癌的精准诊断和预后评估提供了新方向。同时近年来,人工智能通过机器学习和深度学习算法,在提高诊断准确性、效率和可访问性等方面展现出显著优势,如提升小病灶检出率、减轻医生工作负担、优化治疗决策等。尽管面临可解释性技术临床转化困境、数据标准化建设系统性缺失、多模态数据治理困境与模型泛化风险等挑战,人工智能仍有望在乳腺癌的精准诊断和智能化诊疗中发挥更大作用,推动“精准医疗”目标的全面落地。

     

    Abstract: Breast cancer is the most common malignant tumor in women worldwide, and its incidence rate is increasing annually. Early diagnosis is essential for improving patient prognosis. In recent years, artificial intelligence (AI) technology has emerged as a transformative tool, providing new directions for accurate diagnostic and prognostic assessments. This article systematically reviews research progress in the application of AI to breast cancer screening, multimodal imaging techniques for diagnosis, pathological diagnosis, treatment, and prognostic modeling. Through machine learning and deep learning algorithms, AI has demonstrated significant advantages in the enhancement of diagnostic accuracy, efficiency, and accessibility, including improvement of the detection rate of small lesions, reduction in the radiologists’ workload, and optimization of treatment decisions. Despite challenges, including the integration of explainable technology in clinical transformation, lack of data standardization, complexity of multimodal data, and risk of model generalization, AI is expected to play a more prominent role in the precise diagnosis and intelligent therapy for breast cancer, thereby contributing to the full realization of the goal of precision medicine.

     

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