Lakshya Soni, Jasen Soopramanien, Amish Acharya, Hutan Ashrafian, Stamatia Giannarou, Nicos Fotiadis, Ara Darzi
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引用次数: 0
摘要
肝细胞癌(HCC)是全球癌症相关死亡的主要原因之一。中期HCC通常采用经导管动脉化疗栓塞(TACE)或经导管动脉栓塞(TAE)治疗。整合机器学习(ML)提供了通过增强患者选择来改善治疗结果的可能性。本系统综述评估了ML模型在提高TACE和TAE治疗中期HCC的准确性和疗效方面的有效性。我们对PubMed、EMBASE、Web of Science和Cochrane Library数据库进行了全面检索,以寻找将ML模型应用于中期HCC患者的TACE和TAE的研究。纳入了涉及4017例患者的7项研究。所有纳入的研究均来自中国。各种ML模型,包括深度学习和放射组学,用于预测治疗反应,具有很高的预测精度(AUC 0.90)。然而,研究异质性限制了比较。虽然ML在预测治疗结果方面显示出潜力,但需要进一步研究标准化方案和更大的多中心试验来进行临床整合。
The use of machine learning in transarterial chemoembolisation/transarterial embolisation for patients with intermediate-stage hepatocellular carcinoma: a systematic review.
Hepatocellular carcinoma (HCC) is one of the leading causes of cancer-related deaths worldwide. Intermediate-stage HCC is often treated with either transcatheter arterial chemoembolisation (TACE) or transcatheter arterial embolisation (TAE). Integrating machine learning (ML) offers the possibility of improving treatment outcomes through enhanced patient selection. This systematic review evaluates the effectiveness of ML models in improving the precision and efficacy of both TACE and TAE for intermediate-stage HCC. A comprehensive search of PubMed, EMBASE, Web of Science, and Cochrane Library databases was conducted for studies applying ML models to TACE and TAE in patients with intermediate-stage HCC. Seven studies involving 4,017 patients were included. All included studies were from China. Various ML models, including deep learning and radiomics, were used to predict treatment response, yielding a high predictive accuracy (AUC 0.90). However, study heterogeneity limited comparisons. While ML shows potential in predicting treatment outcomes, further research with standardised protocols and larger, multi-centre trials is needed for clinical integration.
期刊介绍:
Felice Perussia founded La radiologia medica in 1914. It is a peer-reviewed journal and serves as the official journal of the Italian Society of Medical and Interventional Radiology (SIRM). The primary purpose of the journal is to disseminate information related to Radiology, especially advancements in diagnostic imaging and related disciplines. La radiologia medica welcomes original research on both fundamental and clinical aspects of modern radiology, with a particular focus on diagnostic and interventional imaging techniques. It also covers topics such as radiotherapy, nuclear medicine, radiobiology, health physics, and artificial intelligence in the context of clinical implications. The journal includes various types of contributions such as original articles, review articles, editorials, short reports, and letters to the editor. With an esteemed Editorial Board and a selection of insightful reports, the journal is an indispensable resource for radiologists and professionals in related fields. Ultimately, La radiologia medica aims to serve as a platform for international collaboration and knowledge sharing within the radiological community.