人工智能在胃癌前病变筛查和医学影像学中的作用。

IF 3.2 Q3 ONCOLOGY
Sergey M Kotelevets
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引用次数: 0

摘要

胃癌前病变的血清学筛查、内镜成像、形态学视觉验证及胃粘膜变化是早期发现、准确诊断和预防治疗胃癌前病变的主要阶段。实验室——血清学、内窥镜和组织学诊断由医学实验室技术人员、内窥镜医师和组织学家进行。人为因素具有很大的主观性。内窥镜医师和组织学家在制定影像学结论时遵循描述性原则。医生的诊断报告往往导致矛盾和相互排斥的结论。诊断医师和临床医生的错误结果会造成致命的后果,如胃癌的晚期诊断和患者的高死亡率。有效的人群血清学筛查只有使用机器处理实验室检测结果才能实现。目前,使用卷积神经网络和深度机器学习,可以用客观、高度敏感和高度特定的视觉识别取代诊断专家对内窥镜和组织学图像的主观不精确描述。有许多机器学习模型可供使用。所有的机器学习模型都有预测能力。基于预测模型,有必要以非常高的概率识别患者的胃癌风险水平。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Role of artificial intelligence in screening and medical imaging of precancerous gastric diseases.

Serological screening, endoscopic imaging, morphological visual verification of precancerous gastric diseases and changes in the gastric mucosa are the main stages of early detection, accurate diagnosis and preventive treatment of gastric precancer. Laboratory - serological, endoscopic and histological diagnostics are carried out by medical laboratory technicians, endoscopists, and histologists. Human factors have a very large share of subjectivity. Endoscopists and histologists are guided by the descriptive principle when formulating imaging conclusions. Diagnostic reports from doctors often result in contradictory and mutually exclusive conclusions. Erroneous results of diagnosticians and clinicians have fatal consequences, such as late diagnosis of gastric cancer and high mortality of patients. Effective population serological screening is only possible with the use of machine processing of laboratory test results. Currently, it is possible to replace subjective imprecise description of endoscopic and histological images by a diagnostician with objective, highly sensitive and highly specific visual recognition using convolutional neural networks with deep machine learning. There are many machine learning models to use. All machine learning models have predictive capabilities. Based on predictive models, it is necessary to identify the risk levels of gastric cancer in patients with a very high probability.

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来源期刊
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发文量
585
期刊介绍: The WJCO is a high-quality, peer reviewed, open-access journal. The primary task of WJCO is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of oncology. In order to promote productive academic communication, the peer review process for the WJCO is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJCO are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in oncology. Scope: Art of Oncology, Biology of Neoplasia, Breast Cancer, Cancer Prevention and Control, Cancer-Related Complications, Diagnosis in Oncology, Gastrointestinal Cancer, Genetic Testing For Cancer, Gynecologic Cancer, Head and Neck Cancer, Hematologic Malignancy, Lung Cancer, Melanoma, Molecular Oncology, Neurooncology, Palliative and Supportive Care, Pediatric Oncology, Surgical Oncology, Translational Oncology, and Urologic Oncology.
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