基于CT与PET的深度学习在肺癌病理分型中的研究进展

Research progress of deep learning based on CT and PET in pathological subtyping of lung cancer

  • 摘要: 肺癌是全球发病率和病死率最高的恶性肿瘤之一,精准的病理分型对于制定个体化治疗方案至关重要。传统组织病理学检查存在有创、耗时长及主观性强等局限性。深度学习(DL)与医学影像的融合应用为肺癌病理分型提供了新途径,有效提升了效率与准确性。笔者基于CT与PET的DL在肺癌病理分型中的研究进展进行综述,重点梳理了近年来相关研究的模型架构与建模策略,涵盖以多模态融合与Transformer为代表的技术路线,并进一步探讨了模型的可解释性、泛化能力及临床部署等关键问题,以及DL技术的未来发展方向。

     

    Abstract: Lung cancer is one of the malignancies with the highest incidence and mortality rates worldwide, and accurate histopathological subtyping is essential for developing individualized treatment strategies. Conventional histopathological examination has several limitations, including its invasive nature, lengthy turnaround time, and susceptibility to subjective interpretation. The integration of deep learning (DL) with medical imaging provides a novel approach to the histopathological subtyping of lung cancer, effectively improving both efficiency and accuracy. The authors summarize recent progress in CT- and PET-based DL for the histopathological subtyping of lung cancer, focusing on the model architectures and modeling strategies employed in recent studies, including technical approaches represented by multimodal fusion and Transformer-based architectures, and further discuss key issues related to model interpretability, generalizability, and clinical deployment, as well as future directions for the development of DL in this field.

     

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