数智化助力肝癌诊治进展及未来研究方向OA
Advances and future research directions in digital and intelligent technologies for hepatocellular carcinoma diagnosis and treatment
肝癌起病隐匿,手术风险高,临床预后差,且具有高度异质性,对传统诊疗模式构成严峻挑战.随着数智化技术的快速发展,以数据驱动和人工智能为核心的智能诊疗手段正逐步重塑肝癌的"诊-疗-管"全流程.诊断方面,机器学习(ML)与深度学习(DL)应用于影像组学、病例组学、新生物标记物的发现显著提升肝癌的早期筛查能力;治疗上,基于多模态数据的预测模型为个体化治疗决策提供了支持,同时人工智能(AI)集合三维可视化、虚拟手术规划与术中智能导航系统优化了手术方案,提升了操作安全性;在预后管理层面,AI技术实现了术后疗效动态监测、复发风险分层,推动了个体化随访策略的制定.
Hepatocellular carcinoma(HCC)exhibits an insidious onset,high surgical risks,poor clinical prognosis,and significant heterogeneity,posing substantial challenges to conventional diagnostic and therapeutic approaches.With the rapid advancement of digital and intelligent technologies,data-driven and artificial intelligence(AI)-based intelligent diagnostic and therapeutic methods are progressively transforming the entire"diagnosis-treatment-management"continuum of HCC.In diagnostics,machine learning(ML)and deep learning(DL)applied to radiomics,pathomics,and the discovery of novel biomarkers have significantly enhanced early screening for HCC.In treatment,predictive models based on multimodal data support personalized therapeutic decision-making,while AI-integrated three-dimensional visualization,virtual surgical planning,and intraoperative intelligent navigation systems optimize surgical strategies and improve operational safety.In terms of prognosis management,AI technologies enable dynamic postoperative efficacy monitoring,recurrence risk stratification,and facilitate the development of personalized follow-up strategies.
蔡秀军;杨瑾
浙江大学医学院附属邵逸夫医院,浙江 杭州 310016浙江大学医学院附属邵逸夫医院,浙江 杭州 310016
医药卫生
人工智能肝细胞癌诊断治疗预后
artificial intelligencehepatocellular carcinomadiagnosistreatmentmanagement
《中国实用外科杂志》 2026 (1)
6-10,5
National Natural Science Foundation of China(General Program,No.82472742,No.82473007)Ministry of Education Industry-University Cooperation Collaborative Education Program—First Batch of 2024 Approved Projects(No.231104794101356). 国家自然科学基金面上项目(No.82472742,No.82473007)教育部产学合作协同育人项目2024年第一批次立项项目(No.231104794101356)
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