首页|期刊导航|结直肠肛门外科|人工智能在结直肠癌影像诊疗中的研究进展与展望

人工智能在结直肠癌影像诊疗中的研究进展与展望OA

Artificial intelligence in imaging-based diagnosis and treatment of colorectal cancer:ad-vances and future directions

中文摘要英文摘要

结直肠癌的精准诊疗高度依赖于医学影像学的准确评估.随着人工智能,特别是影像组学和深度学习技术的飞速发展,基于CT和MRI的智能分析工具已逐步渗透至结直肠癌诊疗的全流程.本文聚焦于临床核心问题,系统综述了人工智能在突破传统影像形态学局限方面的最新进展,涵盖术前精准分期评估与分子分型预测、新辅助治疗疗效的早期预测与评估以及长期风险评估与临床决策管理等关键领域.同时,本文深入剖析了当前人工智能模型在临床转化中面临的"黑箱"解释性差、多中心泛化能力不足及数据标准化缺失等障碍,并对未来多模态融合与真实世界研究方向进行展望.

Precision diagnosis and treatment of colorectal cancer rely heavily on accurate medical imaging assessment.With the rapid advancement of artificial intelligence(AI),particularly radiomics and deep learning technologies,intelligent analysis tools based on CT and MRI have progressively permeated the entire clinical workflow of colorectal cancer diagno-sis and treatment.Focusing on core clinical challenges,this article systematically reviews the latest progress of AI in over-coming the limitations of traditional morphological imaging.It covers key areas such as preoperative precise staging as-sessment and molecular typing prediction,early prediction and evaluation of neoadjuvant treatment efficacy,and long-term risk assessment and clinical decision-making management.Furthermore,the article provides an in-depth analysis of current barriers hindering the clinical translation of AI models,including poor interpretability(the"black box"problem),insufficient multi-center generalizability,and the lack of data standardization.Future directions involving multimodal fu-sion and real-world research are also discussed.

陈浩权;王屹

北京大学人民医院放射科 北京 100044北京大学人民医院放射科 北京 100044

医药卫生

结直肠癌医学影像学人工智能影像组学深度学习

colorectal cancermedical imagingartificial intelligenceradiomicsdeep learning

《结直肠肛门外科》 2026 (1)

37-43,7

10.19668/j.cnki.issn1674-0491.2026.01.006

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