深度学习在头颈动脉病变医学影像诊断中的研究进展与挑战OA
Research progress and challenges of deep learning in medical imaging diagnosis of head and neck vascular diseases
头颈动脉病变(如颅内动脉瘤和头颈动脉狭窄)是全球致残致死的重要病因,其精准诊断对临床决策至关重要.传统影像学诊断存在效率低、主观性强等瓶颈,深度学习技术为突破这些限制提供了创新解决方案.本文系统回顾了深度学习在颅内动脉瘤和头颈动脉狭窄诊断中的最新进展,同时阐述其在动静脉畸形、烟雾病及血泡样动脉瘤术前诊断中的应用进展.尽管存在模型泛化性不足(多基于单中心数据)、假阳性率(如 YOLOv5 模型)及"黑箱"可解释性等局限,但深度学习已显著提升诊断效率,并推动了个性化风险评估和临床决策支持.未来需通过多中心验证、可解释性算法开发及联邦学习等技术突破现有瓶颈,跨模态影像融合与多学科协同将成为脑血管疾病智能诊疗的重要发展方向.
Head and neck carotid artery diseases are an important cause of disability and death worldwide.Its accurate diagnosis is crucial for clinical decision-making.Traditional imaging diagnosis methods face bottlenecks such as low efficiency and strong subjectivity.Deep learning technology has provided an innovative solution to overcome these limitations.This article systematically reviews the latest progress of deep learning in the diagnosis of cerebrovascular arterial disease.The study also reveals breakthrough applications of deep learning in the diagnosis of arteriovenous malformations and Moyamoya disease.Despite limitations such as insufficient model generalizability(mostly based on single-center data),false-positive rates(e.g.,YOLOv5),and the"black-box"issue of interpretability,deep learning has significantly improved diagnostic efficiency and has promoted personalized risk assessment and clinical decision support.In the future,it will be necessary to overcome existing bottlenecks through multicenter validation,development of interpretable algorithms,and federated learning.The fusion of multimodal imaging and multidisciplinary collaboration will become an important direction for intelligent diagnosis and treatment of cerebrovascular diseases.
周盛;王前前;李晓冉;高志军;吴小页;何健
211100 南京,南京医科大学鼓楼临床医学院南京市高淳人民医院影像科南京市高淳人民医院影像科南京市高淳人民医院影像科深圳安科高技术股份有限公司南京医科大学鼓楼临床医学院核医学科
医药卫生
人工智能颅脑动脉瘤深度学习头颈动脉狭窄动静脉畸形烟雾病
artificial intelligencecerebral aneurysmdeep learningcarotid artery stenosisarteriovenous malformationmoyamoya disease
《临床神经外科杂志》 2026 (2)
236-240,5
广东省重点领域研发计划项目(2020B1111130001)
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