肝癌的医学影像智能化诊断研究进展

徐捷; 徐文斌; 贺柯庆; 上官定; 徐婷; 谢明君; 龙年宝; 葛来安

doi:10.12449/JCH240925

肝癌的医学影像智能化诊断研究进展

DOI: 10.12449/JCH240925

徐捷¹,
徐文斌²,
贺柯庆^3a,
上官定^3a,
徐婷^3b,
谢明君^3a,
龙年宝^3a,
葛来安^3a, , ,

1.
江西中医药大学，南昌 330004
2.
南昌大学先进制造学院，南昌 330031
3a.
江西中医药大学附属医院肝胆病科，南昌 330200
3b.
江西中医药大学附属医院肿瘤科，南昌 330200

基金项目:

江西省中医药管理局科技项目 (2021B695)

利益冲突声明：本文不存在任何利益冲突。

作者贡献声明：徐捷负责初稿撰写、论文资料收集与总结；徐文斌参与初稿撰写、资料收集、论文审阅与修订；贺柯庆、谢明君参与论文资料整理；上官定、徐婷、龙年宝参与论文资料收集；葛来安负责论文审阅与修订。

详细信息

通信作者:
葛来安， 13970998757@163.com （ORCID： 0009-0007-4544-1706）

计量
- 文章访问数: 58
- HTML全文浏览量: 25
- PDF下载量: 13
- 被引次数: 0
出版历程
- 收稿日期: 2023-12-10
- 录用日期: 2024-02-18
- 出版日期: 2024-09-25

Research advances in the intelligent medical imaging diagnosis of liver cancer

Jie XU¹,
Wenbin XU²,
Keqing HE^3a,
Ding SHANGGUAN^3a,
Ting XU^3b,
Mingjun XIE^3a,
Nianbao LONG^3a,
Laian GE^{3a
, ,
,}

1.
Jiangxi University of Chinese Medicine，Nanchang 330004，China
2.
School of Advanced Manufacturing，Nanchang University，Nanchang 330031，China
3a.
Department of Hepatobiliary Diseases，The Affiliated Hospital of Jiangxi University of Chinese Medicine，Nanchang 330200，China
3b.
Department of Oncology，The Affiliated Hospital of Jiangxi University of Chinese Medicine，Nanchang 330200，China

Research funding:

The Science and Technology Project of Jiangxi Provincial Administration of Traditional Chinese Medicine (2021B695)

More Information

Corresponding author: GE Laian， 13970998757@163.com （ORCID： 0009-0007-4544-1706）

摘要

摘要: 肝癌是对人体威胁最大的疾病之一，大部分患者确诊时已属晚期，致死率极高。早期肝癌的诊断和治疗是改善患者预后的关键。医学影像是辅助诊断肝癌的重要手段，当前基于医学影像数据的智能图像识别技术已深入涉足医学诊断领域并具有良好应用前景。本文通过综述目前人工智能方法在肝脏医学影像中诊断局灶性肝脏病变的研究现状，提出当前人工智能诊断的优势与不足，旨在为今后肝癌的智能化诊断提供新的研究思路。
- 肝肿瘤 /
- 人工智能 /
- 诊断
Abstract: Liver cancer is one of the most threatening diseases to the human body， and most patients are already in the advanced stage at the time of diagnosis， resulting in an extremely high mortality rate. The diagnosis and treatment of early-stage liver cancer is the key to improving the prognosis of patients. Medical imaging is an important method that assists in the diagnosis of liver cancer， and currently， intelligent image recognition technology based on medical imaging data has been widely applied in the field of medical diagnosis and has good application prospects. This article reviews the current status of research on artificial intelligence （AI） methods for the diagnosis of focal liver lesions based on liver medical images and proposes the advantages and shortcomings of current AI diagnosis， so as to provide new research ideas for the intelligent diagnosis of liver cancer in the future.
- Liver Neoplasms /
- Artificial Intelligence /
- Diagnosis

HTML全文

图 1 U-Net模型框架结构

Figure 1. U-Net model framework structure

下载: 全尺寸图片幻灯片

参考文献(48)

[1]	BAI SL, YING DJ. Systematic anatomy[M]. 9^th ed. Beijing: People’s Medical Publishing House, 2018. 柏树令, 应大君. 系统解剖学[M]. 9版. 北京: 人民卫生出版社, 2018.
[2]	China Anti-Cancer Association Committee of Liver Cancer. Guidelines for holistic integrative management of liver cancer(2022 abridged version)[J]. Chin J Clin Oncol, 2022, 49( 17): 865- 873. DOI: 10.12354/j.issn.1000-8179.2022.20220942. 中国抗癌协会肝癌专业委员会. 中国肿瘤整合诊治指南-肝癌(2022精简版)[J]. 中国肿瘤临床, 2022, 49( 17): 865- 873. DOI: 10.12354/j.issn.1000-8179.2022.20220942.
[3]	General Office of National Health Commission. Standard for diagnosis and treatment of primary liver cancer(2022 edition)[J]. J Clin Hepatol, 2022, 38( 2): 288- 303. DOI: 10.3969/j.issn.1001-5256.2022.02.009. 国家卫生健康委办公厅. 原发性肝癌诊疗指南(2022年版)[J]. 临床肝胆病杂志, 2022, 38( 2): 288- 303. DOI: 10.3969/j.issn.1001-5256.2022.02.009.
[4]	Bureau of Medical Administration, Nationsl Health Commiaaion of the People’s Republic of China. Standardization for diagnosis and treatment of primary hepatic carcinom(2019 edition)[J]. Chin J Pract Surg, 2020, 40( 2): 121- 138. DOI: 10.19538/j.cjps.issn1005-2208.2020.02.01. 中华人民共和国国家卫生健康委员会医政医管局. 原发性肝癌诊疗规范(2019年版)[J]. 中国实用外科杂志, 2020, 40( 2): 121- 138. DOI: 10.19538/j.cjps.issn1005-2208.2020.02.01.
[5]	DUTTA K, CHANDRA S, GOURISARIA MK. Early-stage detection of liver disease through machine learning algorithms[M]// Advances in Data and Information Sciences. Singapore: Springer Singapore, 2022: 155- 166. DOI: 10.1007/978-981-16-5689-7_14.
[6]	BOATENG EY, ABAYE DA. A review of the logistic regression model with emphasis on medical research[J]. J Data Anal Inf Process, 2019, 7( 4): 190- 207. DOI: 10.4236/jdaip.2019.74012.
[7]	NAYAK S, GOURISARIA MK, PANDEY M, et al. Prediction of heart disease by mining frequent items and classification techniques[C]// 2019 International Conference on Intelligent Computing and Control Systems(ICCS). Madurai, India. IEEE, 2019: 607- 611. DOI: 10.1109/ICCS45141.2019.9065805.
[8]	PEREIRA S, MEIER R, MCKINLEY R, et al. Enhancing interpretability of automatically extracted machine learning features: Application to a RBM-Random Forest system on brain lesion segmentation[J]. Med Image Anal, 2018, 44: 228- 244. DOI: 10.1016/j.media.2017.12.009.
[9]	ÇAMLICA Z, TIZHOOSH HR, KHALVATI F. Medical image classification via SVM using LBP features from saliency-based folded data[C]// 2015 IEEE 14th International Conference on Machine Learning and Applications(ICMLA). Miami, FL, USA. IEEE, 2015: 128- 132. DOI: 10.1109/ICMLA.2015.131.
[10]	MARUYAMA T, HAYASHI N, SATO Y, et al. Comparison of medical image classification accuracy among three machine learning methods[J]. J Xray Sci Technol, 2018, 26( 6): 885- 893. DOI: 10.3233/XST-18386.
[11]	NAEEM S, ALI A, QADRI S, et al. Machine-learning based hybrid-feature analysis for liver cancer classification using fused(MR and CT) images[J]. Appl Sci, 2020, 10( 9): 3134. DOI: 10.3390/app10093134.
[12]	MAO B, MA JD, DUAN SB, et al. Preoperative classification of primary and metastatic liver cancer via machine learning-based ultrasound radiomics[J]. Eur Radiol, 2021, 31( 7): 4576- 4586. DOI: 10.1007/s00330-020-07562-6.
[13]	WANG XH, GUO HF, YIN XP, et al. Classification of colorectal liver metastases and hepatocellular carcinoma lesions based on CT-radiomics[J]. Beijing Biomed Eng, 2021, 40( 6): 551- 556. DOI: 10.3969/j.issn.1002-3208.2021.06.001. 王雪虎, 郭海峰, 殷小平, 等. 基于CT影像组学的结直肠癌肝转移与原发性肝癌病灶分类研究[J]. 北京生物医学工程, 2021, 40( 6): 551- 556. DOI: 10.3969/j.issn.1002-3208.2021.06.001.
[14]	ZHANG J, LI D, FENG YY, et al. Comparison of support vector machine algorithm and diffusion weighted imaging in differentiating small hepatocellular carcinoma and dysplastic nodules[J]. Chin Comput Med Imag, 2022, 28( 4): 366- 371. DOI: 10.3969/j.issn.1006-5741.2022.04.008. 张娟, 李笛, 冯亚园, 等. 支持向量机算法与弥散加权成像在鉴别小肝癌和异型增生结节中的比较[J]. 中国医学计算机成像杂志, 2022, 28( 4): 366- 371. DOI: 10.3969/j.issn.1006-5741.2022.04.008.
[15]	ANWAR SM, MAJID M, QAYYUM A, et al. Medical image analysis using convolutional neural networks: A review[J]. J Med Syst, 2018, 42( 11): 226. DOI: 10.1007/s10916-018-1088-1.
[16]	SHEN DG, WU GR, SUK HI. Deep learning in medical image analysis[J]. Annu Rev Biomed Eng, 2017, 19: 221- 248. DOI: 10.1146/annurev-bioeng-071516-044442.
[17]	WANG W, LIANG D, CHEN Q, et al. Medical image classification using deep learning[M]∥ Deep learning in healthcare: paradigms and applications, Cham: Springer, 2020: 33- 51. DOI: 10.1007/978-3-030-32606-7_3.
[18]	WANG SH, HAN XJ, DU J, et al. Saliency-based 3D convolutional neural network for categorising common focal liver lesions on multisequence MRI[J]. Insights Imaging, 2021, 12( 1): 173. DOI: 10.1186/s13244-021-01117-z.
[19]	TAKENAGA T, HANAOKA S, NOMURA Y, et al. Multichannel three-dimensional fully convolutional residual network-based focal liver lesion detection and classification in Gd-EOB-DTPA-enhanced MRI[J]. Int J Comput Assist Radiol Surg, 2021, 16( 9): 1527- 1536. DOI: 10.1007/s11548-021-02416-y.
[20]	LI WY. A kind of research on lesions detection in liver CT images based on convolutional neural network[D]. Xiangtan: Xiangtan University, 2019. 李文雅. 一种基于卷积神经网络的肝脏CT图像病灶检测问题研究[D]. 湘潭: 湘潭大学, 2019.
[21]	MA JM. Application of artificial intelligence based on deep learning in magnetic resonance imaging of early liver cancer[D]. Jinan: Shandong University, 2020. 马举铭. 基于深度学习的人工智能在早期肝癌磁共振影像的应用研究[D]. 济南: 山东大学, 2020.
[22]	WU DL. Detection of small lesions in liver CT images based on improved Faster R-CNN[D]. Nanning: Guangxi University, 2022. 吴德蓝. 基于改进Faster R-CNN的肝脏CT图像小病灶检测[D]. 南宁: 广西大学, 2022.
[23]	CHEN X. Research on liver lesion classification algorithm based on weakly-labeled CT images[D]. Hangzhou: Zhejiang University, 2020. 陈效. 弱标注CT图像中肝脏病灶分类算法研究[D]. 杭州: 浙江大学, 2020.
[24]	ADAMS R, BISCHOF L. Seeded region growing[J]. IEEE Trans Pattern Anal Mach Intell, 1994, 16( 6): 641- 647. DOI: 10.1109/34.295913.
[25]	LEE SU, YOON CHUNG S, PARK RH. A comparative performance study of several global thresholding techniques for segmentation[J]. Comput Vis Graph Image Process, 1990, 52( 2): 171- 190. DOI: 10.1016/0734-189x(90)90053-x.
[26]	OSHER S, FEDKIW R, PIECHOR K. Level set methods and dynamic implicit surfaces[J]. Appl Mech Rev, 2004, 57( 3): B15.
[27]	VORONTSOV E, ABI-JAOUDEH N, KADOURY S. Metastatic liver tumor segmentation using texture-based omni-directional deformable surface models[C]//YOSHIDA H, NÄPPI J, SAINI S. International MICCAI Workshop on Computational and Clinical Challenges in Abdominal Imaging. Cham: Springer, 2014: 74- 83.
[28]	RAJ A, JAYASREE M. Automated liver tumor detection using Markov random field segmentation[J]. Procedia Technol, 2016, 24: 1305- 1310. DOI: 10.1016/j.protcy.2016.05.126.
[29]	SHIMIZU A, NARIHIRA T, FURUKAWA D, et al. Ensemble segmentation using AdaBoost with application to liver lesion extraction from a CT volume[J]. MIDAS J, 2008. DOI: 10.54294/wrtw01.
[30]	ZHANG RZ, ZHAO L, LOU WT, et al. Automatic segmentation of acute ischemic stroke from DWI using 3-D fully convolutional DenseNets[J]. IEEE Trans Med Imaging, 2018, 37( 9): 2149- 2160. DOI: 10.1109/TMI.2018.2821244.
[31]	HESAMIAN MH, JIA WJ, HE XJ, et al. Deep learning techniques for medical image segmentation: Achievements and challenges[J]. J Digit Imaging, 2019, 32( 4): 582- 596. DOI: 10.1007/s10278-019-00227-x.
[32]	RAZZAK MI, NAZ S, ZAIB A. Deep learning for medical image processing: Overview, challenges and future[EB/OL]. 2017: arXiv: 1704. 06825. http://arxiv.org/abs/1704.06825. http://arxiv.org/abs/1704.06825
[33]	BADRINARAYANAN V, KENDALL A, CIPOLLA R. SegNet: A deep convolutional encoder-decoder architecture for image segmentation[J]. IEEE Trans Pattern Anal Mach Intell, 2017, 39( 12): 2481- 2495. DOI: 10.1109/TPAMI.2016.2644615.
[34]	RONNEBERGER O, FISCHER P, BROX T. U-net: Convolutional networks for biomedical image segmentation[EB/OL]. 2015: arXiv: 1505. 04597. http://arxiv.org/abs/1505.04597. http://arxiv.org/abs/1505.04597
[35]	DONG X, ZHOU YZ, WANG LT, et al. Liver cancer detection using hybridized fully convolutional neural network based on deep learning framework[J]. IEEE Access, 2020, 8: 129889- 129898. DOI: 10.1109/ACCESS.2020.3006362.
[36]	GAO F. Liver tumor image segmentation and MVI prediction based on feature learning[D]. Zhengzhou: Information Engineering University, 2022. 高飞. 基于特征学习的肝脏肿瘤图像分割与MVI预测[D]. 郑州: 战略支援部队信息工程大学, 2022.
[37]	GHONIEM RM. A novel bio-inspired deep learning approach for liver cancer diagnosis[J]. Information, 2020, 11( 2): 80. DOI: 10.3390/info11020080.
[38]	ALMOTAIRI S, KAREEM G, AOUF M, et al. Liver tumor segmentation in CT scans using modified SegNet[J]. Sensors, 2020, 20( 5): 1516. DOI: 10.3390/s20051516.
[39]	ALIRR OI. Deep learning and level set approach for liver and tumor segmentation from CT scans[J]. J Appl Clin Med Phys, 2020, 21( 10): 200- 209. DOI: 10.1002/acm2.13003.
[40]	SEO H, HUANG C, BASSENNE M, et al. Modified U-net(mU-net) with incorporation of object-dependent high level features for improved liver and liver-tumor segmentation in CT images[J]. IEEE Trans Med Imaging, 2020, 39( 5): 1316- 1325. DOI: 10.1109/TMI.2019.2948320.
[41]	CHEN YL, WANG K, LIAO XY, et al. Channel-unet: A spatial channel-wise convolutional neural network for liver and tumors segmentation[J]. Front Genet, 2019, 10: 1110. DOI: 10.3389/fgene.2019.01110.
[42]	XI XF, WANG L, SHENG VS, et al. Cascade U-ResNets for simultaneous liver and lesion segmentation[J]. IEEE Access, 2020, 8: 68944- 68952. DOI: 10.1109/ACCESS.2020.2985671.
[43]	XIAO XJ, QIANG Y, ZHAO JJ, et al. Segmentation of liver lesions without contrast agents with radiomics-guided densely UNet-nested GAN[J]. IEEE Access, 2021, 9: 2864- 2878. DOI: 10.1109/ACCESS.2020.3047429.
[44]	ZHANG Y, JIANG BX, WU J, et al. Deep learning initialized and gradient enhanced level-set based segmentation for liver tumor from CT images[J]. IEEE Access, 2020, 8: 76056- 76068. DOI: 10.1109/ACCESS.2020.2988647.
[45]	ZHANG C, HUA QQ, CHU YY, et al. Liver tumor segmentation using 2.5D UV-Net with multi-scale convolution[J]. Comput Biol Med, 2021, 133: 104424. DOI: 10.1016/j.compbiomed.2021.104424.
[46]	BILIC P, CHRIST P, LI HB, et al. The liver tumor segmentation benchmark(LiTS)[J]. Med Image Anal, 2023, 84: 102680. DOI: 10.1016/j.media.2022.102680.
[47]	SOLER L, HOSTETTLER A, AGNUS V, et al. 3D image reconstruction for comparison of algorithm database: A patient specific anatomical and medical image database[DB]. France: Institut de Recherche contre les Cancers de l’Appareil Digestif(IRCAD), 2010. https://www.ircad.fr/research/data-sets/liver-segmentation-3d-ircadb-01/. https://www.ircad.fr/research/data-sets/liver-segmentation-3d-ircadb-01/
[48]	Image Big Data Artificial Intelligence Working Committee of Chinese Society of Radiology Chinese Medical Association, Abdominal Group of Chinese Society of Radiology Chinese Medical Association, Magnetic Resonance Imaging Group of Chinese Society of Radiology Chinese Medical Association. Expert consensus on the focal liver lesion annotation of CT and MRI(2020)[J]. Chin J Radiol, 2020, 54( 12): 1145- 1152. DOI: 10.3760/cma.j.cn112149-20200706-00893. 中华医学会放射学分会医学影像大数据与人工智能工作委员会, 中华医学会放射学分会腹部学组, 中华医学会放射学分会磁共振学组. 肝脏局灶性病变CT和MRI标注专家共识(2020)[J]. 中华放射学杂志, 2020, 54( 12): 1145- 1152. DOI: 10.3760/cma.j.cn112149-20200706-00893.