prostate cancer diagnosis

前列腺癌诊断
  • 文章类型: Journal Article
    大量研究探索了人工智能(AI)在为放射科医生提供诊断支持方面的作用。病理学家,和泌尿科医生在前列腺癌检测中,风险分层,和管理。这篇综述提供了有关AI模型在(1)在放射学图像(磁共振和超声成像)上检测前列腺癌中使用的相关文献的全面概述。(2)在前列腺活检组织病理学图像上检测前列腺癌,和(3)协助支持前列腺癌检测的任务(前列腺分割,MRI组织病理学登记,MRI-超声配准)。我们讨论了这些AI模型在前列腺癌诊断的临床工作流程中的潜力,以及当前的限制,包括训练数据集的可变性,算法,和评价标准。我们还讨论了持续的挑战,以及弥合前列腺癌人工智能学术研究与改善常规临床护理的商业解决方案之间的差距所需要的东西。
    A multitude of studies have explored the role of artificial intelligence (AI) in providing diagnostic support to radiologists, pathologists, and urologists in prostate cancer detection, risk-stratification, and management. This review provides a comprehensive overview of relevant literature regarding the use of AI models in (1) detecting prostate cancer on radiology images (magnetic resonance and ultrasound imaging), (2) detecting prostate cancer on histopathology images of prostate biopsy tissue, and (3) assisting in supporting tasks for prostate cancer detection (prostate gland segmentation, MRI-histopathology registration, MRI-ultrasound registration). We discuss both the potential of these AI models to assist in the clinical workflow of prostate cancer diagnosis, as well as the current limitations including variability in training data sets, algorithms, and evaluation criteria. We also discuss ongoing challenges and what is needed to bridge the gap between academic research on AI for prostate cancer and commercial solutions that improve routine clinical care.
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  • 文章类型: Journal Article
    前列腺癌是影响男性的恶性肿瘤之一,并显着导致全球男性死亡率增加。受前列腺癌影响的患者存在局部或晚期疾病。在这次审查中,我们的目标是提供前列腺癌的整体概述,包括疾病的诊断,导致疾病发作和进展的突变,和治疗选择。前列腺癌的诊断包括直肠指检,前列腺特异性抗原分析,和前列腺活检。某些基因的突变与发病有关,programming,和癌症的转移。局部前列腺癌的治疗包括主动监测,消融性放疗,和根治性前列腺切除术.复发或存在转移性前列腺癌的男性接受雄激素剥夺治疗(ADT),抢救放射治疗,和化疗。目前,当作为联合疗法使用时,可用的治疗方案更有效;然而,尽管有治疗选择,前列腺癌仍然无法治愈。一直在研究寻找和确定其他治疗方法,例如使用传统医学,纳米技术的应用,和基因治疗来对抗前列腺癌,耐药性,以及减少当前治疗方案带来的不良影响。在这篇文章中,我们总结了与前列腺癌有关的基因,可用的治疗选择,以及目前对替代治疗方案的研究。
    Prostate cancer is one of the malignancies that affects men and significantly contributes to increased mortality rates in men globally. Patients affected with prostate cancer present with either a localized or advanced disease. In this review, we aim to provide a holistic overview of prostate cancer, including the diagnosis of the disease, mutations leading to the onset and progression of the disease, and treatment options. Prostate cancer diagnoses include a digital rectal examination, prostate-specific antigen analysis, and prostate biopsies. Mutations in certain genes are linked to the onset, progression, and metastasis of the cancer. Treatment for localized prostate cancer encompasses active surveillance, ablative radiotherapy, and radical prostatectomy. Men who relapse or present metastatic prostate cancer receive androgen deprivation therapy (ADT), salvage radiotherapy, and chemotherapy. Currently, available treatment options are more effective when used as combination therapy; however, despite available treatment options, prostate cancer remains to be incurable. There has been ongoing research on finding and identifying other treatment approaches such as the use of traditional medicine, the application of nanotechnologies, and gene therapy to combat prostate cancer, drug resistance, as well as to reduce the adverse effects that come with current treatment options. In this article, we summarize the genes involved in prostate cancer, available treatment options, and current research on alternative treatment options.
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  • 文章类型: Journal Article
    Prostate cancer is the second most common cause of cancer death among men. It is an asymptomatic and slow growing tumour, which starts occurring in young men, but can be detected only around the age of 40–50. Although its long latency period and potential curability make prostate cancer a perfect candidate for screening programs, the current procedure lacks in specificity. Researchers are rising to the challenge of developing innovative tools able of detecting the disease during its early stage that is the most curable. In recent years, the interest in characterisation of biological fluids aimed at the identification of tumour-specific compounds has increased significantly, since cell neoplastic transformation causes metabolic alterations leading to volatile organic compounds release. In the scientific literature, different approaches have been proposed. Many studies focus on the identification of a cancer-characteristic “odour fingerprint” emanated from biological samples through the application of sensorial or senso-instrumental analyses, others suggest a chemical characterisation of biological fluids with the aim of identifying prostate cancer (PCa)-specific biomarkers. This paper focuses on the review of literary studies in the field of prostate cancer diagnosis, in order to provide an overview of innovative methods based on the analysis of urine, thereby comparing them with the traditional diagnostic procedures.
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  • 文章类型: Journal Article
    前列腺癌已经在男性癌症中共享肿瘤中心阶段。血清前列腺特异性抗原的可用性,PSA,作为一个标记,鼓励它用于诊断癌症和癌症复发。需要对其在临床实践中的确切作用进行一些澄清。对前列腺特异性抗原的现有文献进行了综述;对文章的内容进行了综述,适用于手头的问题,关于值的敏感性和特异性的数据的可用性,测量的改进,最后是使用这些值对生存和生活质量的筛查计划的影响。对文献中的数据进行了严格的重新评估和分析,以得出合理的结论。血清PSA测量显示可变的可靠性,当涉及到前列腺癌的诊断,考虑到PSA生理学的动力学。替代措施,如PSA密度,PSA速度,游离与复合PSA比率,支持PSA的百分比,等。,已被用于提高该测定对前列腺癌的预测效用。PSA检测那些会夺去生命的癌症的能力,从而允许早期治愈性治疗,目前还不清楚。它的最决定性的作用似乎是在充分的手术治疗后诊断复发,并评估对治疗的反应。
    Prostate cancer has come to share the oncological centrestage among male cancers. The availability of Serum Prostate Specific Antigen, PSA, as a marker has encouraged it\'s use to diagnose both cancer and cancer recurrence. Some clarity is required about its precise role in clinical practice. The available literature on Prostate Specific Antigen was reviewed; Articles were reviewed for content, applicability to the problem at hand, availability of data about sensitivity and specificity of values, refinements in measurements and finally for impact of screening programmes using these values on survival and quality of life. The data in the literature was critically re-evaluated and analysed to draw reasonable conclusions. Serum PSA measurements show variable reliability when it comes to diagnosis of Prostate cancer, given the dynamics of PSA physiology. Surrogate measures like PSA density, PSA velocity, free-to-complexed PSA ratio, percentage Pro-PSA, etc., have been used to improve the predictive utility of this assay for Prostate cancer. The ability of PSA to detect those cancers that will cost life, and thereby permit early curative treatment, is as yet unclear. It\'s most definitive role appears to be in diagnosing recurrences after adequate surgical treatment, and in evaluating response to treatment.
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