The Evolution and Clinical Impact of Deep Learning Technologies in Breast MRI.

Tomoyuki Fujioka, Shohei Fujita, Daiju Ueda, Rintaro Ito, Mariko Kawamura, Yasutaka Fushimi, Takahiro Tsuboyama, Masahiro Yanagawa, Akira Yamada, Fuminari Tatsugami, Koji Kamagata, Taiki Nozaki, Yusuke Matsui, Noriyuki Fujima, Kenji Hirata, Takeshi Nakaura, Ukihide Tateishi, Shinji Naganawa
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Abstract

The integration of deep learning (DL) in breast MRI has revolutionized the field of medical imaging, notably enhancing diagnostic accuracy and efficiency. This review discusses the substantial influence of DL technologies across various facets of breast MRI, including image reconstruction, classification, object detection, segmentation, and prediction of clinical outcomes such as response to neoadjuvant chemotherapy and recurrence of breast cancer. Utilizing sophisticated models such as convolutional neural networks, recurrent neural networks, and generative adversarial networks, DL has improved image quality and precision, enabling more accurate differentiation between benign and malignant lesions and providing deeper insights into disease behavior and treatment responses. DL's predictive capabilities for patient-specific outcomes also suggest potential for more personalized treatment strategies. The advancements in DL are pioneering a new era in breast cancer diagnostics, promising more personalized and effective healthcare solutions. Nonetheless, the integration of this technology into clinical practice faces challenges, necessitating further research, validation, and development of legal and ethical frameworks to fully leverage its potential.

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深度学习技术在乳腺 MRI 中的发展和临床影响。
深度学习(DL)在乳腺核磁共振成像中的应用为医学成像领域带来了革命性的变化,显著提高了诊断的准确性和效率。本综述讨论了深度学习技术对乳腺核磁共振成像各方面的重大影响,包括图像重建、分类、对象检测、分割以及临床结果预测(如对新辅助化疗的反应和乳腺癌复发)。利用卷积神经网络、递归神经网络和生成对抗网络等复杂模型,DL 提高了图像质量和精确度,能够更准确地区分良性和恶性病变,更深入地了解疾病行为和治疗反应。DL 对患者特定结果的预测能力也为更个性化的治疗策略提供了可能。DL 的进步开创了乳腺癌诊断的新时代,有望提供更加个性化和有效的医疗解决方案。然而,将这项技术融入临床实践还面临着挑战,需要进一步的研究、验证以及制定法律和伦理框架,以充分发挥其潜力。
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