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X-linked hypophosphatemia, fibroblast growth factor 23 signaling, and craniosynostosis. X 连锁低磷血症、成纤维细胞生长因子 23 信号传导和颅骨发育不良。
IF 2.8 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-11-01 Epub Date: 2024-01-17 DOI: 10.1177/15353702231222023
Chelsey Grimbly, Daniel Graf, Leanne M Ward, R Todd Alexander

This review summarizes the current knowledge of fibroblast growth factor 23 signaling in bone and its role in the disease pathology of X-linked hypophosphatemia. Craniosynostosis is an under-recognized complication of X-linked hypophosphatemia. The clinical implications and potential cellular mechanisms invoked by increased fibroblast growth factor 23 signaling causing craniosynostosis are reviewed. Knowledge gaps are identified and provide direction for future clinical and basic science studies.

本综述总结了目前关于成纤维细胞生长因子23在骨骼中的信号转导及其在X连锁性低磷血症病理中的作用的知识。颅骨发育不良是X连锁低磷血症的一种未被充分认识的并发症。本文综述了成纤维细胞生长因子 23 信号传导增加导致颅骨发育不良的临床影响和潜在细胞机制。指出了知识空白,并为未来的临床和基础科学研究提供了方向。
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引用次数: 0
Role of macrophages in the onset, maintenance, or control of arthritis caused by alphaviruses. 巨噬细胞在甲病毒引起的关节炎发病、维持或控制中的作用。
IF 3.2 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-11-01 Epub Date: 2023-12-06 DOI: 10.1177/15353702231214261
Matheus O Atella, Ana S Carvalho, Andrea T Da Poian

Arthritogenic alphaviruses are mosquito-borne viruses that cause a debilitating rheumatic disease characterized by fever, headache, rash, myalgia, and polyarthralgia with the potential to evolve into a severe and very prolonged illness. Although these viruses have been geographically restricted by vector hosts and reservoirs, recent epidemics have revealed the risks of their spread worldwide. In this review, we aim to discuss the protective and pathological roles of macrophages during the development of arthritis caused by alphaviruses. The progression to the chronic phase of the disease is related to the extension of viral replication and the maintenance of articular inflammation, in which the cellular infiltrate is predominantly composed of macrophages. We explore the possible implications of macrophage polarization to M1/M2 activation phenotypes, drawing a parallel between alphavirus arthritis and rheumatoid arthritis (RA), a chronic inflammatory disease that also affects articular tissues. In RA, it is well established that M1 macrophages contribute to tissue damage and inflammation, while M2 macrophages have a role in cartilage repair, so modulating the M1/M2 macrophage ratio is being considered as a strategy in the treatment of this disease. In the case of alphavirus-induced arthritis, the picture is more complex, as proinflammatory factors derived from M1 macrophages contribute to the antiviral response but cause tissue damage, while M2 macrophages may contribute to tissue repair but impair viral clearance.

关节炎源性甲病毒是蚊媒病毒,可引起以发热、头痛、皮疹、肌痛和多关节痛为特征的使人衰弱的风湿病,并有可能演变为严重和非常长期的疾病。虽然这些病毒在地理上受到媒介宿主和宿主的限制,但最近的流行病揭示了它们在全球传播的风险。在这篇综述中,我们旨在讨论巨噬细胞在甲病毒引起的关节炎发展中的保护和病理作用。疾病进展到慢性期与病毒复制的延长和关节炎症的维持有关,其中细胞浸润主要由巨噬细胞组成。我们探讨了巨噬细胞极化对M1/M2激活表型的可能影响,在甲病毒关节炎和类风湿关节炎(RA)之间建立了相似之处,类风湿关节炎是一种也影响关节组织的慢性炎症性疾病。在类风湿性关节炎中,M1巨噬细胞参与组织损伤和炎症,而M2巨噬细胞参与软骨修复,因此调节M1/M2巨噬细胞比例被认为是治疗这种疾病的一种策略。在甲病毒诱导的关节炎病例中,情况更为复杂,因为来自M1巨噬细胞的促炎因子有助于抗病毒反应,但会导致组织损伤,而M2巨噬细胞可能有助于组织修复,但会损害病毒清除。
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引用次数: 0
Rett and Rett-related disorders: Common mechanisms for shared symptoms? Rett和Rett相关疾病:共同症状的共同机制?
IF 3.2 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-11-01 Epub Date: 2023-12-06 DOI: 10.1177/15353702231209419
Santosh R D'Mello

Rett syndrome is a neurodevelopmental disorder caused by loss-of-function mutations in the methyl-CpG binding protein-2 (MeCP2) gene that is characterized by epilepsy, intellectual disability, autistic features, speech deficits, and sleep and breathing abnormalities. Neurologically, patients with all three disorders display microcephaly, aberrant dendritic morphology, reduced spine density, and an imbalance of excitatory/inhibitory signaling. Loss-of-function mutations in the cyclin-dependent kinase-like 5 (CDKL5) and FOXG1 genes also cause similar behavioral and neurobiological defects and were referred to as congenital or variant Rett syndrome. The relatively recent realization that CDKL5 deficiency disorder (CDD), FOXG1 syndrome, and Rett syndrome are distinct neurodevelopmental disorders with some distinctive features have resulted in separate focus being placed on each disorder with the assumption that distinct molecular mechanisms underlie their pathogenesis. However, given that many of the core symptoms and neurological features are shared, it is likely that the disorders share some critical molecular underpinnings. This review discusses the possibility that deregulation of common molecules in neurons and astrocytes plays a central role in key behavioral and neurological abnormalities in all three disorders. These include KCC2, a chloride transporter, vGlut1, a vesicular glutamate transporter, GluD1, an orphan-glutamate receptor subunit, and PSD-95, a postsynaptic scaffolding protein. We propose that reduced expression or activity of KCC2, vGlut1, PSD-95, and AKT, along with increased expression of GluD1, is involved in the excitatory/inhibitory that represents a key aspect in all three disorders. In addition, astrocyte-derived brain-derived neurotrophic factor (BDNF), insulin-like growth factor 1 (IGF-1), and inflammatory cytokines likely affect the expression and functioning of these molecules resulting in disease-associated abnormalities.

Rett综合征是一种由甲基cpg结合蛋白-2 (MeCP2)基因的功能丧失突变引起的神经发育障碍,以癫痫、智力残疾、自闭症特征、语言缺陷、睡眠和呼吸异常为特征。神经学上,这三种疾病的患者表现为小头畸形,异常树突形态,脊柱密度降低,兴奋/抑制信号不平衡。周期蛋白依赖性激酶样5 (CDKL5)和FOXG1基因的功能丧失突变也会导致类似的行为和神经生物学缺陷,被称为先天性或变异型Rett综合征。最近认识到CDKL5缺乏性疾病(CDD)、FOXG1综合征和Rett综合征是不同的神经发育障碍,具有一些独特的特征,这导致了对每种疾病的单独关注,并假设它们的发病机制具有不同的分子机制。然而,鉴于许多核心症状和神经学特征是共同的,这些疾病很可能具有一些关键的分子基础。这篇综述讨论了神经元和星形胶质细胞中共同分子的失调在这三种疾病的关键行为和神经异常中发挥核心作用的可能性。这些包括氯离子转运蛋白KCC2,谷氨酸囊泡转运蛋白vGlut1,谷氨酸孤儿受体亚基GluD1和突触后支架蛋白PSD-95。我们认为KCC2、vGlut1、PSD-95和AKT的表达或活性降低,以及GluD1的表达增加,参与了兴奋/抑制,这是这三种疾病的一个关键方面。此外,星形胶质细胞衍生的脑源性神经营养因子(BDNF)、胰岛素样生长因子1 (IGF-1)和炎性细胞因子可能影响这些分子的表达和功能,从而导致疾病相关的异常。
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引用次数: 0
Integrating artificial intelligence with bioinformatics promotes public health. 将人工智能与生物信息学相结合,促进公共卫生。
IF 2.8 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-11-01 DOI: 10.1177/15353702231223575
Huixiao Hong, William Slikker
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引用次数: 0
Aedes-borne orthoflavivirus infections in neotropical primates - Ecology, susceptibility, and pathogenesis. 新热带灵长类动物中伊蚊传播的正黄病毒感染--生态学、易感性和致病机理。
IF 2.8 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-11-01 Epub Date: 2024-01-17 DOI: 10.1177/15353702231220659
Paula Rodrigues de Almeida, Matheus Nunes Weber, Luciana Sonne, Fernando Rosado Spilki

Arboviral diseases comprise a group of important infectious diseases imposing a heavy burden to public health in many locations of the world. Orthoflaviviruses are viruses belonging to the genus Orthoflavivirus; this genus includes some of the most relevant arboviruses to human health. Orthoflaviviruses can infect several different hosts, with some species being transmitted in cycles involving birds and anthropophilic mosquitoes and others transmitted between mammals and mostly Aedes sp. mosquitoes. Some of the most important sylvatic reservoirs of orthoflaviviruses are non-human primates (NHPs). Many flaviviruses that infect NHPs in nature have the potential to cause epidemics in humans, as has been observed in the cases of Orthoflavivirus denguei (dengue virus - DENV), Orthoflavivirus flavi (yellow fever virus - YFV), and Orthoflavivirus zikaense (Zika virus - ZIKV). In this minireview, we discuss important aspects regarding history, ecology involving NHP, distribution, disease outcome, and pathogenesis of these three major orthoflaviviruses that affect humans and NHP and relate this information to the potential of using NHP as experimental models. In addition, we suggest some orthoflaviviruses that could be better investigated, both in nature and in experimental studies, in light of the recent revolution in molecular biology.

虫媒病毒疾病是一组重要的传染病,给世界许多地方的公共卫生造成了沉重负担。正黄病毒是属于正黄病毒属的病毒;该属包括一些与人类健康最相关的虫媒病毒。正粘病毒可感染多种不同的宿主,其中一些种类在鸟类和嗜人蚊子之间循环传播,另一些种类则在哺乳动物和伊蚊之间传播。非人灵长类动物(NHPs)是一些最重要的原黄病毒贮存库。许多在自然界中感染非人灵长类动物的黄病毒都有可能在人类中引起流行病,如登革热病毒(DENV)、黄热病病毒(YFV)和寨卡病毒(ZIKV)。在本小视图中,我们讨论了影响人类和 NHP 的这三种主要正黄病毒的历史、涉及 NHP 的生态学、分布、疾病结果和致病机理等重要方面,并将这些信息与使用 NHP 作为实验模型的潜力联系起来。此外,鉴于分子生物学领域的最新变革,我们建议在自然界和实验研究中更好地调查一些正黄病毒。
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引用次数: 0
Inflammation and mitochondria in the pathogenesis of chronic Chagas disease cardiomyopathy. 慢性恰加斯病心肌病发病机制中的炎症和线粒体。
IF 2.8 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-11-01 DOI: 10.1177/15353702231220658
João Paulo Silva Nunes, Vinicius Moraes de Paiva Roda, Pauline Andrieux, Jorge Kalil, Christophe Chevillard, Edecio Cunha-Neto

Chagas disease (CD), caused by the protozoan parasite Trypanosoma cruzi, is a neglected disease affecting around 6 million people. About 30% of CD patients develop chronic Chagas disease cardiomyopathy (CCC), an inflammatory cardiomyopathy that occurs decades after the initial infection, while most infected patients (60%) remain asymptomatic in the so-called indeterminate form (IF). Death results from heart failure or arrhythmia in a subset of CCC patients. Myocardial fibrosis, inflammation, and mitochondrial dysfunction are involved in the arrhythmia substrate and triggering events. Survival in CCC is worse than in other cardiomyopathies, which may be linked to a Th1-T cell rich myocarditis with abundant interferon (IFN)-γ and tumor necrosis factor (TNF)-α, selectively lower levels of mitochondrial energy metabolism enzymes in the heart, and reduced levels of high-energy phosphate, indicating poor adenosine triphosphate (ATP) production. IFN-γ and TNF-α signaling, which are constitutively upregulated in CD patients, negatively affect mitochondrial function in cardiomyocytes, recapitulating findings in CCC heart tissue. Genetic studies such as whole-exome sequencing (WES) in nuclear families with multiple CCC/IF cases has disclosed rare heterozygous pathogenic variants in mitochondrial and inflammatory genes segregating in CCC cases. In this minireview, we summarized studies showing how IFN-γ and TNF-α affect cell energy generation, mitochondrial health, and redox homeostasis in cardiomyocytes, in addition to human CD and mitochondria. We hypothesize that cytokine-induced mitochondrial dysfunction in genetically predisposed patients may be the underlying cause of CCC severity and we believe this mechanism may have a bearing on other inflammatory cardiomyopathies.

南美锥虫病(CD)由原生寄生虫南美锥虫引起,是一种被忽视的疾病,影响约 600 万人。大约 30% 的南美锥虫病患者会发展成慢性南美锥虫病心肌病 (CCC),这是一种炎症性心肌病,发生在初次感染后的几十年,而大多数感染者(60%)在所谓的不定型 (IF) 中仍无症状。部分 CCC 患者会因心力衰竭或心律失常而死亡。心肌纤维化、炎症和线粒体功能障碍参与了心律失常的基质和触发事件。与其他心肌病相比,CCC 患者的存活率更低,这可能与富含 Th1-T 细胞的心肌炎有关,其中含有大量干扰素 (IFN)-γ 和肿瘤坏死因子 (TNF)-α,心脏线粒体能量代谢酶的水平选择性降低,高能磷酸水平降低,表明三磷酸腺苷 (ATP) 生成不足。IFN-γ 和 TNF-α 信号在 CD 患者中持续上调,对心肌细胞的线粒体功能产生负面影响,这与 CCC 心脏组织中的发现如出一辙。对多个 CCC/IF 病例的核心家庭进行的全外显子组测序(WES)等遗传学研究发现,在 CCC 病例中,线粒体和炎症基因中存在罕见的杂合致病变异。在本小视图中,我们总结了有关 IFN-γ 和 TNF-α 如何影响细胞能量生成、线粒体健康和心肌细胞氧化还原稳态以及人类 CD 和线粒体的研究。我们假设,遗传易感性患者细胞因子诱导的线粒体功能障碍可能是导致 CCC 严重程度的根本原因,我们相信这一机制可能与其他炎症性心肌病有关。
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引用次数: 0
The intestinal microbiota as mediators between dietary contaminants and host health. 肠道微生物群在膳食污染物与宿主健康之间的中介作用。
IF 2.8 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-11-01 Epub Date: 2023-11-24 DOI: 10.1177/15353702231208486
Amon Cox, Zach Bomstein, Arul Jayaraman, Clinton Allred

The gut microbiota sit at an important interface between the host and the environment, and are exposed to a multitude of nutritive and non-nutritive substances. These microbiota are critical to maintaining host health, but their supportive roles may be compromised in response to endogenous compounds. Numerous non-nutritive substances are introduced through contaminated foods, with three common groups of contaminants being bisphenols, phthalates, and mycotoxins. The former contaminants are commonly introduced through food and/or beverages packaged in plastic, while mycotoxins contaminate various crops used to feed livestock and humans alike. Each group of contaminants have been shown to shift microbial communities following exposure; however, specific patterns in microbial responses have yet to be identified, and little is known about the capacity of the microbiota to metabolize these contaminants. This review characterizes the state of existing research related to gut microbial responses to and biotransformation of bisphenols, phthalates, and mycotoxins. Collectively, we highlight the need to identify consistent, contaminant-specific responses in microbial shifts, whether these community alterations are a result of contaminant effects on the host or microbiota directly, and to identify the extent of contaminant biotransformation by microbiota, including if these transformations occur in physiologically relevant contexts.

肠道微生物群是宿主与环境之间的重要接口,并暴露于多种营养和非营养物质。这些微生物群对维持宿主健康至关重要,但它们的支持作用可能会因内源性化合物而受到损害。许多非营养性物质是通过受污染的食物引入的,其中三种常见的污染物是双酚类、邻苯二甲酸盐和真菌毒素。前一种污染物通常通过塑料包装的食品和/或饮料进入,而真菌毒素污染用于喂养牲畜和人类的各种作物。每一组污染物在接触后都会改变微生物群落;然而,微生物反应的特定模式尚未确定,并且对微生物群代谢这些污染物的能力知之甚少。本文综述了肠道微生物对双酚类、邻苯二甲酸盐和真菌毒素的反应和生物转化的研究现状。总的来说,我们强调需要确定微生物变化中一致的污染物特异性反应,这些群落变化是污染物对宿主或微生物群的直接影响的结果,并确定微生物群对污染物生物转化的程度,包括这些转化是否发生在生理相关的背景下。
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引用次数: 0
Review of machine learning and deep learning models for toxicity prediction. 毒性预测的机器学习和深度学习模型综述。
IF 3.2 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-11-01 Epub Date: 2023-12-06 DOI: 10.1177/15353702231209421
Wenjing Guo, Jie Liu, Fan Dong, Meng Song, Zoe Li, Md Kamrul Hasan Khan, Tucker A Patterson, Huixiao Hong

The ever-increasing number of chemicals has raised public concerns due to their adverse effects on human health and the environment. To protect public health and the environment, it is critical to assess the toxicity of these chemicals. Traditional in vitro and in vivo toxicity assays are complicated, costly, and time-consuming and may face ethical issues. These constraints raise the need for alternative methods for assessing the toxicity of chemicals. Recently, due to the advancement of machine learning algorithms and the increase in computational power, many toxicity prediction models have been developed using various machine learning and deep learning algorithms such as support vector machine, random forest, k-nearest neighbors, ensemble learning, and deep neural network. This review summarizes the machine learning- and deep learning-based toxicity prediction models developed in recent years. Support vector machine and random forest are the most popular machine learning algorithms, and hepatotoxicity, cardiotoxicity, and carcinogenicity are the frequently modeled toxicity endpoints in predictive toxicology. It is known that datasets impact model performance. The quality of datasets used in the development of toxicity prediction models using machine learning and deep learning is vital to the performance of the developed models. The different toxicity assignments for the same chemicals among different datasets of the same type of toxicity have been observed, indicating benchmarking datasets is needed for developing reliable toxicity prediction models using machine learning and deep learning algorithms. This review provides insights into current machine learning models in predictive toxicology, which are expected to promote the development and application of toxicity prediction models in the future.

由于对人类健康和环境的不利影响,越来越多的化学品引起了公众的关注。为了保护公众健康和环境,评估这些化学品的毒性至关重要。传统的体外和体内毒性测定复杂、昂贵、耗时,并可能面临伦理问题。这些限制促使人们需要有其他方法来评估化学品的毒性。近年来,由于机器学习算法的进步和计算能力的提高,使用各种机器学习和深度学习算法(如支持向量机、随机森林、k近邻、集成学习和深度神经网络)开发了许多毒性预测模型。本文综述了近年来发展起来的基于机器学习和深度学习的毒性预测模型。支持向量机和随机森林是最流行的机器学习算法,肝毒性、心脏毒性和致癌性是预测毒理学中经常建模的毒性终点。众所周知,数据集会影响模型的性能。使用机器学习和深度学习开发毒性预测模型时使用的数据集的质量对开发模型的性能至关重要。已经观察到相同化学物质在相同毒性类型的不同数据集之间的不同毒性分配,这表明使用机器学习和深度学习算法开发可靠的毒性预测模型需要基准数据集。本文综述了目前机器学习模型在预测毒理学方面的研究进展,以期对毒理学预测模型的发展和应用起到一定的推动作用。
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引用次数: 0
How S100B crosses brain barriers and why it is considered a peripheral marker of brain injury. S100B如何穿过脑屏障以及为什么它被认为是脑损伤的外周标志物。
IF 3.2 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-11-01 Epub Date: 2023-12-06 DOI: 10.1177/15353702231214260
Vitor Gayger-Dias, Adriana Fk Vizuete, Letícia Rodrigues, Krista Minéia Wartchow, Larissa Bobermin, Marina Concli Leite, André Quincozes-Santos, Andrea Kleindienst, Carlos-Alberto Gonçalves

S100B is a 21-kDa protein that is produced and secreted by astrocytes and widely used as a marker of brain injury in clinical and experimental studies. The majority of these studies are based on measurements in blood serum, assuming an associated increase in cerebrospinal fluid and a rupture of the blood-brain barrier (BBB). Moreover, extracerebral sources of S100B are often underestimated. Herein, we will review these interpretations and discuss the routes by which S100B, produced by astrocytes, reaches the circulatory system. We discuss the concept of S100B as an alarmin and its dual activity as an inflammatory and neurotrophic molecule. Furthermore, we emphasize the lack of data supporting the idea that S100B acts as a marker of BBB rupture, and the need to include the glymphatic system in the interpretations of serum changes of S100B. The review is also dedicated to valorizing extracerebral sources of S100B, particularly adipocytes. Furthermore, S100B per se may have direct and indirect modulating roles in brain barriers: on the tight junctions that regulate paracellular transport; on the expression of its receptor, RAGE, which is involved in transcellular protein transport; and on aquaporin-4, a key protein in the glymphatic system that is responsible for the clearance of extracellular proteins from the central nervous system. We hope that the data on S100B, discussed here, will be useful and that it will translate into further health benefits in medical practice.

S100B是一种由星形胶质细胞产生和分泌的21 kda蛋白,在临床和实验研究中被广泛用作脑损伤的标志物。这些研究大多基于血清测量,假设脑脊液增加和血脑屏障(BBB)破裂相关。此外,S100B的脑外来源往往被低估。在这里,我们将回顾这些解释,并讨论由星形胶质细胞产生的S100B到达循环系统的途径。我们讨论了S100B作为警报蛋白的概念及其作为炎症和神经营养分子的双重活性。此外,我们强调缺乏数据支持S100B作为血脑屏障破裂标志的观点,并且需要在解释S100B的血清变化时包括淋巴系统。该综述还致力于评估S100B的脑外来源,特别是脂肪细胞。此外,S100B本身可能在脑屏障中具有直接和间接的调节作用:调节细胞旁运输的紧密连接;参与跨细胞蛋白转运的受体RAGE的表达;以及水通道蛋白-4,这是淋巴系统中负责清除中枢神经系统细胞外蛋白质的关键蛋白质。我们希望这里讨论的关于S100B的数据将是有用的,并将在医疗实践中转化为进一步的健康效益。
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引用次数: 0
Machine learning and deep learning for brain tumor MRI image segmentation. 用于脑肿瘤 MRI 图像分割的机器学习和深度学习。
IF 3.2 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-11-01 Epub Date: 2023-12-16 DOI: 10.1177/15353702231214259
Md Kamrul Hasan Khan, Wenjing Guo, Jie Liu, Fan Dong, Zoe Li, Tucker A Patterson, Huixiao Hong

Brain tumors are often fatal. Therefore, accurate brain tumor image segmentation is critical for the diagnosis, treatment, and monitoring of patients with these tumors. Magnetic resonance imaging (MRI) is a commonly used imaging technique for capturing brain images. Both machine learning and deep learning techniques are popular in analyzing MRI images. This article reviews some commonly used machine learning and deep learning techniques for brain tumor MRI image segmentation. The limitations and advantages of the reviewed machine learning and deep learning methods are discussed. Even though each of these methods has a well-established status in their individual domains, the combination of two or more techniques is currently an emerging trend.

脑肿瘤通常是致命的。因此,准确的脑肿瘤图像分割对于这些肿瘤患者的诊断、治疗和监测至关重要。磁共振成像(MRI)是捕捉脑部图像的常用成像技术。机器学习和深度学习技术都是分析核磁共振成像图像的常用方法。本文回顾了一些用于脑肿瘤 MRI 图像分割的常用机器学习和深度学习技术。文章讨论了所综述的机器学习和深度学习方法的局限性和优势。尽管这些方法中的每一种在各自的领域都有公认的地位,但目前将两种或多种技术结合起来是一种新兴趋势。
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引用次数: 0
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Experimental Biology and Medicine
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