人工智能在黑色素瘤诊断中的作用。

IF 1 Q3 MEDICINE, GENERAL & INTERNAL Cureus Pub Date : 2024-09-20 eCollection Date: 2024-09-01 DOI:10.7759/cureus.69818
Sadhana Kalidindi
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摘要

黑色素瘤是最具侵袭性的皮肤癌,其发病率在全球范围内持续上升,尤其是在皮肤白皙的人群(I 型和 II 型)中。早期发现对改善患者预后至关重要,而人工智能(AI)的最新进展表明,它有望提高黑色素瘤诊断和管理的准确性和效率。本综述探讨了人工智能在皮肤病变诊断中的作用,重点介绍两种主要方法:机器学习(尤其是卷积神经网络(CNN))和专家系统。人工智能技术在皮肤镜图像分类方面表现出了很高的准确性,往往能达到或超过皮肤科医生的水平。将人工智能融入皮肤病学改善了病变分类、分割和风险预测等任务,有助于更早、更准确地进行干预。尽管取得了这些进步,但挑战依然存在,包括训练数据的偏差、可解释性问题以及将人工智能融入临床工作流程。确保多样化的数据表示和保持高标准的图像质量对于可靠的人工智能性能至关重要。未来的发展方向包括开发更复杂的模型,如视觉语言和多模态模型,以及联合学习,以解决数据隐私和通用性问题。要充分发挥人工智能在改善黑色素瘤诊断和患者护理方面的潜力,将人工智能持续验证并符合道德规范地融入临床实践至关重要。
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The Role of Artificial Intelligence in the Diagnosis of Melanoma.

The incidence of melanoma, the most aggressive form of skin cancer, continues to rise globally, particularly among fair-skinned populations (type I and II). Early detection is crucial for improving patient outcomes, and recent advancements in artificial intelligence (AI) have shown promise in enhancing the accuracy and efficiency of melanoma diagnosis and management. This review examines the role of AI in skin lesion diagnostics, highlighting two main approaches: machine learning, particularly convolutional neural networks (CNNs), and expert systems. AI techniques have demonstrated high accuracy in classifying dermoscopic images, often matching or surpassing dermatologists' performance. Integrating AI into dermatology has improved tasks, such as lesion classification, segmentation, and risk prediction, facilitating earlier and more accurate interventions. Despite these advancements, challenges remain, including biases in training data, interpretability issues, and integration of AI into clinical workflows. Ensuring diverse data representation and maintaining high standards of image quality are essential for reliable AI performance. Future directions involve the development of more sophisticated models, such as vision-language and multimodal models, and federated learning to address data privacy and generalizability concerns. Continuous validation and ethical integration of AI into clinical practice are vital for realizing its full potential for improving melanoma diagnosis and patient care.

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