Искусственный интеллект при колоректальном раке: обзор

The study objective: the study objective is to examine the use of artificial intelligence (AI) in the diagnosis, treatment, and prognosis of Colorectal Cancer (CRC) and discuss the future potential of AI in CRC. Material and Methods. The Web of Science, Scopus, PubMed, Medline, and eLIBRARY databases were used to search for the publications. A study on the application of Artificial Intelligence (AI) to the diagnosis, treatment, and prognosis of Colorectal Cancer (CRC) was discovered in more than 100 sources. In the review, data from 83 articles were incorporated. Results. The review article explores the use of artificial intelligence (AI) in medicine, specifically focusing on its applications in colorectal cancer (CRC). It discusses the stages of AI development for CRC, including molecular understanding, image-based diagnosis, drug design, and individualized treatment. The benefits of AI in medical image analysis are highlighted, improving diagnosis accuracy and inspection quality. Challenges in AI development are addressed, such as data standardization and the interpretability of machine learning algorithms. The potential of AI in treatment decision support, precision medicine, and prognosis prediction is discussed, emphasizing the role of AI in selecting optimal treatments and improving surgical precision. Ethical and regulatory considerations in integrating AI are mentioned, including patient trust, data security, and liability in AI-assisted surgeries. The review emphasizes the importance of an AI standard system, dataset standardization, and integrating clinical knowledge into AI algorithms. Overall, the article provides an overview of the current research on AI in CRC diagnosis, treatment, and prognosis, discussing its benefits, challenges, and future prospects in improving medical outcomes.Цель исследования - оценка возможностей использования искусственного интеллекта (ИИ) в диагностике, лечении и прогнозировании колоректального рака (КРР), а также обсуждение потенциала ИИ в лечении КРР. Материал и методы. Проведен поиск научных публикаций в поисковых системах Web of Science, Scopus, PubMed, Medline и eLIBRARY. Было просмотрено более 100 источников по применению ИИ для диагностики, лечения и прогнозирования КРР. В обзор включены данные из 83 статей. Результаты. Проведен анализ литературы, посвященной применению искусственного интеллекта в медицине, особое внимание уделено его использованию при колоректальном раке. Обсуждаются этапы развития ИИ при КРР, включая молекулярную верификацию, лучевую диагностику, разработку лекарств и индивидуальное лечение. Подчеркнуты преимущества ИИ в анализе медицинских изображений, таких как КТ, МРТ и ПЭТ, что повышает точность диагностики. Рассматриваются такие проблемы развития ИИ, как стандартизация данных и интерпретируемость алгоритмов машинного обучения. Подчеркивается роль ИИ в выборе оптимальной тактики лечения и повышении эффективности хирургического вмешательства. Учитываются этические и нормативные аспекты ИИ, включая доверие пациентов, безопасность данных и ответственность в проведении операций с использованием ИИ. Обсуждаются преимущества ИИ в диагностике, лечении и прогнозировании колоректального рака, проблемы и перспективы улучшения результатов лечения

Fast and accurate tumor segmentation of histology images using persistent homology and deep convolutional features

Tumor segmentation in whole-slide images of histology slides is an important step towards computer-assisted diagnosis. In this work, we propose a tumor segmentation framework based on the novel concept of persistent homology profiles (PHPs). For a given image patch, the homology profiles are derived by efficient computation of persistent homology, which is an algebraic tool from homology theory. We propose an efficient way of computing topological persistence of an image, alternative to simplicial homology. The PHPs are devised to distinguish tumor regions from their normal counterparts by modeling the atypical characteristics of tumor nuclei. We propose two variants of our method for tumor segmentation: one that targets speed without compromising accuracy and the other that targets higher accuracy. The fast version is based on the selection of exemplar image patches from a convolution neural network (CNN) and patch classification by quantifying the divergence between the PHPs of exemplars and the input image patch. Detailed comparative evaluation shows that the proposed algorithm is significantly faster than competing algorithms while achieving comparable results. The accurate version combines the PHPs and high-level CNN features and employs a multi-stage ensemble strategy for image patch labeling. Experimental results demonstrate that the combination of PHPs and CNN features outperforms competing algorithms. This study is performed on two independently collected colorectal datasets containing adenoma, adenocarcinoma, signet and healthy cases. Collectively, the accurate tumor segmentation produces the highest average patch-level F1-score, as compared with competing algorithms, on malignant and healthy cases from both the datasets. Overall the proposed framework highlights the utility of persistent homology for histopathology image analysis

Image complexity based fMRI-BOLD visual network categorization across visual datasets using topological descriptors and deep-hybrid learning

This study proposes a new approach that investigates differences in topological characteristics of visual networks, which are constructed using fMRI BOLD time-series corresponding to visual datasets of COCO, ImageNet, and SUN. A publicly available BOLD5000 dataset is utilized that contains fMRI scans while viewing 5254 images of diverse complexities. The objective of this study is to examine how network topology differs in response to distinct visual stimuli from these visual datasets. To achieve this, 0- and 1-dimensional persistence diagrams are computed for each visual network representing COCO, ImageNet, and SUN. For extracting suitable features from topological persistence diagrams, K-means clustering is executed. The extracted K-means cluster features are fed to a novel deep-hybrid model that yields accuracy in the range of 90%-95% in classifying these visual networks. To understand vision, this type of visual network categorization across visual datasets is important as it captures differences in BOLD signals while perceiving images with different contexts and complexities. Furthermore, distinctive topological patterns of visual network associated with each dataset, as revealed from this study, could potentially lead to the development of future neuroimaging biomarkers for diagnosing visual processing disorders like visual agnosia or prosopagnosia, and tracking changes in visual cognition over time

Topology-Aware Focal Loss for 3D Image Segmentation

The efficacy of segmentation algorithms is frequently compromised by topological errors like overlapping regions, disrupted connections, and voids. To tackle this problem, we introduce a novel loss function, namely Topology-Aware Focal Loss (TAFL), that incorporates the conventional Focal Loss with a topological constraint term based on the Wasserstein distance between the ground truth and predicted segmentation masks' persistence diagrams. By enforcing identical topology as the ground truth, the topological constraint can effectively resolve topological errors, while Focal Loss tackles class imbalance. We begin by constructing persistence diagrams from filtered cubical complexes of the ground truth and predicted segmentation masks. We subsequently utilize the Sinkhorn-Knopp algorithm to determine the optimal transport plan between the two persistence diagrams. The resultant transport plan minimizes the cost of transporting mass from one distribution to the other and provides a mapping between the points in the two persistence diagrams. We then compute the Wasserstein distance based on this travel plan to measure the topological dissimilarity between the ground truth and predicted masks. We evaluate our approach by training a 3D U-Net with the MICCAI Brain Tumor Segmentation (BraTS) challenge validation dataset, which requires accurate segmentation of 3D MRI scans that integrate various modalities for the precise identification and tracking of malignant brain tumors. Then, we demonstrate that the quality of segmentation performance is enhanced by regularizing the focal loss through the addition of a topological constraint as a penalty term

Promises and pitfalls of topological data analysis for brain connectivity analysis

Acknowledgment The authors thank Jakub Kopal for sharing the preprocessed fMRI time series and Barbora Bučková for sharing scripts for classification pipelinePeer reviewedPublisher PD

PREDICTION OF 1P/19Q CODELETION STATUS IN DIFFUSE GLIOMA PATIENTS USING PREOPERATIVE MULTIPARAMETRIC MAGNETIC RESONANCE IMAGING

A complete codeletion of chromosome 1p/19q is strongly correlated with better overall survival of diffuse glioma patients, hence determining the codeletion status early in the course of a patient’s disease would be valuable in that patient’s care. The current practice requires a surgical biopsy in order to assess the codeletion status, which exposes patients to risks and is limited in its accuracy by sampling variations. To overcome such limitations, we utilized four conventional magnetic resonance imaging sequences to predict the 1p/19q status. We extracted three sets of image-derived features, namely texture-based, topology-based, and convolutional neural network (CNN)-based, and analyzed each feature’s prediction performance. The topology-based model (AUC = 0.855 +/- 0.079) performed significantly better compared to the texture-based model (AUC = 0.707 +/- 0.118) while comparably against the CNN-based model (0.787 +/- 0.195). However, none of the models performed better than the baseline model that is built with only clinical variables, namely, age, gender, and Karnofsky Performance Score (AUC = 0.703 +/- 0.256). In summary, predicting 1p/19q chromosome codeletion status via MRI scan analysis can be a viable non-invasive assessment tool at an early stage of gliomas and in follow-ups although further investigation is needed to improve the model performance

Hochschild homology, and a persistent approach via connectivity digraphs

We introduce a persistent Hochschild homology framework for directed graphs. Hochschild homology groups of (path algebras of) directed graphs vanish in degree $i\geq 2$. To extend them to higher degrees, we introduce the notion of connectivity digraphs and analyse two main examples; the first, arising from Atkin's $q$-connectivity, and the second, here called $n$-path digraphs, generalising the classical notion of line graphs. Based on a categorical setting for persistent homology, we propose a stable pipeline for computing persistent Hochschild homology groups. This pipeline is also amenable to other homology theories; for this reason, we complement our work with a survey on homology theories of digraphs.Comment: Comments are welcome