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Artificial Intelligence in Gastric Cancer Imaging With Emphasis on Diagnostic Imaging and Body Morphometry

  • Kyung Won Kim (Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Jimi Huh (Department of Radiology, Ajou University School of Medicine) ;
  • Bushra Urooj (Biomedical Research Center, Asan Institute for Life Sciences, Asan Medical Center) ;
  • Jeongjin Lee (School of Computer Science and Engineering, Soongsil University) ;
  • Jinseok Lee (Department of Biomedical Engineering, College of Electronics and Information, Kyung Hee University) ;
  • In-Seob Lee (Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Hyesun Park (Body Imaging Department of Radiology, Lahey Hospital and Medical Center) ;
  • Seongwon Na (Biomedical Research Center, Asan Institute for Life Sciences, Asan Medical Center) ;
  • Yousun Ko (Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine)
  • 투고 : 2023.07.20
  • 심사 : 2023.07.28
  • 발행 : 2023.07.31

초록

Gastric cancer remains a significant global health concern, coercing the need for advancements in imaging techniques for ensuring accurate diagnosis and effective treatment planning. Artificial intelligence (AI) has emerged as a potent tool for gastric-cancer imaging, particularly for diagnostic imaging and body morphometry. This review article offers a comprehensive overview of the recent developments and applications of AI in gastric cancer imaging. We investigated the role of AI imaging in gastric cancer diagnosis and staging, showcasing its potential to enhance the accuracy and efficiency of these crucial aspects of patient management. Additionally, we explored the application of AI body morphometry specifically for assessing the clinical impact of gastrectomy. This aspect of AI utilization holds significant promise for understanding postoperative changes and optimizing patient outcomes. Furthermore, we examine the current state of AI techniques for the prognosis of patients with gastric cancer. These prognostic models leverage AI algorithms to predict long-term survival outcomes and assist clinicians in making informed treatment decisions. However, the implementation of AI techniques for gastric cancer imaging has several limitations. As AI continues to evolve, we hope to witness the translation of cutting-edge technologies into routine clinical practice, ultimately improving patient care and outcomes in the fight against gastric cancer.

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참고문헌

  1. Eom SS, Choi W, Eom BW, Park SH, Kim SJ, Kim YI, et al. A comprehensive and comparative review of global gastric cancer treatment guidelines. J Gastric Cancer 2022;22:3-23. https://doi.org/10.5230/jgc.2022.22.e10
  2. Kim JW, Shin SS, Heo SH, Lim HS, Lim NY, Park YK, et al. The role of three-dimensional multidetector CT gastrography in the preoperative imaging of stomach cancer: emphasis on detection and localization of the tumor. Korean J Radiol 2015;16:80-89. https://doi.org/10.3348/kjr.2015.16.1.80
  3. Park HJ, Shin Y, Park J, Kim H, Lee IS, Seo DW, et al. Development and validation of a deep learning system for segmentation of abdominal muscle and fat on computed tomography. Korean J Radiol 2020;21:88-100. https://doi.org/10.3348/kjr.2019.0470
  4. Lee K, Shin Y, Huh J, Sung YS, Lee IS, Yoon KH, et al. Recent issues on body composition imaging for sarcopenia evaluation. Korean J Radiol 2019;20:205-217. https://doi.org/10.3348/kjr.2018.0479
  5. Kim KW, Lee K, Lee JB, Park T, Khang S, Jeong H, et al. Preoperative nutritional risk index and postoperative one-year skeletal muscle loss can predict the prognosis of patients with gastric adenocarcinoma: a registry-based study. BMC Cancer 2021;21:157.
  6. Lee K, Kim KW, Lee JB, Shin Y, Jang JK, Yook JH, et al. Impact of remnant stomach volume and anastomosis on nutrition and body composition in gastric cancer patients. Surg Oncol 2019;31:75-82. https://doi.org/10.1016/j.suronc.2019.09.008
  7. Park JH, Lee HJ, Oh SY, Park SH, Berlth F, Son YG, et al. Prediction of postoperative mortality in patients with organ failure after gastric cancer surgery. World J Surg 2020;44:1569-1577. https://doi.org/10.1007/s00268-020-05382-9
  8. Chung H, Ko Y, Lee IS, Hur H, Huh J, Han SU, et al. Prognostic artificial intelligence model to predict 5 year survival at 1 year after gastric cancer surgery based on nutrition and body morphometry. J Cachexia Sarcopenia Muscle 2023;14:847-859. https://doi.org/10.1002/jcsm.13176
  9. Zeng Q, Feng Z, Zhu Y, Zhang Y, Shu X, Wu A, et al. Deep learning model for diagnosing early gastric cancer using preoperative computed tomography images. Front Oncol 2022;12:1065934.
  10. Sun RJ, Fang MJ, Tang L, Li XT, Lu QY, Dong D, et al. CT-based deep learning radiomics analysis for evaluation of serosa invasion in advanced gastric cancer. Eur J Radiol 2020;132:109277. 
  11. Ba-Ssalamah A, Muin D, Schernthaner R, Kulinna-Cosentini C, Bastati N, Stift J, et al. Texture-based classification of different gastric tumors at contrast-enhanced CT. Eur J Radiol 2013;82:e537-e543. https://doi.org/10.1016/j.ejrad.2013.06.024
  12. Feng B, Huang L, Li C, Quan Y, Chen Y, Xue H, et al. A heterogeneity radiomic nomogram for preoperative differentiation of primary gastric lymphoma from borrmann type IV gastric cancer. J Comput Assist Tomogr 2021;45:191-202. https://doi.org/10.1097/RCT.0000000000001117
  13. Ha J, Park T, Kim HK, Shin Y, Ko Y, Kim DW, et al. Development of a fully automatic deep learning system for L3 selection and body composition assessment on computed tomography. Sci Rep 2021;11:21656.
  14. Kim DW, Kim KW, Ko Y, Park T, Khang S, Jeong H, et al. Assessment of myosteatosis on computed tomography by automatic generation of a muscle quality map using a web-based toolkit: feasibility study. JMIR Med Inform 2020;8:e23049.
  15. Kim A, Lee JB, Ko Y, Park T, Jo H, Jang JK, et al. Larger remaining stomach volume is associated with better nutrition and muscle preservation in patients with gastric cancer receiving distal gastrectomy with gastroduodenostomy. J Gastric Cancer 2022;22:145-155. https://doi.org/10.5230/jgc.2022.22.e15
  16. Shi S, Miao Z, Zhou Y, Xu C, Zhang X. Radiomics signature for predicting postoperative disease-free survival of patients with gastric cancer: development and validation of a predictive nomogram. Diagn Interv Radiol 2022;28:441-449. https://doi.org/10.5152/dir.2022.211034
  17. Zhang W, Fang M, Dong D, Wang X, Ke X, Zhang L, et al. Development and validation of a CT-based radiomic nomogram for preoperative prediction of early recurrence in advanced gastric cancer. Radiother Oncol 2020;145:13-20. https://doi.org/10.1016/j.radonc.2019.11.023
  18. Li Z, Wu X, Gao X, Shan F, Ying X, Zhang Y, et al. Development and validation of an artificial neural network prognostic model after gastrectomy for gastric carcinoma: an international multicenter cohort study. Cancer Med 2020;9:6205-6215. https://doi.org/10.1002/cam4.3245
  19. Gao Y, Zhang ZD, Li S, Guo YT, Wu QY, Liu SH, et al. Deep neural network-assisted computed tomography diagnosis of metastatic lymph nodes from gastric cancer. Chin Med J (Engl) 2019;132:2804-2811. https://doi.org/10.1097/CM9.0000000000000532
  20. Dong D, Fang MJ, Tang L, Shan XH, Gao JB, Giganti F, et al. Deep learning radiomic nomogram can predict the number of lymph node metastasis in locally advanced gastric cancer: an international multicenter study. Ann Oncol 2020;31:912-920. https://doi.org/10.1016/j.annonc.2020.04.003
  21. Li J, Dong D, Fang M, Wang R, Tian J, Li H, et al. Dual-energy CT-based deep learning radiomics can improve lymph node metastasis risk prediction for gastric cancer. Eur Radiol 2020;30:2324-2333. https://doi.org/10.1007/s00330-019-06621-x
  22. Jiang Y, Wang W, Chen C, Zhang X, Zha X, Lv W, et al. Radiomics signature on computed tomography imaging: association with lymph node metastasis in patients with gastric cancer. Front Oncol 2019;9:340.
  23. Huang Z, Liu D, Chen X, He D, Yu P, Liu B, et al. Deep convolutional neural network based on computed tomography images for the preoperative diagnosis of occult peritoneal metastasis in advanced gastric cancer. Front Oncol 2020;10:601869.
  24. Liu S, He J, Liu S, Ji C, Guan W, Chen L, et al. Radiomics analysis using contrast-enhanced CT for preoperative prediction of occult peritoneal metastasis in advanced gastric cancer. Eur Radiol 2020;30:239-246. https://doi.org/10.1007/s00330-019-06368-5
  25. Liu P, Ding P, Wu H, Wu J, Yang P, Tian Y, et al. Prediction of occult peritoneal metastases or positive cytology using CT in gastric cancer. Eur Radiol. Forthcoming 2023.
  26. Wu A, Wu C, Zeng Q, Cao Y, Shu X, Luo L, et al. Development and validation of a CT radiomics and clinical feature model to predict omental metastases for locally advanced gastric cancer. Sci Rep 2023;13:8442.
  27. Niu PH, Zhao LL, Wu HL, Zhao DB, Chen YT. Artificial intelligence in gastric cancer: application and future perspectives. World J Gastroenterol 2020;26:5408-5419. https://doi.org/10.3748/wjg.v26.i36.5408
  28. Jeong SH, Seo KW, Min JS. Intraoperative tumor localization of early gastric cancers. J Gastric Cancer 2021;21:4-15. https://doi.org/10.5230/jgc.2021.21.e4
  29. Kim TH, Kim IH, Kang SJ, Choi M, Kim BH, Eom BW, et al. Korean practice guidelines for gastric cancer 2022: an evidence-based, multidisciplinary approach. J Gastric Cancer 2023;23:3-106. https://doi.org/10.5230/jgc.2023.23.e11
  30. Kim DJ, Hyung WJ, Park YK, Lee HJ, An JY, Kim HI, et al. Accuracy of preoperative clinical staging for locally advanced gastric cancer in KLASS-02 randomized clinical trial. Front Surg 2022;9:1001245.
  31. Wang ZL, Li YL, Tang L, Li XT, Bu ZD, Sun YS. Utility of the gastric window in computed tomography for differentiation of early gastric cancer (T1 stage) from muscularis involvement (T2 stage). Abdom Radiol (NY) 2021;46:1478-1486. https://doi.org/10.1007/s00261-020-02785-z
  32. Kim SH, Kim JJ, Lee JS, Kim SH, Kim BS, Maeng YH, et al. Preoperative N staging of gastric cancer by stomach protocol computed tomography. J Gastric Cancer 2013;13:149-156. https://doi.org/10.5230/jgc.2013.13.3.149
  33. Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyere O, Cederholm T, et al. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing 2019;48:16-31. https://doi.org/10.1093/ageing/afy169
  34. Ahn H, Kim DW, Ko Y, Ha J, Shin YB, Lee J, et al. Updated systematic review and meta-analysis on diagnostic issues and the prognostic impact of myosteatosis: a new paradigm beyond sarcopenia. Ageing Res Rev 2021;70:101398.
  35. Huh J, Lee IS, Kim KW, Park J, Kim AY, Lee JS, et al. CT gastrography for volumetric measurement of remnant stomach after distal gastrectomy: a feasibility study. Abdom Radiol (NY) 2016;41:1899-1905. https://doi.org/10.1007/s00261-016-0792-x
  36. Jin P, Ji X, Kang W, Li Y, Liu H, Ma F, et al. Artificial intelligence in gastric cancer: a systematic review. J Cancer Res Clin Oncol 2020;146:2339-2350. https://doi.org/10.1007/s00432-020-03304-9