瘤周影像组学在乳腺癌研究中的应用进展

Progress in the application of peritumoral radiomics in breast cancer research

乳腺癌已成为威胁全球女性健康最常见的癌症类型。影像组学通过深入挖掘和分析医学图像的深层次信息,提供传统影像学检查及人眼无法识别的肿瘤内在异质性信息,但以往研究多围绕肿瘤本体特征,忽略了瘤周区域特征对乳腺癌的发生、发展及转移的作用,因此越来越多的研究开始探索瘤周影像组学特征的潜在应用价值。本文将围绕基于乳腺X线摄影、磁共振及超声成像的瘤周影像组学在乳腺癌的良恶性鉴别诊断、分子分型预测、治疗疗效评估、淋巴结转移及患者预后预测研究中的应用展开综述,阐述目前存在的局限性,并对其未来发展进行展望,为后续深入研究提供思路,以期促进乳腺癌精准医疗的进一步发展。

Breast cancer has become the most common type of cancer that threatens women's health worldwide.Radiomics provides intrinsic heterogeneity information of tumors that cannot be recognized by traditional imaging examinations and human eyes through in-depth excavation and analysis of deep-seated information of medical images.However,previous studies mostly focused on tumor ontology features,ignoring the role of peritumoral region features in the occurrence,development and metastasis of breast cancer.Therefore,more and more studies have begun to explore the potential application value of peritumoral radiomics features.This article will centre on the application of peritumoral radiomics based on mammography,magnetic resonance imaging and ultrasound imaging in the differential diagnosis of benign and malignant breast cancer,molecular typing prediction,evaluation of therapeutic efficacy,lymph node metastasis and prognosis prediction of patients,expound the existing limitations,and look forward to its future development,provide ideas for deeper research,expect to promote the further development of precision medicine for breast cancer.