arXiv:2504.13186eess.IVcs.AI2025-04被引 32

综述先进深度学习在癌症检测中的应用与挑战

Advanced Deep Learning and Large Language Models: Comprehensive Insights for Cancer Detection

  • 整合迁移学习、联邦学习等技术提升诊断准确率
  • 利用预训练模型缓解医疗数据稀缺问题
  • 适合关注AI医疗落地的研究者与临床人员

深度学习(DL)的快速发展已深刻改变医疗领域,尤其在癌症检测与诊断中表现突出,其性能超越传统机器学习和人类专家。尽管已有诸多关于DL在医疗中应用的综述,但针对其在癌症检测中整体作用的系统分析仍显不足。现有研究多聚焦特定方向,缺乏对整体影响的全面理解。本文综述了包括迁移学习(TL)、强化学习(RL)、联邦学习(FL)、Transformer及大语言模型(LLMs)在内的先进DL技术,探讨其在提升准确性、应对数据稀疏性、实现隐私保护下的分布式协作学习中的作用。TL通过复用预训练模型,在标注数据有限时仍能提升性能;RL优化诊疗路径与治疗策略;FL支持多方协同建模而无需共享敏感数据;基于自然语言处理的Transformer与LLMs正被引入医学数据,以增强模型可解释性。此外,本文分析了这些技术在癌症诊断中的效率,讨论数据不平衡等挑战,并提出应对方案,为研究人员与实践者提供当前趋势参考与未来研究指引。

原文摘要 · Abstract (English)

The rapid advancement of deep learning (DL) has transformed healthcare, particularly in cancer detection and diagnosis. DL surpasses traditional machine learning and human accuracy, making it a critical tool for identifying diseases. Despite numerous reviews on DL in healthcare, a comprehensive analysis of its role in cancer detection remains limited. Existing studies focus on specific aspects, leaving gaps in understanding its broader impact. This paper addresses these gaps by reviewing advanced DL techniques, including transfer learning (TL), reinforcement learning (RL), federated learning (FL), Transformers, and large language models (LLMs). These approaches enhance accuracy, tackle data scarcity, and enable decentralized learning while maintaining data privacy. TL adapts pre-trained models to new datasets, improving performance with limited labeled data. RL optimizes diagnostic pathways and treatment strategies, while FL fosters collaborative model development without sharing sensitive data. Transformers and LLMs, traditionally used in natural language processing, are now applied to medical data for improved interpretability. Additionally, this review examines these techniques' efficiency in cancer diagnosis, addresses challenges like data imbalance, and proposes solutions. It serves as a resource for researchers and practitioners, providing insights into current trends and guiding future research in advanced DL for cancer detection.

癌症检测深度学习大语言模型联邦学习

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