Clinical Endoscopy (Jan 2024)

Use of artificial intelligence in the management of T1 colorectal cancer: a new tool in the arsenal or is deep learning out of its depth?

  • James Weiquan Li,
  • Lai Mun Wang,
  • Katsuro Ichimasa,
  • Kenneth Weicong Lin,
  • James Chi-Yong Ngu,
  • Tiing Leong Ang

DOI
https://doi.org/10.5946/ce.2023.036
Journal volume & issue
Vol. 57, no. 1
pp. 24 – 35

Abstract

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The field of artificial intelligence is rapidly evolving, and there has been an interest in its use to predict the risk of lymph node metastasis in T1 colorectal cancer. Accurately predicting lymph node invasion may result in fewer patients undergoing unnecessary surgeries; conversely, inadequate assessments will result in suboptimal oncological outcomes. This narrative review aims to summarize the current literature on deep learning for predicting the probability of lymph node metastasis in T1 colorectal cancer, highlighting areas of potential application and barriers that may limit its generalizability and clinical utility.

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