Harnessing artificial intelligence for predictive modelling in oral oncology: Opportunities, challenges, and clinical Perspectives DOI Creative Commons
Vishnu Priya Veeraraghavan,

Shikhar Daniel,

Arun Kumar Dasari

et al.

Oral Oncology Reports, Journal Year: 2024, Volume and Issue: 11, P. 100591 - 100591

Published: June 29, 2024

Artificial intelligence (AI) has emerged as a promising tool in oral oncology, particularly the field of prediction. This review provides comprehensive outlook on role AI predicting cancer, covering key aspects such data collection and preprocessing, machine learning techniques, performance evaluation validation, challenges, future prospects, implications for clinical practice. Various algorithms, including supervised learning, unsupervised deep approaches, have been discussed context cancer Additionally, challenges interpretability, accessibility, regulatory compliance, legal are addressed along with research directions potential impact oncology care.

Language: Английский

Real world clinical experience using daily intelligence-assisted online adaptive radiotherapy for head and neck cancer DOI Creative Commons
Philip Blumenfeld,

Eduard Arbit,

Robert B. Den

et al.

Radiation Oncology, Journal Year: 2024, Volume and Issue: 19(1)

Published: March 30, 2024

Abstract Background Adaptive radiation therapy (ART) offers a dynamic approach to address structural and spatial changes that occur during radiotherapy (RT) for locally advanced head neck cancers. The integration of daily ART with Cone-Beam CT (CBCT) imaging presents solution enhance the therapeutic ratio by addressing inter-fractional changes. Methods We evaluated initial clinical experience patients cancer using an online adaptive platform intelligence-assisted workflows on CBCT. Treatment included auto-contour structure deformation Organs at Risk (OARs) target structures, adjustments treating physician. Two plans were generated: one based simulation edited structures (scheduled) re-optimized plan (adaptive). Both superior approved delivered. Clinical dosimetric outcomes reviewed. Results Twenty two cancers (7 Nasopharynx, 6 Oropharynx, 1 oral cavity, 8 larynx) stages I-IVA treated ART. 770 scheduled generated. 703 (91.3%) chosen. Median time deliver was 20 minutes (range: 18-23). compared demonstrated improved mean V95 values PTV70, PTV59.5, PTV56 1.2%, 7.2%, 6.0% respectively 1.4% lower maximum dose in PTV70. Fourteen 17 OARs dosimetry adaptation, select reaching statistical significance. At median follow up 14.1 months, local control 95.5%, developed metastatic disease four died. 9.1% had acute grade 3 dysphagia 13.6% 2 chronic xerostomia. Discussion These findings provide real world evidence feasibility benefit incorporating CBCT treatment cancer. Prospective study is needed determine if these improvements translate into outcomes.

Language: Английский

Citations

6

Immunotherapy for head and neck cancer: Fundamentals and therapeutic development DOI
Susumu Okano

Auris Nasus Larynx, Journal Year: 2024, Volume and Issue: 51(4), P. 684 - 695

Published: May 9, 2024

Language: Английский

Citations

6

The Impact of Oral Microbiome Dysbiosis on the Aetiology, Pathogenesis, and Development of Oral Cancer DOI Open Access
Jasminka Talapko,

Suzana Erić,

Tomislav Meštrović

et al.

Cancers, Journal Year: 2024, Volume and Issue: 16(17), P. 2997 - 2997

Published: Aug. 28, 2024

Oral squamous cell carcinoma (OSCC) is the most common head and neck cancer. Although oral cavity an easily accessible area for visual examination, OSCC more often detected at advanced stage. The global prevalence of around 6%, with increasing trends posing a significant health problem due to increase in morbidity mortality. microbiome has been target numerous studies, findings highlighting role dysbiosis developing OSCC. Dysbiosis can significantly pathobionts (bacteria, viruses, fungi, parasites) that trigger inflammation through their virulence pathogenicity factors. In contrast, chronic bacterial contributes development Pathobionts also have other effects, such as impact on immune system, which alter responses contribute pro-inflammatory environment. Poor hygiene carbohydrate-rich foods risk factors mechanisms are not yet fully understood remain frequent research topic. For this reason, narrative review concentrates issue potential cause OSCC, well underlying involved.

Language: Английский

Citations

6

Beta-defensin index: A functional biomarker for oral cancer detection DOI Creative Commons
Santosh K. Ghosh, Yuncheng Man, Arwa Fraiwan

et al.

Cell Reports Medicine, Journal Year: 2024, Volume and Issue: 5(3), P. 101447 - 101447

Published: March 1, 2024

There is an unmet clinical need for a non-invasive and cost-effective test oral squamous cell carcinoma (OSCC) that informs clinicians when biopsy warranted. Human beta-defensin 3 (hBD-3), epithelial cell-derived anti-microbial peptide, pro-tumorigenic overexpressed in early-stage OSCC compared to hBD-2. We validate this expression dichotomy situ lesions using immunofluorescence microscopy flow cytometry. The proportion of hBD-3/hBD-2 levels non-invasively collected lesional cells contralateral normal cells, obtained by ELISA, generates the index (BDI). Proof-of-principle blinded discovery studies demonstrate BDI discriminates from benign lesions. A multi-center validation study shows sensitivity specificity values 98.2% (95% confidence interval [CI] 90.3-99.9) 82.6% CI 68.6-92.2), respectively. proof-of-principle adaptable point-of-care assay microfluidics. propose may fulfill major low-socioeconomic countries where pathology services are lacking.

Language: Английский

Citations

5

Harnessing artificial intelligence for predictive modelling in oral oncology: Opportunities, challenges, and clinical Perspectives DOI Creative Commons
Vishnu Priya Veeraraghavan,

Shikhar Daniel,

Arun Kumar Dasari

et al.

Oral Oncology Reports, Journal Year: 2024, Volume and Issue: 11, P. 100591 - 100591

Published: June 29, 2024

Artificial intelligence (AI) has emerged as a promising tool in oral oncology, particularly the field of prediction. This review provides comprehensive outlook on role AI predicting cancer, covering key aspects such data collection and preprocessing, machine learning techniques, performance evaluation validation, challenges, future prospects, implications for clinical practice. Various algorithms, including supervised learning, unsupervised deep approaches, have been discussed context cancer Additionally, challenges interpretability, accessibility, regulatory compliance, legal are addressed along with research directions potential impact oncology care.

Language: Английский

Citations

5