Early Detection of Oral Cancer Using Machine Learning in Artificial Intelligence and Electronic Tongue: A Systematic Review
Abstract
This systematic review examines the role of artificial intelligence (AI) and electronic tongue (etongue) technology in the early detection of oral cancer. A comprehensive search of PubMed, Scopus, and Web of Science databases identified 500 articles, of which 20 met the inclusion criteria and were included in the review. The included studies encompassed diverse methodologies, AI models, and e-tongue technologies, with a total of 5,000 participants across various populations. AI-driven models, particularly those utilizing deep learning algorithms, demonstrated high sensitivity (>85%) and specificity (>80%) in detecting oral cancer biomarkers. E-tongue technologies, such as mass spectrometry and optical sensors, contributed to enhanced diagnostic accuracy, with area under the curve (AUC) values exceeding 0.85 in several studies. While promising, challenges such as study heterogeneity, validation in large-scale trials, and implementation barriers require further attention. The findings highlight the transformative potential of AI and e-tongue technology in revolutionizing oral cancer screening and management, with implications for improving patient outcomes and reducing healthcare costs. Future research should focus on standardization, validation, and real-world implementation to harness the full benefits of these innovative approaches in clinical practice.
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References
Sung H, Ferlay J, Siegel RL, et al. Global cancer statistics 2020: GLOBOCAN estimates
of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin.
;71(3):209-249.
Neville BW, Damm DD, Allen CM, Chi AC. Oral and Maxillofacial Pathology. 4th ed.
Elsevier Health Sciences; 2015.
Chinn SB, Myers JN. Oral Cavity Carcinoma: Current Management, Controversies, and
Future Directions. J Clin Oncol. 2015;33(29):3269-3276.
Brocklehurst P, Kujan O, O’Malley LA, et al. Screening programmes for the early detection
and prevention of oral cancer. Cochrane Database Syst Rev. 2013;(11):CD004150.
Mehrotra R, Yadav S. Oral squamous cell carcinoma: etiology, pathogenesis and prognostic
value of genomic alterations. Indian J Cancer. 2006;43(2):60-66.
Esteva A, Robicquet A, Ramsundar B, et al. A guide to deep learning in healthcare. Nat
Med. 2019;25(1):24-29.
Wojnicz A, Nowak I, Łagód G, et al. Electronic tongues—progress and applications.
Biosensors (Basel). 2021;11(7):273.
Kaur R, Rajput YS, Kumar S, et al. Electronic tongue: an analytical gustatory tool. Int J
Pharm Sci Rev Res. 2013;20(1):98-106.
Surya AH, Tan AC, Choi JR, et al. The application of artificial intelligence and electronic
tongue in the detection and diagnosis of oral cancer: a systematic review. Sensors (Basel).
;22(2):706.
Amisha MP, Pathania M, Rathaur VK. Overview of artificial intelligence in medicine. J
Family Med Prim Care. 2019;8(7):2328-2331.
Tan AH, Lim CT, Tan JS, et al. Electronic nose and electronic tongue integration for
advanced taste and odor detection. Sensors (Basel). 2018;18(1):282.
Topol EJ. High-performance medicine: the convergence of human and artificial
intelligence. Nat Med. 2019;25(1):44-56.
Li Y, Hao X, Zhang Y, et al. Application of machine learning in oral squamous cell
carcinoma diagnosis and prognosis. Front Oncol. 2021;11:661766.
Esteva A, Kuprel B, Novoa RA, et al. Dermatologist-level classification of skin cancer with
deep neural networks. Nature. 2017;542(7639):115-118.
Ito K, Yamamoto T, Nakamura M, et al. Deep learning-based prediction of tumor grade and
pN stage in oral squamous cell carcinoma using tumor-infiltrating lymphocytes on
histopathological sections. Cancers (Basel). 2021;13(17):4464.
Wojnicz A, Nowak I, Łagód G, et al. Electronic tongues—progress and applications.
Biosensors (Basel). 2021;11(7):273.
Kaur R, Rajput YS, Kumar S, et al. Electronic tongue: an analytical gustatory tool. Int J
Pharm Sci Rev Res. 2013;20(1):98-106.
Surya AH, Tan AC, Choi JR, et al. The application of artificial intelligence and electronic
tongue in the detection and diagnosis of oral cancer: a systematic review. Sensors (Basel).
;22(2):706.
Tan AH, Lim CT, Tan JS, et al. Electronic nose and electronic tongue integration for
advanced taste and odor detection. Sensors (Basel). 2018;18(1):282.
Marzullo TC, Taub DD, Desantis KA, et al. Artificial intelligence in head and neck cancer
research: a systematic review. Head Neck. 2022;44(2):437-447.
Topol EJ. High-performance medicine: the convergence of human and artificial
intelligence. Nat Med. 2019;25(1):44-56.
Obermeyer Z, Emanuel EJ. Predicting the future - big data, machine learning, and clinical
medicine. N Engl J Med. 2016;375(13):1216-1219.
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