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计算机辅助检测结肠镜用于IBD患者的监测:来自单一中心的见解

Adam Goldman1,2,3, Levy Idan2,3, Shomron Ben-Horin2,3

  • 1Department of Epidemiology and Preventive Medicine, School of Public Health, School of Medicine, Tel Aviv University, Tel Aviv, Israel.

Inflammatory bowel diseases
|September 3, 2025
PubMed

Insights

计算机辅助检测 (CADe) 在炎症性肠病 (IBD) 患者的监测结肠镜检测中没有改善. 这项研究发现,在实施CADe后,腺瘤检测率有所下降.

科学领域:

  • 胃肠病学
  • 内镜检查
  • 医学的人工智能

背景情况:

  • 监测结肠镜对于治疗炎症性肠病 (IBD) 患者至关重要.
  • 计算机辅助检测 (CADe) 系统在增强IBD患者结肠镜检查效率方面的有效性尚不清楚.
  • 确定CADe的实际影响对于优化IBD监测协议至关重要.

研究的目的:

  • 评估计算机辅助检测 (CADe) 在改善炎症性肠病 (IBD) 患者的监测结肠镜检查结果方面的实际有效性.
  • 在IBD患者队列中实施CADe之前和之后的腺瘤检测率 (ADR) 的比较.

主要方法:

  • 一个回顾性,单中心的研究分析了IBD患者的监测结肠镜.
  • 包括适当准备的结肠镜和管输入.
  • 在CADe前 (2020年6月至2021年6月) 和CADe后 (2021年7月至2022年9月) 期间比较了腺瘤检测率 (ADR).

主要成果:

  • 这项研究包括225个CADe前和750个CADe后的手术.
  • 在5. 8%的CADe前和3. 6%的CADe后发现了新生病变或结直肠癌.
  • 在实施CADe后,集体腺瘤检测率 (ADR) 从5. 2%降至3. 8% (P=. 315).

结论:

  • 在IBD监测结肠镜检测中,计算机辅助检测 (CADe) 没有提高瘤检测效果.
  • 在CADe实施后,不显著地减少了ADR.
  • 结果表明需要针对IBD的CADe系统和更好的医生-AI交互策略.
抽象的

No abstract available in PubMed .

关键词:
腺瘤检测率大肠直肠癌计算机辅助诊断炎症性肠道疾病查结肠镜检查

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