在常规结肠镜检查中实时计算机辅助检测结肠直肠腺瘤的效果 (COLO-GENIUS):单中心随机对照试验
David Karsenti1, Gaëlle Tharsis1, Bastien Perrot2
1Digestive Endoscopy Unit, Pôle Digestif Paris-Bercy, Clinique Paris-Bercy, Charenton-le-Pont, France.
The lancet. Gastroenterology & hepatology
|June 3, 2023
概括
实时人工智能系统,称为计算机辅助检测 (CADe),在改善结肠镜检查期间的多体检测方面表现有前途. 这项技术可以提高常规手术中腺瘤检测率 (ADR).
科学领域:
- 医学技术 医学技术 医学技术
- 胃肠病学 胃肠病学
- 人工智能的人工智能是人工智能.
背景情况:
- 人工智能 (AI) 系统正在开发中,以加强在内镜手术期间的聚体检测.
- 腺瘤检测率 (ADR) 是结肠镜检测的关键质量指标,反映了多重体的认定程度.
研究的目的:
- 评估实时计算机辅助检测 (CADe) 在常规结肠镜检查期间对ADR的影响.
- 评估AI辅助结肠镜在临床环境中的有效性.
主要方法:
- 一个单一中心的随机对照试验 (COLO-GENIUS) 涉及2039名接受结肠镜检查的参与者.
- 参与者被随机分配1:1进行标准结肠镜或CADe辅助结肠镜,使用GI Genius 2.0.2.2.
- 主要结局是ADR,在修改后的治疗意图人口中进行评估.
主要成果:
- 在标准结肠镜组中,ADR为33.7%,在CADe辅助组中为37.5%.
- 观察到CADe有改善ADR的趋势 (估计平均绝对差异为4.1个百分点,p=0.051).
- 在CADe组中发生了一次出血事件,通过血液静止成功管理.
结论:
- 计算机辅助检测 (CADe) 证明了在日常结肠镜检查期间改善腺瘤检测率的潜在好处.
- 在结肠镜检查中系统地使用CADe值得考虑,即使在非学术医疗保健环境中也是如此.
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