人工智能辅助囊内镜 (TOP100) 在明显小肠出血中的诊断准确性
Antonio Giordano1,2, Miriam Escapa1, Miquel Urpí-Ferreruela1,3
1Endoscopy Unit, Gastroenterology Department, ICMDM, Hospital Clínic de Barcelona, Barcelona, Spain.
Surgical endoscopy
|July 26, 2023
概括
人工智能工具TOP100显著减少了囊内镜读取明显小肠出血的时间,提高了诊断速度. 虽然它对血管发育不良是有效的,但对其他病变的准确性需要进一步评估.
科学领域:
- 胃肠病学 胃肠病学
- 医疗成像医学成像
- 人工智能的人工智能
背景情况:
- 囊内镜 (CE) 是明显小肠出血 (SBB) 的首要诊断工具.
- 早期的CE增强了诊断产量,但延长的读数时间可能会推迟治疗.
- TOP100人工智能工具被评估其在SBB的早期CE中的表现.
研究的目的:
- 评估TOP100人工智能工具在患有明显SBB的患者中进行早期CE的诊断性能.
- 为了比较人工智能辅助阅读 (TR) 与标准阅读 (SR) 的诊断准确性.
- 评估TOP100对高出血潜力病变 (P2) 的阅读时间和诊断产量的影响.
主要方法:
- 包括111名怀疑有明显SBB的患者,他们接受了早期CE (14天内).
- 标准读数 (SR) 是由一个内镜师进行的;基于TOP100的读数 (TR) 是由第二个盲目内镜师进行的.
- 主要终点是P2病变的TR诊断准确性.
主要成果:
- 基于TOP100的读数 (TR) 显示了P2病变的高诊断准确性 (92.79%),具有90.48%的灵敏度和100%的特异性.
- 阅读时间的中位数从SR的23分钟大幅减少到TR的1.9分钟 (p < 0.001).
- 充分的肠道清洗是TR和SR之间一致性的唯一独立预测因素.
结论:
- TOP100人工智能工具为公开SBB的早期CE提供了快速阅读模式,可以识别活跃出血和血管扩张.
- 它通过快速检测重大发现,有助于优先考虑治疗干预措施.
- 该工具对,静脉和P1病变的准确性似乎不足,需要进一步调查.
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