人工智能对初学者进行的结肠镜检查的影响:一个多中心随机控制的协奏研究
Liwen Yao1, Xun Li1, Zhifeng Wu1
1Department of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, China; Hubei Provincial Clinical Research Center for Digestive Disease Minimally Invasive Incision, Renmin Hospital of Wuhan University, Wuhan, China; Key Laboratory of Hubei Province for Digestive System Disease, Renmin Hospital of Wuhan University, Wuhan, China.
Gastrointestinal endoscopy
|August 3, 2023
概括
人工智能 (AI) 显著提高了新手的结肠镜检查性能,降低了腺瘤错误率,并实现了对专家的非劣势. 人工智能辅助结肠镜检查提高了新的内镜医生的技能.
科学领域:
- 胃肠病学 胃肠病学
- 医疗技术 医疗技术 医学技术
- 人工智能在医学中的应用
背景情况:
- 使用人工智能 (AI) 协助的新手进行结肠镜检查的有效性和安全性尚未得到充分证实.
- 需要评估人工智能对缺乏经验的内镜医生的诊断能力的影响.
研究的目的:
- 为了比较新手,人工智能辅助新手和专家内镜师的病变检测能力.
- 评估人工智能协助是否可以使初学者内镜师与结肠镜专家不逊色.
主要方法:
- 一个多中心的,随机的,非劣势的协同研究,涉及3家医院的685名患者.
- 患者被随机分为三个组:控制新手 (CN),人工智能辅助新手 (AN) 和控制专家 (CE).
- 腺瘤错误率 (AMR) 和多错误率是主要结果,由人工智能辅助专家重复结肠镜检测以确认检测.
主要成果:
- 与对照新手 (CN组:分别为43.69%和35.38%) 相比,人工智能辅助新手 (AN组) 的腺瘤遗漏率 (18.82%) 和聚遗漏率 (21.23%) 显著降低.
- 与对照专家组相比,人工智能辅助的新手组在AMR (18.82%对26.97%) 和聚错误率 (21.23%对24.10%) 两方面都达到非劣势差距.
结论:
- 人工智能辅助结肠镜显著降低了新手的腺瘤错误率,实现了与专家相比的性能.
- 人工智能技术可以有效地提高新内镜医生的撤回技术和整体能力.
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