内镜师级和程序级因素与使用计算机辅助检测设备增加腺瘤检测相关
Aasma Shaukat1, David R Lichtenstein2, Daniel C Chung3
1Division of Gastroenterology and Hepatology, Department of Medicine, New York University Grossman School of Medicine, New York, New York, USA.
计算机辅助检测 (CADe) 设备改善了社区环境中每次结肠镜检测腺瘤 (APC) 的检测率. 根据内镜师的经验和禁用时间,有效性有所不同.
科学领域:
- 胃肠病学 胃肠病学
- 医疗器械 医疗器械
- 临床试验 临床试验
背景情况:
- 计算机辅助检测 (CADe) 系统旨在通过结肠镜检测 (APC) 增强腺瘤检测.
- 影响CADe有效性的因素需要进一步调查.
研究的目的:
- 评估与程序相关的和与内镜师相关的因素对APC检测CADe有效性的影响.
- 在SKOUT临床试验中分析预先指定的因素.
主要方法:
- 该SKOUT临床试验涉及5个美国地点,将CADe (SKOUT) 与标准结肠镜检查进行比较.
- 预先规定的分析检查了与APC检测相关的程序和内镜因素.
主要成果:
- 在社区内镜医生中,CADe显示了APC检测的增加,更长的停药时间 (≥8分钟),以及在20年以上经验或基线腺瘤检测率低于45%的内镜医生中.
结论:
- 在改善APC检测方面,CADe设备显示出有前途,特别是在特定的临床场景中.
- 需要进一步的研究来了解影响CADe性能的内镜相关因素.
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