人工智能在结肠镜检测高级新形成症中的作用:一项随机试验
Carolina Mangas-Sanjuan1, Luisa de-Castro2, Joaquín Cubiella3
1Department of Gastroenterology, Hospital General Universitario Dr. Balmis, Servicio de Medicina Digestiva, Instituto de Investigación Sanitaria y Biomédica de Alicante (ISABIAL), Spain (C.M., N.S.).
Annals of internal medicine
|August 28, 2023
概括
计算机辅助检测 (CAD) 在结肠镜检查期间没有改善晚期结肠直肠瘤的检测率. 虽然CAD发现了更多的非多聚体性病变和近接腺瘤,但它并没有显著提高整体晚期瘤的识别.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 癌症查 癌症查
背景情况:
- 计算机辅助检测 (CAD) 在识别晚期结直肠瘤方面的有效性仍然不清楚.
- 结肠直肠癌查计划旨在有效检测癌前病变.
研究的目的:
- 评估CAD对晚期结肠直肠瘤的结肠镜检测的影响.
- 评估CAD在识别腺瘤,状息肉和特定病变类型 (非多聚体,右侧) 的贡献.
主要方法:
- 一个多中心,并行,随机对照试验,涉及来自西班牙结肠直肠癌查计划的3213名参与者.
- 参与者接受了结肠镜检查,有或没有CAD,在便免疫化学测试阳性之后.
- 先进的结直肠瘤被定义为先进的腺瘤和/或先进的状多.
主要成果:
- 在CAD和对照组之间的晚期结直肠瘤检测率没有显著差异 (34.8%与34.6%).
- 由于CAD的使用,非多聚体性病变,近接腺瘤和较小的病变 (≤5毫米) 的检测率更高.
- 瘤检测率在各组之间是相似的,但CAD整体上没有改善晚期瘤的检测.
结论:
- 计算机辅助检测没有增强先进结肠直肠瘤的结肠镜鉴定.
- 虽然CAD显示出检测某些病变类型的潜力,但其在识别高风险病变方面的整体好处需要进一步研究.
- 对照组中的高腺瘤检测率可能会影响对检测率较低的内镜师的概括性.
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