实时计算机辅助多体检测系统 (ENDO-AID) 对培训内镜师腺瘤检测的影响:一项随机试验
Louis H S Lau1, Jacky C L Ho2, Jimmy C T Lai2
1Department of Medicine and Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR; Institute of Digestive Disease, The Chinese University of Hong Kong, Hong Kong SAR; State Key Laboratory of Digestive Disease, Li Ka Shing Institute of Health Sciences, The Chinese University of Hong Kong, Hong Kong SAR.
计算机辅助的息肉检测 (CADe) 显著提高了在培训中的内镜师的腺瘤检测率 (ADR). 这项技术增强了跨不同大小和结肠位置的多体检测,提高了整体ADR.
科学领域:
- 胃肠病学 胃肠病学
- 医疗技术 医疗技术 医学技术
- 临床试验 临床试验
背景情况:
- 计算机辅助多重体检测 (CADe) 对培训内镜师腺瘤检测率 (ADR) 的影响尚未得到充分证实.
- 结肠镜检查是结肠直肠癌查和诊断的一个关键程序.
研究的目的:
- 评估CADe在改善有限经验的内镜医生中ADR的有效性.
- 评估CADe对不同大小和位置的腺瘤检测的影响.
主要方法:
- 进行了一项单盲,并行组,随机对照试验,其中766名参与者接受了结肠镜检查.
- 在培训中的内镜师被随机分配在戒断期间使用CADe (ENDO-AID[OIP-1]) 或不使用 (控制).
- 主要结局是腺瘤检测率 (ADR);次要结局包括根据腺瘤大小/位置和非新发性息肉切除率的ADR.
主要成果:
- 总体ADR在CADe组 (57.5%) 与对照组 (44.5%) 相比显著更高.
- 使用CADe导致小 (<5毫米) 和中 (5-10毫米) 腺瘤以及右结肠和左结肠的ADR更高.
- 在CADe组中,检测到的腺瘤的平均数量和非瘤切除率也显著高于CADe组.
结论:
- 计算机辅助的多胞体检测 (CADe) 显著提高了内镜师培训中的腺瘤检测率 (ADR).
- 该研究证明了CADe在加强结肠镜监测和潜在地改善患者治疗结果方面的价值.
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