在意大利实时人工智能辅助结肠镜的成本效益分析
Cesare Hassan1,2, Massimiliano Povero3, Lorenzo Pradelli3
1Endoscopy Unit, Humanitas University, Rozzano, Italy.
Endoscopy international open
|November 13, 2023
概括
结肠镜中的人工智能 (AI) 显著降低了结肠直肠癌 (CRC) 病例和死亡率. 这种人工智能系统是高风险个体的成本节约策略,改善生活质量和预防癌症.
科学领域:
- 胃肠病学 胃肠病学
- 医疗技术 医疗技术 医学技术
- 卫生经济学 卫生经济学
背景情况:
- 人工智能 (AI) 辅助结肠镜在平均风险人群中显示出有效性.
- "GI GENIUS"系统是第一个用于结肠镜的实时人工智能.
研究的目的:
- 评估GI GENIUS人工智能系统的成本效益.
- 在意大利高风险人群中评估人工智能辅助结肠镜,在便免疫化学测试 (FIT) 中呈阳性.
主要方法:
- 一年周期的队列马尔科夫模型模拟了疾病的演变.
- 用AI系统和没有AI系统进行结肠镜的比较.
- 从意大利国家卫生服务的角度估计的成本.
主要成果:
- 使用人工智能系统进行结肠镜检查的成本优于标准结肠镜检查.
- 人工智能系统预防了155例CRC病例和77例CRC相关死亡.
- 人工智能提高了0.027 QALY的生活质量,并导致每名患者净节省14.34欧元.
结论:
- 结肠镜中的AI检测工具是预防CRC的成本节省策略.
- 实施AI后FIT查可以降低CRC的发病率和死亡率.
- 人工智能辅助结肠镜对于高风险人群来说是有效且经济有益的.
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