在检测巴雷特食道的人工智能:一个系统的审查
Akash Patel1, Gagandeep Singh Arora2,3, Mona Roknsharifi3
1Internal Medicine, Eisenhower Health, Rancho Mirage, USA.
Cureus
|November 29, 2023
概括
机器学习 (ML) 显著提高了巴雷特食道 (BE) 诊断和管理. 机器学习技术显示出高精度和效率,往往超过传统方法,以改善患者护理.
科学领域:
- 胃肠病学 胃肠病学
- 医疗信息学 医疗信息学
- 人工智能的人工智能
背景情况:
- 巴雷特食道 (BE) 是食道腺癌的关键前体.
- 精确的诊断和管理BE对于患者的结果至关重要.
- 机器学习 (ML) 提供了新的方法来改善BE诊断.
研究的目的:
- 系统地审查ML技术在BE诊断和管理中的有效性和准确性.
- 评估各种ML应用,包括计算机辅助系统,NLP,图像深度学习和视频分析.
- 综合当前关于BE的ML性能的证据.
主要方法:
- 在PubMed,Scopus和Web of Science的综合文献搜索到2023年.
- 研究被分为五组:计算机辅助系统,NLP,组织学/活检图像的深度学习,实时/视频分析,以及其他.
- 对ML应用报告的灵敏度,特异性和准确度指标的分析.
主要成果:
- ML的应用表明了各类类别的高灵敏度和特异性.
- 计算机辅助系统:灵敏度为84-100%,特异性为64-90.7%.
- 对图像进行深度学习:>90%的灵敏度,100%的特异性.
- 在NLP系统中,准确度高达98.7%.
- 实时视频分析显示了高性能 (例如,75.3%的平均精度).
结论:
- 机器学习技术在诊断和管理BE方面越来越有能力和效率.
- 在准确性和速度方面,ML经常超过传统的诊断方法.
- ML对提高BE的临床实践和患者护理具有重大前景.
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