人工智能系统的进步用于监视巴雷特食道的内镜
1Department of Gastroenterology and Hepatology, Amsterdam Gastroenterology Endocrinology Metabolism, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.
概括
人工智能 (AI) 有助于检测和诊断巴雷特食道 (BE),这是食道癌的前体. 需要进一步的研究来将这些计算机辅助检测 (CADe) 和诊断 (CADx) 工具整合到临床实践中,以改善患者的治疗结果.
科学领域:
- 胃肠病学 胃肠病学
- 医疗成像医学成像
- 人工智能的人工智能
背景情况:
- 巴雷特食道 (Barrett's esophagus,BE) 是食道腺癌的一个重要危险因素.
- 早期检测和干预对于改善患者预后至关重要.
- 人工智能 (AI) 正在越来越多地被探索以加强内镜程序.
研究的目的:
- 审查在巴雷特食道检测和诊断中人工智能应用的当前状态.
- 突出计算机辅助检测 (CADe) 和计算机辅助诊断 (CADx) 系统的进步.
- 确定临床整合的未来研究方向.
主要方法:
- 对巴雷特食道中人工智能最近文献的审查.
- 对瘤的计算机辅助检测 (CADe) 模型的分析.
- 评估计算机辅助诊断 (CADx) 系统用于病变表征.
主要成果:
- 已经开发了几种竞争性AI模型来检测BE中的瘤.
- 人工智能系统用于病变表征和临床决策支持 (CADx) 正在出现.
- 在开发用于内镜辅助的AI工具方面取得了重大进展.
结论:
- 人工智能对改善巴雷特食道的检测和诊断具有相当大的希望.
- 弥合学术AI开发和常规临床实践之间的差距至关重要.
- 未来的努力应专注于将AI工具无整合到日常内镜工作流程中.
相关概念视频
Barrett Esophagus-I: Introduction
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Barrett's esophagus is a medical condition where the esophageal mucosa is significantly damaged by stomach acid or other digestive fluids, often due to long-term exposure associated with gastroesophageal reflux disease (GERD). In GERD, a weakened or abnormally relaxed lower esophageal sphincter allows stomach acid to flow persistently into the esophagus.
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
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Barrett Esophagus-II: Clinical Manifestations and Management
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Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
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Endoscopic Procedures III: Video Capsule Endoscopy
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Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
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Endoscopic Procedures I: Esophagogastroduodenoscopy
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An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
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Ultrasound II: Endoscopic Ultrasound and FibroScan
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Endoscopic Ultrasound (EUS) and FibroScan are valuable diagnostic tools in gastroenterology and hepatology, each with specific applications and techniques.
Endoscopic Ultrasound (EUS):
Endoscopic Ultrasound (EUS):
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