人工智能系统用于检测巴雷特的食道
Ming-Chang Tsai1,2, Hsu-Heng Yen3,4,5, Hui-Yu Tsai6
1Division of Gastroenterology and Hepatology, Department of Internal Medicine, Chung Shan Medical University Hospital, Taichung 402, Taiwan.
World journal of gastroenterology
|January 8, 2024
概括
一个人工智能 (AI) 系统使用内镜图像有效地检测到巴雷特的食道 (BE). 在内镜BE上接受培训后,AI在预测组织学BE方面达到94.37%的准确性,有助于早期诊断.
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:
- 全球范围内,巴雷特食道 (Barrett's esophagus,BE) 的患病率正在上升,造成食道腺癌的重大风险.
- 对于BE的内镜和组织学检测率之间存在显著的差异.
- 当前的研究经常训练人工智能在内镜BE,但对组织学BE的测试.
研究的目的:
- 评估人工智能 (AI) 系统在检测巴雷特食道 (BE) 的有效性.
- 通过内镜成像在临床环境中评估AI系统的性能.
主要方法:
- 从724个病例中收集了内镜窄带成像 (NBI) 数据.
- 三名专家内镜师对图像进行了注释,以识别内镜BE.
- 使用EfficientNetV2B2架构的AI系统在86名患者的160张内镜图像上进行了训练和测试,并获得了组织学结果.
主要成果:
- EfficientNetV2B2模型表现出卓越的性能,初始精度为0.8.8.
- 最终的AI系统实现了94.37%的准确性,正确识别了66/70个BE病例和85/90个非BE病例.
结论:
- 在NBI内镜BE图像上训练的AI系统,准确地预测组织学BE.
- 人工智能系统表现出高诊断性能,准确度为94.37%,灵敏度为94.29%,特异性为94.44%.
- 这种人工智能工具显示出有助于检测巴雷特食道的潜力.
相关概念视频
Barrett Esophagus-I: Introduction
98
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...
98
Barrett Esophagus-II: Clinical Manifestations and Management
154
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...
154
Upper GI Series: Barium Swallow
353
The Barium Swallow Study, or a Barium Esophagogram, is a diagnostic imaging method used to visualize the upper gastrointestinal (GI) tract, including the esophagus, stomach, and small intestine. It employs barium sulfate, a radiopaque contrast material, to provide clear images of the upper digestive system, helping to identify abnormalities, diseases, or structural issues.
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...
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