一个人工智能系统用于慢性缩性胃炎诊断和在白光内镜下风险分层
Xiao Tao1, Yijie Zhu2, Zehua Dong1
1Renmin Hospital of Wuhan University, Wuhan, PR China; Key Laboratory of Hubei Province for Digestive System Disease, Renmin Hospital of Wuhan University, Wuhan, PR China; Hubei Provincial Clinical Research Center for Digestive Disease Minimally Invasive Incision, Renmin Hospital of Wuhan University, Wuhan, PR China.
一个人工智能 (AI) 系统准确地识别胃缩 (GA) 和分层风险,匹配专家的表现. 这种人工智能工具有助于对胃癌风险进行内镜评估和监测决策.
科学领域:
- 胃肠病学 胃肠病学
- 人工智能的人工智能
- 医疗成像医学成像
背景情况:
- 胃缩 (GA) 诊断和分层对于预测胃癌风险和指导内镜监测至关重要.
- 准确的GA评估会影响患者的管理和监测间隔.
研究的目的:
- 开发一种人工智能 (AI) 系统,用于内镜识别和胃缩 (GA) 风险分层,使用金村-塔克莫托分类.
- 评估人工智能系统在诊断和评分GA时与内镜师的性能.
主要方法:
- 用869张图像和119张视频构建了一个由两个受过训练的模型组成的系统,用于初始性能比较.
- 验证涉及102例患者病例,以将AI系统的GA分层精度与不同经验水平的内镜师进行比较.
主要成果:
- 人工智能系统在图像 (92.72%对76.85%) 和视频 (94.87%对85.90%) 两种水平上都在识别GA方面表现出比内镜师更高的灵敏度.
- 与专家相比,该系统在GA分层方面取得了更高的整体准确性 (81.37%与73.04%,p=0.045).
- 非GA,轻度,中度和严重GA的分类准确度与专家相比,优于经验较少的内镜医生.
结论:
- 一个专家级人工智能系统用于内镜识别和胃缩风险分层已经成功建立.
- 开发的AI系统显示了改善内镜评估和为胃癌监测策略提供信息的巨大潜力.
更多相关视频
05:50Author Spotlight: Point-of-Care Ultrasound for Gastric Content Assessment and Risk Stratification in Perioperative Care
Published on: September 22, 2023
08:45Author Spotlight: Generation of and Comparison Between Patient-Derived Gastric Organoids from Different Regions of the Stomach
Published on: January 26, 2024
相关概念视频
Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Gastritis-I: Introduction and Types
Acute gastritis presents as a sudden inflammation triggered by various stressors to the stomach lining, such as exposure to corrosive agents, local irritants like aspirin and other NSAIDs, alcohol consumption, radiation therapy, physical trauma, severe burns, sepsis,...
Endoscopic Procedures I: Esophagogastroduodenoscopy
During an EGD, the endoscope can be used to:
Endoscopic Procedures III: Video Capsule Endoscopy
Gastritis-II: Pathophysiology
In acute gastritis, the gastric mucosa becomes swollen and red and undergoes superficial erosion. Superficial ulceration may lead to bleeding.
In chronic gastritis, persistent or repeated insults lead to chronic inflammatory changes and, eventually, thinning or atrophy of the gastric tissue.
Gastritis can stem from various causes, each...
Peptic Ulcer Disease IV: Management
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
