实时内镜中的计算机辅助诊断用于胃癌发生的所有阶段:开发和验证研究研究
Eun Jeong Gong1,2,3, Chang Seok Bang1,2,3,4, Jae Jun Lee3,4,5
1Department of Internal Medicine, Hallym University College of Medicine, Chuncheon, Korea.
United European gastroenterology journal
|February 24, 2024
概括
一个新的深度学习模型从内镜图像准确地分类了胃癌发生的所有阶段. 这种工具有助于诊断诸如缩和肠道转化等非形成性病变,以及胃癌.
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:
- 计算机辅助诊断模型已被开发用于胃瘤.
- 之前没有一个模型对胃癌发生的各个阶段进行了分类.
- 内镜图像对于诊断胃部疾病至关重要.
研究的目的:
- 开发和验证一种深度学习模型,用于自动分类所有胃癌发生阶段.
- 在分类中包括前性病变 (缩,肠道代谢).
- 为了提高使用内镜图像的诊断准确度.
主要方法:
- 一个深度学习模型被训练在18701个回顾性内镜图像上.
- 数据集被分为培训,验证和内部测试集 (8:1:1比).
- 对来自不同机构的1427张图像进行了外部验证.
主要成果:
- 该模型实现了91.2%的内部测试损伤分类准确度.
- 外部验证的准确率为82.3%.
- 在诊断缩 (93.4%) 和肠道代谢 (91.3%) 方面表现出很高.
结论:
- 开发的模型在诊断胃瘤方面表现出高性能.
- 该模型有效地识别了先发性病变,包括缩和肠道转化.
- 这种深度学习方法为胃癌查和诊断提供了一个有前途的工具.
相关概念视频
Endoscopic Procedures I: Esophagogastroduodenoscopy
116
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:
116
Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
85
This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
85
Endoscopic Procedures III: Video Capsule Endoscopy
151
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,...
151
Endoscopic Procedures V: ERCP
228
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
228
Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
119
Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
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.
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.
119
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


