在查结肠镜检查中基于人工智能的肠道准备评估验证 (带视频)
Liwen Yao1, Huizhen Xiong2, Qiucheng Li2
1Gastrointestinal Endoscopy Center, The Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, China; Key Laboratory of Hubei Province for Digestive System Disease, Renmin Hospital of Wuhan University, Wuhan, China.
Gastrointestinal endoscopy
|April 18, 2024
概括
人工智能 (AI) 准确地识别了由于肠道准备不良而需要重复结肠镜检查的患者. 人工智能对肠道清洁的评估显著减少了遗漏的腺瘤,提高了结肠镜查的有效性.
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:
- 准确的肠道准备对于结肠镜查间隔至关重要.
- 低于最佳的准备增加了缺失腺瘤>5毫米的风险.
- 对于准备不足的患者,建议早期重复结肠镜检查.
研究的目的:
- 为了评估人工智能 (AI) 来评估肠道准备.
- 验证AI识别因准备不足而面临遗漏腺瘤高风险的患者的能力.
主要方法:
- 前性,单中心观察性研究 (2021年10月 - 2022年11月).
- 人工智能 (e-波士顿肠道准备量表) 和内镜医生 (BBPS) 评估了肠道准备.
- 通过这两种方法进行充分准备的患者继续治疗;其他患者在重复结肠镜检查之前进行了重新清洁.
主要成果:
- 人工智能识别的不充分的准备与5毫米以上腺瘤的错误率显著增加 (35.71%对13.19%).
- 在识别错过腺瘤的高风险患者时,AI的准确性具有统计学意义 (P=.0056).
- 与合格的AI患者相比,AI分类显示了高于5毫米的息肉的错误率较高 (35.82%对19.48%).
结论:
- 人工智能有效地识别了肠道准备不足和缺失重大腺瘤高风险的患者.
- 人工智能的表现为其在标准化结肠镜查中的实施提供了证据.
- 人工智能可以指导肠道再清洁的决策,提高结肠镜质量.
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