在性结肠炎患者的监视结肠镜检查期间用于检测的人工智能:一个横截面的,非劣势的,诊断测试比较研究
Antonio López-Serrano1, Alba Voces2, José Ramón Lorente2
1Gastroenterology Department, Hospital Universitari Dr. Peset, Valencia, Spain; Department of Medicine, Universitat de Valencia, Valencia, Spain.
概括
计算机辅助检测 (CADe) 系统在检测性结肠炎患者的发育障碍时,显示出与虚拟染色内镜 (VCE) 相似的有效性. 这一发现支持CADe的说法.
科学领域:
- 胃肠病学 胃肠病学
- 内镜成像系统的成像
- 大肠直肠癌监测监测
背景情况:
- 性结肠炎 (UC) 患者需要进行形监测,以减轻结肠直肠癌 (CRC) 风险.
- 针对性活检的高清虚拟染色内镜 (VCE) 是当前的标准.
- 在这种情况下,计算机辅助检测 (CADe) 系统的有效性尚未得到充分证实.
研究的目的:
- 为了评估CADe DiscoveryTM系统的诊断性能.
- 为了比较高风险UC患者中检测结肠形的CADe与VCE的疗效.
- 评估CADe在提高腺瘤检测率方面的作用.
主要方法:
- 未来的,横截面的,非劣势诊断试验的比较研究.
- 性结肠炎患者接受CRC监测结肠镜 (2021年1月至4月).
- 使用iSCAN (光学增强) 进行VCE与CADe DiscoveryTM系统用于发育不良检测的比较.
主要成果:
- 在52名患者中分析了48个失塑性病变.
- 检测到VCE的病例为9例 (21.4%),检测到CADe的病例为9例 (20.0%) (p=0.629).
- 在诊断性表现指标中,VCE和CADe在发育不良检测方面是可比的.
结论:
- 该CADe DiscoveryTM系统的诊断性能与使用iSCAN对VCE的诊断性能相当.
- 在UC患者中,CADe显示出作为扩张功能障碍监测的辅助工具的潜力.
- 进一步的研究可能会验证CADe在减少CRC风险方面的作用.
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