计算机辅助结直肠多检测的临床后果
Pieter Sinonquel1,2, Tom Eelbode3, Oliver Pech4
1Gastroenterology and Hepatology, UZ Leuven, Leuven, Belgium pieter.sinonquel@uzleuven.be.
结肠镜中的计算机辅助检测 (CADe) 与人类内镜师相比,腺瘤检测率的改善很小. 虽然CADe增加了小非新生性息肉的检测,但它很少改变患者监测间隔.
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:
- 计算机辅助检测 (CADe) 系统旨在改善在结肠镜检查期间的多体检测.
- 以前的研究表明CADe有好处,但潜在的偏见和临床结果的影响需要进一步调查.
研究的目的:
- 评估基于深度学习的CADe系统在结肠多检测中的实际有效性.
- 为了比较腺瘤检测率 (ADR) 和内镜医生与无CADe辅助的内镜医生之间的多检测性能.
主要方法:
- 一个多中心试验,使用CADe系统 (卷积和循环神经网络) 实时检测多重体.
- 盲目的内镜医生被监测,检测到CADe导致立即重新检查.
- 研究前和研究后测量了腺瘤检测率和聚检测率,并通过组织学确认进行了测量.
主要成果:
- 对于检测多重体的CADe灵敏度与人类内镜师 (94.6%与96.0%) 相似,但对于腺瘤来说更高.
- CADe导致每名患者的ADR增加了1.1%,主要来自小腺瘤 (<5mm).
- 非新发性息肉检测增加了4.9%,手术时间增加了6.6分钟,监测间隔改变了2.3%的患者.
结论:
- 从CADe获得的额外腺瘤检测收益很小,患者监测间隔的变化很少发生.
- CADe提高了非新生性多的检测,可能增加了检查和多角切除的工作量.
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