在结肠囊内镜中合理化聚匹配标准:通过RAND (修改DELPHI) 过程达成国际专家共识
Ian Io Lei1,2, Anastasios Koulaouzidis3,4,5,6, Gunnar Baatrup3,4
1Institute of Precision Diagnostics and Translational Medicine, University Hospital of Coventry and Warwickshire, Clifford Bridge Road, Coventry CV2 2DX, UK.
结肠囊内镜 (CCE) 需要标准化的多匹配标准,以防止双重报告. 这项研究确定了时间,定位和形态等关键因素,用于在CCE视频中准确识别多重体.
科学领域:
- 胃肠病学 胃肠病学
- 医疗成像医学成像
- 人工智能在医学中的应用
背景情况:
- 结肠囊内镜 (CCE) 是一个新兴的下胃肠道调查工具.
- 在CCE视频中准确匹配聚是防止双重报告和假阳性结果的关键,特别是在AI集成的情况下.
- 缺乏标准化的空间定向信息使得CCE中的多类比较变得复杂.
研究的目的:
- 为了确定结肠囊内息肉匹配的关键因素,结肠囊内镜视频.
- 通过国际专家共识,制定全面的多匹配标准.
- 为了解决CCE聚类比较和报告准确性的挑战.
主要方法:
- 一个经过修改的Delphi过程,涉及一个由11名国际CCE专家组成的小组.
- 系统的定性研究,采用调查,在1-9级别上对60个陈述进行评分.
- 两轮调查和虚拟小组讨论以达成专家共识.
主要成果:
- 确定了聚匹配的八个基本因素:时间,定位,血管模式,大小,摄像头颜色之间的时间间隔,周围组织,形态和表面/轮.
- 达成协议,匹配五个或更多的因素表明相同的多胞体.
- 建立了首个完整的标准,用于在CCE中匹配聚.
结论:
- 开发的标准提供了一个框架,以指导和促进CCE中聚匹配.
- 这些标准旨在提高CCE程序的准确性并减少CCE程序的双重报告.
- 虽然并不是所有多类型的最终解决方案,但这些标准增强了CCE的解释.
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