与真实组织学率相关的患者和程序因素在接受计算机辅助检测聚的结肠镜检查的患者中
Aasma Shaukat1, David R Lichtenstein2, Daniel C Chung3
1Division of Gastroenterology and Hepatology, Department of Medicine, New York University Grossman School of Medicine, New York, New York, USA.
Gastrointestinal endoscopy
|July 4, 2024
概括
计算机辅助检测 (CADe) 结肠镜显示了与标准程序相似的真实组织学率. 然而,CADe设备可能会在特定的患者和程序子组中改善临床相关腺瘤的检测,这需要进一步的现实研究.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 医疗器械 医疗器械
背景情况:
- 计算机辅助检测 (CADe) 设备旨在提高结肠镜检查期间腺瘤检测率.
- 不确定性存在于CADe是否主要检测临床显著的息肉或非新生病变.
研究的目的:
- 为了比较CADe识别的多的真实组织学速率 (THR) 与标准结肠镜相比.
- 分析子组以确定影响CADe检测病理相关息肉的因素.
主要方法:
- 利用SKOUT试验的数据,比较CADe和标准结肠镜检查.
- 根据患者,程序和内镜学家的因素计算了THR并进行了子组分析.
- 采用错误发现率来管理多次测试.
主要成果:
- 总的来说,对于腺瘤,状状病变和大型超塑性息肉的CADe和标准结肠镜之间,THR是可比的.
- 在CADe结肠镜检查中,特定子组的腺瘤THR较高,包括经验丰富的内镜医生和后期手术.
- 年龄较小,男性性别和更长的戒断时间等因素显示,较高的腺瘤THR与CADe的边界显著性.
结论:
- CADe结肠镜显示出通过识别临床相关的多重体来提高内镜质量的潜力.
- 需要进一步的研究来证实CADe在现实临床环境中的持续益处和真实组织学产量.
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