新型人工智能辅助结肠镜系统用于腺瘤检测的有效性:韩国的一项前性,倾向性得分匹配的非随机对照研究
1Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Clinical endoscopy
|August 6, 2024
概括
作为人工智能驱动设备 (ENAD) 的新型ENdoscopy显著提高了结肠镜检查期间腺瘤检测率. 这种人工智能系统在现实实践中提高了腺瘤和状状病变的检测能力.
科学领域:
- 胃肠病学 胃肠病学
- 医疗技术 医疗技术 医学技术
- 人工智能在医学中的应用
背景情况:
- 在结肠镜检查中,计算机辅助检测 (CADe) 系统的实际有效性尚未得到充分证实.
- 评估新的CADe系统对于提高结肠镜检查质量至关重要.
研究的目的:
- 评估ENdoscopy作为人工智能驱动设备 (ENAD) 系统的有效性.
- 确定ENAD是否在临床实践中提高腺瘤检测率 (ADR) 和其他质量指标.
主要方法:
- 一项涉及1758名接受选择性结肠镜检查的患者的比较研究.
- 由八名经验丰富的内镜师进行了手术,将标准结肠镜 (SC) 与ENAD辅助结肠镜进行比较.
- 随机分配到CADe辅助或非CADe辅助的房间.
主要成果:
- ENAD组显示显著更高的ADR (45.1%与38.8%,p=0.010).
- 此外,ENAD还提高了状状病变检测率 (SSLDR) (5.7%对2.5%,p=0.001) 和每次结肠镜检查 (APC) 的平均腺瘤.
- 在ENAD组中,戒断时间较长 (9.0分 vs 8.3分钟,p<0.001).
结论:
- 在现实环境中,ENAD辅助结肠镜显著提高了ADR,APC和SSLDR.
- 该系统对于检测较小和非多重型腺瘤特别有效.
- ENAD代表了人工智能驱动的结肠镜技术的宝贵进步.
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