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评估人工智能在临床实践中增强结肠镜腺瘤检测的潜力:一项前性观察性试验

Søren Nicolaj Rønborg¹, Suresh Ujjal¹, Rasmus Kroijer¹

¹Department of Surgical Gastroenterology, Esbjerg Hospital, University Hospital of Southern Denmark, Esbjerg, Denmark.

Clinical endoscopy

|August 27, 2024

概括

消化道天才 (Medtronic) 模块是一个计算机辅助的多体检测 (CADe) 系统,在现实世界结肠镜设置中没有显著增加腺瘤检测率 (ADR). 这项研究表明,CADe系统在常规临床实践中的影响很小.

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:

在受控试验中,计算机辅助多检测 (CADe) 系统在控制试验中在结肠镜检查期间改善腺瘤检测率 (ADR) 方面表现有前途.
最近的证据质疑这些人工智能驱动系统在常规临床实践中的有效性.

研究的目的:

评估GI Genius (Medtronic) 计算机辅助多体检测 (CADe) 模块在现实世界中的有效性.
评估CADe对临床环境中的结肠镜检查期间腺瘤检测率 (ADR) 的影响.

主要方法:

一个单一中心前性观察性研究,涉及502名接受结肠镜检查的患者.
随机比较用GI Genius CADe模块和没有GI Genius CADe模块检查的患者.
衡量的主要结果是腺瘤检测率 (ADR).

主要成果:

总体腺瘤检测率 (ADR) 为32.1%.
在CADe组 (34.7%) 与对照组 (30.5%) 相比,观察到略高的ADR.
多变量分析显示,随着CADe的使用,ADR的增加在统计上是微不足道的 (RR,1.12;95% CI,0.88-1.43).

结论:

在临床实践中,GI Genius CADe系统并没有显著改善腺瘤检测率 (ADR).
这些发现表明,CADe系统对日常结肠镜实践的影响很小.
可能需要进一步的研究来优化CADe集成,并评估长期效益.

关键词:

人工智能的人工智能是人工智能.结肠镜检查是一次结肠镜检查.结直肠瘤是什么意思早期发现癌症的早期发现

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