胃瘤检测的计算机辅助检测-辅助食道胃管腺镜变化与实施场景:一个现实世界的研究
Li Huang1,2,3,4, Ming Xu1,2,3,4, Yanxia Li1,2,3,4
1Department of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, China.
Journal of gastroenterology and hepatology
|October 29, 2024
概括
计算机辅助检测 (CAD) 设备在现实世界食道胃管腺镜 (EGD) 设置中显著提高了胃瘤检测率,特别是在低活检率的环境中. 根据实施策略,有效性有所不同.
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:
- 计算机辅助检测 (CAD) 在食道胃管腺镜术 (EGD) 期间有望识别胃癌前病变和瘤.
- 关于CAD设备在EGD中的有效性的真实世界的临床证据是有限的.
研究的目的:
- 评估CAD设备对EGD胃瘤检测率的现实影响.
- 为了比较不同活检策略下的CAD设备性能.
主要方法:
- 一个双中心,现实世界的研究,比较EGD在CAD实施之前和之后的结果.
- 使用高 (>95%) 和低 (<20%) 活检策略检测胃癌前和瘤检测率的分析.
主要成果:
- 在一个高活检率的中心,CAD的实施增加了早期胃癌与所有胃瘤的比率 (EGC/GN),但并没有显著改变整体胃瘤检测率.
- 在一个低活检率的中心,CAD几乎使胃瘤检测率翻了一番,而没有显著改变EGC/GN比率.
结论:
- 在EGD中,CAD设备增强了胃瘤检测,其有效性因活检策略和实施场景而异.
- 在临床实践中,CAD显示出作为改善诊断产量的辅助工具的潜力.
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