自动质量控制系统和常规结肠镜检查期间腺瘤检测率:一项随机临床试验
Jing Liu1,2,3,4, Ruchen Zhou1,2,3, Chengxia Liu5
1Department of Gastroenterology, Qilu Hospital of Shandong University, Jinan, Shandong, China.
JAMA network open
|January 30, 2025
概括
常规使用自动质量控制系统 (AQCS) 在中度和低水平检测器的结肠镜检查期间显著增加腺瘤检测率. 这项技术应考虑改善结直肠癌预防的质量.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 预防癌症 预防癌症
背景情况:
- 高质量的结肠镜检查对于通过提高腺瘤检测率来降低结肠直肠癌风险至关重要.
- 自动质量控制系统 (AQCS) 提供了在结肠镜检查期间增强腺瘤检测的潜在帮助.
研究的目的:
- 评估AQCS对腺瘤检测率 (ADR) 对中度和低检测率的内镜师的影响.
- 评估 AQCS 在常规结肠镜设置中的有效性.
主要方法:
- 进行了一项多中心,单盲,随机的临床试验,涉及1254名参与者.
- 参与者接受了标准结肠镜或AQCS辅助结肠镜.
- 使用了治疗意图和每条协议分析.
主要成果:
- 与标准结肠镜相比,AQCS辅助结肠镜显著增加了腺瘤检测率 (32.7%与22.6%,P<.001).
- 该系统可以更好地检测未发达的腺瘤和平面或状息肉.
- 使用AQCS的低级探测器 (30.0%对20.0%) 和中级探测器 (38.1%对27.7%) 的腺瘤检测率显着更高.
结论:
- 在结肠镜检查期间的AQCS协助提高了腺瘤检测率,特别是对于检测率较低的内镜医生.
- 这些发现支持 AQCS 在改善结肠镜检查质量和预防结肠直肠癌方面的常规考虑.
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