在日本,人工智能在结肠镜实践中的应用
Masashi Misawa1, Shin-Ei Kudo1, Yuichi Mori1,2,3
1Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan.
JMA journal
|February 10, 2025
概括
结肠镜术中的人工智能 (AI),包括计算机辅助检测 (CADe) 和表征 (CADx),正在取得进展. 监管部门的批准和补偿是广泛采用的关键,但需要严格的评估才能确保患者受益.
科学领域:
- 医疗技术 医疗技术 医学技术
- 胃肠病学 胃肠病学
- 人工智能的人工智能
背景情况:
- 人工智能 (AI) 越来越多地融入医疗程序,包括结肠镜检查.
- 像计算机辅助检测 (CADe) 和计算机辅助表征 (CADx) 等AI工具可以实时分析结肠镜视频.
- 这些技术旨在改善临床结果,例如腺瘤检测率.
研究的目的:
- 审查AI在结肠镜中的实施,流程和挑战.
- 突出医学和计算机科学研究人员之间的合作努力.
- 讨论监管批准和报销作为人工智能采用的关键因素.
主要方法:
- 在结肠镜检查过程中对人工智能实施的审查.
- 分析CADe和CADx在实时视频分析中的作用.
- 在日本获得AI工具 (EndoBRAIN) 监管批准的案例研究.
主要成果:
- 由于潜在的风险,医疗保健中的AI工具必须获得监管部门的批准.
- 获得监管部门的批准包括建立审查标准和绩效水平.
- 预计从2024年开始,日本的CADe工具的退款将加速人工智能的实施.
结论:
- 人工智能在结肠镜中的广泛采用取决于监管机构的批准和补偿.
- 人们仍然担心利益和危害的平衡,对癌症预防的影响,以及在不同人群中的有效性.
- 进一步的研究和临床指导方针对于严格的评估和AI在结肠镜实践中的最佳采用是必要的,以改善患者护理.
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