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结肠镜中的人工智能:2024年我们现在在哪里?
Wan Ying Lai1, Kenneth Weicong Lin2, Loi Pooi Ling2
1Department of Medicine and Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong, China, lilylai31@gmail.com.
Digestion
|February 13, 2025
概括
结肠镜中的人工智能 (AI) 显示出改善癌症检测和质量保证的前景. 然而,对于广泛的临床采用,必须解决当前系统的局限性,包括准确性和成本效益.
科学领域:
- 胃肠病学 胃肠病学
- 医疗成像医学成像
- 人工智能的人工智能
背景情况:
- 结肠镜检查对于预防结肠直肠癌至关重要.
- 人工智能 (AI) 系统正在开发,以提高结肠镜质量保证 (计算机辅助质量改善[CAQ]),病变检测 (计算机辅助检测[CADe]) 和病变特征 (计算机辅助特征[CADx]).
研究的目的:
- 审查当前关于人工智能在结肠镜中的应用的证据.
- 讨论现有的局限性,并探索人工智能在结肠镜中的未来方向.
主要方法:
- 现有关于人工智能在结肠镜中的研究的最新叙事审查.
主要成果:
- 由于数据集的小数量和方法的多样性,CAQ系统显示不一致的结果.
- CADe系统提高了腺瘤检测,但也引起了人们对错误阳性和成本的担忧.
- CADx系统的准确性不尽相同,并且受到数据表示和试验严格性的限制.
结论:
- 人工智能辅助结肠镜显示出潜力,但面临着现实世界实施的挑战.
- 需要进一步研究临床疗效,成本效益,责任和数据共享.
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