视觉估计测量结肠多片大小的准确性:系统性审查和元分析
Abraham Z Cheloff1, Leah Kim, Mark B Pochapin
1Division of Gastroenterology and Hepatology, NYU Langone Health, New York, New York, USA.
The American journal of gastroenterology
|February 28, 2025
概括
对结直肠多的视觉估计是不准确的. 人工智能显著提高了测量准确性,突出了提高结直肠癌查新技术的需要.
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:
- 结直肠息肉测量传统上依赖于视觉估计,这种方法因其易受偏差而闻名.
- 之前关于视觉估计和辅助工具准确性的研究已经产生了不一致的结果.
- 这项研究旨在清楚地评估视觉估计的准确性和人工智能在多测量的优势.
研究的目的:
- 为了评估视觉估计测量结直肠多的准确性.
- 确定人工智能 (AI) 在聚测量中提供的好处和精度改进.
- 分析影响视觉估计准确性的因素,包括专业知识和图像类型.
主要方法:
- 一个系统的审查和对35项研究的元分析,涉及42,964个结直肠聚测量.
- 在MEDLINE和Embase数据库中进行的搜索截至2024年10月.
- 主要结果:视觉估计和对照之间的总的绝对平均差异大小;次要结果:AI准确性,子组分析.
主要成果:
- 视觉估计显示,聚合绝对平均差异为1.68毫米,具有显著的可变性.
- 视觉估计的整体准确率为60%,与照片相比,视频观察到的准确性更高.
- 人工智能在准确度方面取得了实质性的改进,赔率比率为7.46.
结论:
- 视觉估计是一种不精确和不准确的方法来测量结直肠息肉.
- 需要进一步的研究,以了解不准确的聚测量对结直肠癌结局的临床影响.
- 采用先进技术,如人工智能,用于测量聚,是改善内镜手术的关键下一步.
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