实施内镜人工智能的挑战:现实世界的成像条件对巴雷特的新生病检测的影响
M R Jong1, T J M Jaspers2, C H J Kusters2
1Department of Gastroenterology and Hepatology, Amsterdam Gastroenterology, Endocrinology and Metabolism, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
United European gastroenterology journal
|March 21, 2025
概括
用于内镜的深度学习系统在图像质量不同时可能表现不佳. 强度增强的训练策略提高了计算机辅助检测巴雷特瘤在现实环境中的性能.
科学领域:
- 医疗成像医学成像
- 人工智能在医学中的应用
- 胃肠病学 胃肠病学
背景情况:
- 内镜深度学习系统通常依赖于来自专家中心的高质量图像.
- 这可能导致社区医院的表现不佳,图像质量变化较大.
研究的目的:
- 量化计算机辅助检测 (CAD) 系统对巴雷特瘤的性能退化,当训练在专家图像上并测试在异质的,现实世界的临床数据.
- 评估减轻这种绩效损失的策略.
主要方法:
- 使用来自373名巴雷特患者的1011张高质量图像开发了一个CAD系统.
- 在独立的测试集中评估了高,中和低图像质量的性能,包括常见的文物.
- 应用了强度增强策略 (多种训练数据,特定领域的预训练,架构优化).
主要成果:
- 仅在高质量数据上训练的CAD系统在中度 (AUC 80%,灵敏度 62%) 和低质量 (AUC 71%,灵敏度 47%) 的测试集上显示出显著的性能下降.
- 实施强度增强策略显著提高了所有测试组的性能,达到84-93%的AUC和78-88%的灵敏度.
结论:
- 在有限的高质量数据上训练的内镜深度学习系统可能无法很好地对各种临床成像条件进行概括.
- 强度增强的培训策略对于这些系统的成功临床实施至关重要.
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