关于计算机辅助检测辅助结肠镜的AGA生活临床实践指南
Shahnaz Sultan1, Dennis L Shung2, Jennifer M Kolb3
1Division of Gastroenterology, Hepatology, and Nutrition, University of Minnesota, Minneapolis, Minnesota; Minneapolis Veterans Affairs Healthcare System, Minneapolis, Minnesota.
Gastroenterology
|March 22, 2025
概括
结肠镜的计算机辅助检测 (CADe) 系统显示了小息肉检测的适度增加,但由于长期利益不确定和监测增加,缺乏足够的证据进行推. 需要进一步的研究来指导未来使用这种人工智能工具.
科学领域:
- 胃肠病学 胃肠病学
- 医疗技术 医疗技术 医学技术
- 人工智能的人工智能
背景情况:
- 美国胃肠道学会 (AGA) 关于计算机辅助检测 (CADe) 系统的指南.
- 专注于在结肠镜检查期间检测结肠直肠多的CADe.
研究的目的:
- 为内镜医生和患者提供证据概述.
- 支持关于在结肠镜中使用CADe的决策.
主要方法:
- 使用GRADE框架的多学科小组.
- 对CADe效应,患者价值和AI信任进行系统审查.
- 关于长期结果的微型模拟研究.
主要成果:
- 由于证据的确定性非常低,没有支持或反对CADe的建议.
- 已确认腺瘤检测率增加了8%.
- 指出可能增加监管负担和成本影响.
结论:
- 在CADe的好处和危害之间进行密切的权衡.
- 目前证据的局限性阻碍了最终的建议.
- 目前正在进行的研究和人工智能代可能会为未来的指南提供信息.
相关概念视频
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