人工智能作为检查时间的替代品,以评估食道胃管腺镜检查的完整性:一项前性,随机化,非劣势性研究
Xia Tan1,2,3,4, Liwen Yao1,2,3,4, Zehua Dong1,2,3,4
1Department of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, China.
Clinical and translational gastroenterology
|March 24, 2025
概括
人工智能 (AI) 显著减少了食道胃管腺镜 (EGD) 检查时间,而不会影响质量. 人工智能辅助的EGD为胃肠道检查中的程序完整性和病变检测提供了一个客观的措施.
科学领域:
- 胃肠病学 胃肠病学
- 医疗技术 医疗技术 医学技术
- 人工智能在医学中的应用
背景情况:
- 消化管胃管腺镜 (EGD) 的完整性对于病变检测至关重要.
- 指南推的检查时间旨在确保彻底性.
- 评估人工智能对EGD质量和效率的影响至关重要.
研究的目的:
- 将人工智能辅助EGD的质量与指南推的检查时间进行比较.
- 确定人工智能辅助是否会影响瘤病变检测率.
- 评估AI在优化EGD程序持续时间方面的作用.
主要方法:
- 一项随机对照试验,涉及1723名接受EGD的患者.
- 两个组:人工智能辅助检查与控制组,至少7分钟的检查时间.
- 主要结局:新生病变的检测率;非劣势差:-1.5%.
主要成果:
- 在人工智能辅助的EGD中,检测到3.14%的瘤病变,对照组的2.36%.
- 在人工智能协助下,检查时间的中位数减少了1.5分钟 (6.18分钟与7.70分钟相比).
- 损伤检测95%CI的下限为-0.58%,表明非劣质性.
结论:
- 人工智能显著缩短了整个EGD检查时间,而不会影响检查质量.
- 人工智能辅助的程序完整性可以作为EGD的有效质量指标.
- 人工智能提高了胃肠内镜手术的效率.
相关概念视频
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