结肠囊的英国全国观测研究:CAP ACCESS研究
Ian Io Lei1, Hussain Ibrahim2, Ruari Jardine2
1Institute of Precision Diagnostics & Translational Medicine, University Hospital of Coventry and Warwickshire, Clifford Bridge Rd, Coventry CV2 2DX, United Kingdom; Warwick Medical School, University of Warwick, Coventry CV4 7AL, United Kingdom.
概括
结肠囊内镜 (CCE) 通常高估了多胞体大小,导致不必要的程序. 提高CCE准确性,可能与AI相结合,可以降低成本和降低患者负担.
科学领域:
- 胃肠病学 胃肠病学
- 医疗成像医学成像
- 内镜检查是指内镜检查.
背景情况:
- 结肠囊内镜 (CCE) 是光学内镜 (OE) 的一个不断增长的替代方案,特别是在欧洲.
- 挑战包括完成率,准备质量,转换为OE,以及发现差异.
- 在CCE中精确测量聚合物大小至关重要,以防止不必要的程序被高估.
研究的目的:
- 为了比较CCE,OE和组织病理学 (HP) 的多体大小测量.
- 评估CCE尺寸测量对后续程序需要的影响.
主要方法:
- 对来自英国12个中心的2508名参与者的现实世界数据进行了回顾性分析.
- 通过CCE识别的4898个息肉与基于多个标准的OE和HP报告相匹配.
- 苏格兰和英格兰地区数据的比较.
主要成果:
- 一半的CCE患者需要随访OE,其中29%接受了结肠镜检查.
- CCE高估了多体大小,平均为2.5毫米 (相对于HP) 和2.7毫米 (相对于OE).
- 17.3%的手续由于大小估计过高而可能推迟.
结论:
- 在CCE中过度估计的聚大小导致六分之一的参与者接受了进一步的程序.
- 人工智能技术的进步可以提高CCE聚测量精度.
- 提高准确性可能会减少不必要的程序,并提高CCE的成本效益.
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