人工智能用于减少在结肠镜检查中遗漏检测腺瘤和息肉:系统性审查和元分析
Sheng-Yu Wang1, Jia-Cheng Gao2, Shuo-Dong Wu3
1The Second Department of General Surgery, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning Province, China.
World journal of gastroenterology
|June 20, 2025
概括
计算机辅助检测 (CADe) 在结肠镜检查期间显著降低了腺瘤遗漏率 (AMR) 和聚遗漏率 (PMR). 在初步检查时,CADe提高了腺瘤检测率 (ADR),提高了结直肠癌查.
科学领域:
- 胃肠病学 胃肠病学
- 医疗成像医学成像
- 在瘤学瘤学.
背景情况:
- 结肠直肠癌 (CRC) 构成了严重的全球健康负担,发病率和死亡率很高.
- 结肠镜的有效性高度依赖于内镜师的技能,导致腺瘤检测的变化.
- 计算机辅助检测 (CADe) 系统是新兴的工具,可以提高结肠镜的性能,但它们对腺瘤错误率 (AMR) 的影响需要进一步调查.
研究的目的:
- 评估CADe在结肠镜检查中的有效性.
- 评估使用腺瘤错误率 (AMR) 与腺瘤检测率 (ADR) 作为主要结果的优势.
主要方法:
- 在主要数据库 (PubMed,Embase,Cochrane) 进行了系统的文献审查.
- 统计分析比较了CADe辅助和常规结肠镜组之间的结果.
- 研究质量是使用Cochrane偏差风险工具和GRADE.评估的.
主要成果:
- CADe显著降低了AMR (15.9%与35.9%) 和聚错误率 (PMR).
- 对于晚期腺瘤或较大的病变 (≥6mm) 发现没有显著的CADe优势.
- 在第一次结肠镜检查中,CADe改善了ADR,尽管整体ADR没有显著差异.
结论:
- 通过显著降低AMR和PMR,CADe系统显然增强了结肠镜检查.
- 这些系统有潜力提高结直肠瘤检测的整体准确性,特别是对于较小的腺瘤.
- 将CADe整合到结肠镜工作流程中可能会导致更早,更有效的CRC查和管理.
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