基于人工智能的模型用于在全幻灯片图像中诊断Helicobacter pylori
Kehan Teng1, Lihua Ren2, Xiaoyu Yan3
1Department of Pathology, Zhongda Hospital, Southeast University School of Medicine, Nanjing, Jiangsu, China.
Frontiers in medicine
|June 26, 2025
概括
人工智能 (AI) 模型现在可以高精度地检测Helicobacter pylori (H. pylori) 感染. DS-MIL模型的表现优于高级病理学家,提高了H. pylori检测的诊断效率和准确性.
科学领域:
- 数字病理学数字病理学
- 医疗人工智能的人工智能
- 胃肠病学 胃肠病学
背景情况:
- 杆菌 (H. pylori) 感染是胃癌和慢性胃炎的主要原因.
- 通过H&E染色进行传统的H. pylori诊断是劳动密集型的,容易出现错误.
- 需要更准确,更有效的诊断方法.
研究的目的:
- 开发和评估人工智能 (AI) 模型,用于在组织学图像中自动检测H. pylori.
- 将人工智能模型的诊断性能与高级病理学家进行比较.
- 为了提高H. pylori诊断的准确性和效率.
主要方法:
- 开发了三个多级学习 (MIL) 模型 (AB-MIL,DS-MIL,Trans-MIL).
- 1,020个数字化全幻灯片图像 (WSIs) 用于培训,验证和测试.
- 计算性能指标 (精度,AUC,灵敏度,特异性) 并与病理学家诊断进行比较.
主要成果:
- 这三种MIL模型都显示出H. pylori检测的强大诊断性能.
- DS-MIL模型获得了最高的精度 (89.7%) 和AUC (0.949),超过了高级病理学家 (81.7%).
- 与人类专家相比,DS-MIL表现出更高的灵敏度和特异性.
结论:
- 基于人工智能的预测模型,特别是DS-MIL,显著提高了H. pylori的诊断准确性和临床效率.
- 开发的AI模型提供了一个有前途的工具来帮助病理学家检测H. pylori.
- 多中心验证正在进行中,以确保模型的通用性.
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