引入人工智能对结肠镜检查的影响:对潜在益处和缺点的回顾性研究
Ayaka Takasu1,2, Hirofumi Kogure1, Zhehao Dai3
1Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan.
Journal of gastroenterology and hepatology
|July 2, 2025
概括
计算机辅助检测 (CAD) 在结肠镜检查期间显著提高了腺瘤检测率 (ADRs) 和聚检测率 (PDRs). 然而,对CAD的依赖可能会降低内镜师的警,需要仔细地将其纳入临床实践.
科学领域:
- 胃肠病学 胃肠病学
- 医疗技术 医疗技术 医学技术
- 内镜检查是指内镜检查.
背景情况:
- 计算机辅助检测 (CAD) 系统旨在提高结肠镜检查期间腺瘤检测率 (ADRs).
- 将CAD整合到常规结肠镜实践中的实际影响仍然不完全理解.
- 这项研究评估了在医院环境中引入CAD的影响.
研究的目的:
- 评估引入计算机辅助检测 (CAD) 对结肠镜检查结果的影响.
- 在CAD实施之前和之后,比较腺瘤检测率 (ADRs),聚检测率 (PDRs) 和状状病变检测率 (SSLDRs).
- 评估内镜师在检测有或没有CAD辅助的病变方面的表现.
主要方法:
- 对2023年1月至12月期间进行的1314次结肠镜检查进行了回顾性分析.
- 在干预前的非CAD组和干预后的CAD组之间检测率的比较.
- 通过比较干预前非CAD病例与干预后非CAD病例来评估内镜师的表现.
主要成果:
- 与干预前非CAD组 (31.6%) 相比,瘤检测率 (ADRs) 与CAD (49.3%) 显著更高.
- 息肉检测率 (PDRs) 也明显高于CAD (57.9%) 与干预前非CAD组 (39.8%) 相比.
- 在CAD和干预前非CAD组 (4.4%和2.8%) 之间,形形病变检测率 (SSLDR) 是可比的.
- 干预后的非CAD组与干预前的非CAD组相比,显著降低了ADRs (13.5%) 和PDRs (18.2%).
结论:
- 引入CAD辅助结肠镜显著提高了ADR和PDR.
- 潜在的过度依赖CAD可能会导致内镜师在独立病变检测方面的警性降低.
- 对CAD的战略实施至关重要,以最大限度地发挥其临床益处,同时减轻潜在的缺点.
更多相关视频
相关概念视频
Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
152
This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
152
Endoscopic Procedures II: Colonoscopy
193
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
193
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
180
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
180


