在结肠镜检查中暴露于人工智能后,内镜师的脱训风险:一个多中心的观察性研究
Krzysztof Budzyń1, Marcin Romańczyk1, Diana Kitala2
1Department of Gastroenterology, Faculty of Medicine, Academy of Silesia, Katowice, Poland; Endoterapia, H-T Centrum Medyczne, Tychy, Poland.
在结肠镜检查中持续接触人工智能 (AI) 可能会降低内镜师在不使用AI时的腺瘤检测率 (ADR). 这表明,人工智能的使用可能会在标准结肠镜检查期间对内镜师的表现产生负面影响.
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:
- 持续人工智能 (AI) 暴露对结肠镜检查期间内镜师行为的影响尚不清楚.
- 这项研究调查了习惯于人工智能的内镜师如何在没有人工智能的帮助下进行结肠镜检查.
研究的目的:
- 评估经常使用人工智能对非人工智能辅助结肠镜检查中的内镜师表现的影响.
- 为了确定持续的AI暴露是否会影响腺瘤检测率 (ADR).
主要方法:
- 在参加ACCEPT试验的四个波兰内镜中心进行了回顾性观察研究.
- 结肠镜分为两个阶段进行分析:3个月前和3个月后实施AI检测多.
- 在标准的非人工智能辅助结肠镜检测腺瘤检测率 (ADR) 是主要结果,使用多变量逻辑回归分析.
主要成果:
- 标准结肠镜的不良反应显著下降,从AI暴露前的28.4%降至暴露后的22.4% (p=0.0089).
- 不断暴露于人工智能与减少的ADR独立相关 (几率比0.69).
- 与ADR相关的其他因素包括患者的性别和年龄.
结论:
- 在结肠镜检查中持续接触AI可能会导致非AI辅助手术期间ADR的减少.
- 研究结果表明,人工智能对内镜师的行为和性能随着时间的推移可能产生负面影响.
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