在结肠镜检测新型人工智能系统:系统性审查和网络元分析
Sunny Kumar1, Mahveer Maheshwari2, Shahnoor Aleem3
1Wright center for graduate Medical Education, Pennsylvania, USA.
Clinical and translational gastroenterology
|August 20, 2025
概括
人工智能 (AI) 在结肠镜检查过程中显著提高了腺瘤检测率 (ADR). 与传统方法相比,人工智能辅助的 EndoAngel 和 EndoAID 系统在检测结直肠瘤方面表现出更高的有效性.
科学领域:
- 胃肠病学
- 医学成像
- 人工智能
背景情况:
- 人工智能 (AI) 有望在结肠镜检查中提高腺瘤检测率.
- 不同人工智能辅助结肠镜系统的比较有效性需要澄清.
研究的目的:
- 系统地评估和比较不同人工智能辅助系统在结肠镜检测结肠直肠瘤的有效性.
主要方法:
- 在PubMed,Scopus和Google Scholar的系统文献审查中,确定了17项随机对照试验 (RCT),涉及10,547名参与者.
- 分析包括GI-Genius,CAD-EYE,Endoangel,Endoscreener和EndoAID等人工智能系统,将人工智能辅助与常规结肠镜进行比较.
- 主要结果是腺瘤检测率 (ADR),使用随机效应模型进行分析;进行了SUCRA排名和子组分析.
主要成果:
- 与传统手术相比,人工智能辅助结肠镜显示了较好的不良反应.
- 恩多安吉尔 (OR1. 84) 和恩多艾德 (OR1. 64) 的疗效最高.
- CAD-EYE和GI-Genius显示了可比的结果,而Endoscreener则比对照组略有改善.
结论:
- 人工智能辅助的结肠镜系统提高了ADR检测率.
- 特定的人工智能工具在改善多胞体检测方面表现出不同程度的有效性.
- 需要进一步的大规模研究来验证这些发现并指导临床实施.
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