计算机辅助检测结肠镜用于IBD患者的监测:来自单一中心的见解
Adam Goldman1,2,3, Levy Idan2,3, Shomron Ben-Horin2,3
1Department of Epidemiology and Preventive Medicine, School of Public Health, School of Medicine, Tel Aviv University, Tel Aviv, Israel.
计算机辅助检测 (CADe) 在炎症性肠病 (IBD) 患者的监测结肠镜检测中没有改善. 这项研究发现,在实施CADe后,腺瘤检测率有所下降.
科学领域:
- 胃肠病学
- 内镜检查
- 医学的人工智能
背景情况:
- 监测结肠镜对于治疗炎症性肠病 (IBD) 患者至关重要.
- 计算机辅助检测 (CADe) 系统在增强IBD患者结肠镜检查效率方面的有效性尚不清楚.
- 确定CADe的实际影响对于优化IBD监测协议至关重要.
研究的目的:
- 评估计算机辅助检测 (CADe) 在改善炎症性肠病 (IBD) 患者的监测结肠镜检查结果方面的实际有效性.
- 在IBD患者队列中实施CADe之前和之后的腺瘤检测率 (ADR) 的比较.
主要方法:
- 一个回顾性,单中心的研究分析了IBD患者的监测结肠镜.
- 包括适当准备的结肠镜和管输入.
- 在CADe前 (2020年6月至2021年6月) 和CADe后 (2021年7月至2022年9月) 期间比较了腺瘤检测率 (ADR).
主要成果:
- 这项研究包括225个CADe前和750个CADe后的手术.
- 在5. 8%的CADe前和3. 6%的CADe后发现了新生病变或结直肠癌.
- 在实施CADe后,集体腺瘤检测率 (ADR) 从5. 2%降至3. 8% (P=. 315).
结论:
- 在IBD监测结肠镜检测中,计算机辅助检测 (CADe) 没有提高瘤检测效果.
- 在CADe实施后,不显著地减少了ADR.
- 结果表明需要针对IBD的CADe系统和更好的医生-AI交互策略.
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