在结肠镜检查过程中实时估计结肠直肠多的临床含义
Giulio Antonelli1, Federico Desideri2, Sara Schiavone1
1Gastroenterology and Digestive Endoscopy Unit, Ospedale dei Castelli, Rome, Italy.
Endoscopy
|September 3, 2025
概括
人工智能 (AI) 算法准确估计结肠直肠多体大小,提高结肠镜查效率. 这种人工智能工具显示出更精确的临床决策和患者随访策略的潜力.
科学领域:
- 胃肠病学
- 医学成像
- 人工智能
背景情况:
- 准确的结直肠多体大小估计对于临床决定和随访至关重要.
- 目前的方法缺乏客观性,导致观察者之间的高变化.
研究的目的:
- 评估一种新型人工智能 (AI) 算法的准确性,以估计结肠直肠多体的大小.
主要方法:
- 涉及接受结肠镜检查的患者的前性多中心研究.
- 人工智能算法从记录的程序中评估了多体的大小,并与操作者的估计进行了比较.
- 主要终点:大小类的AI准确性 (减小,小,大).
主要成果:
- 在465个多中,人工智能在尺寸类别的确定中实现了85.8%的准确性.
- 具体准确率为93.3% (减小),74.6% (小),55.1% (大).
- 在90. 8%的患者中,AI分配了正确的监测间隔,平均绝对误差低 (1. 13 mm).
结论:
- 在临床上相关的多体大小终点上,人工智能模型表现出与专家内镜师可比的性能.
- 这种人工智能工具可以提高结直肠癌查和监测的准确性和效率.
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