肠道准备的质量和计算机辅助检测腺瘤在结肠镜检查期间
Enrico Muccichini1, Emanuele Rondonotti2, Marco Spadaccini3
1Department of Gastroenterology, Valduce Hospital, Como, Italy; Department of Gastroenterology and Hepatology, IRCCS Foundation Ca' Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy.
计算机辅助检测 (CADe) 系统可以在结肠镜检查过程中提高腺瘤的检测,无论肠道的准备质量如何. 这项技术提高了腺瘤检测率 (ADR) 和每次结肠镜检测腺瘤 (APC) 在良好的和优秀的肠道制备中.
科学领域:
- 胃肠病学 胃肠病学
- 医疗成像医学成像
- 内镜检查是指内镜检查.
背景情况:
- 计算机辅助检测 (CADe) 系统旨在改善结肠镜检查期间的腺瘤检测.
- 肠道准备质量对CADe系统性能的影响尚不清楚.
研究的目的:
- 评估不同程度的适当肠道准备是否会影响结肠镜中CADe系统的有效性.
主要方法:
- 进行了对来自三个随机对照试验的个体患者数据的综合分析.
- 根据肠道准备质量 (好与优秀) 分析了腺瘤检测率 (ADR) 和每次结肠镜检测腺瘤 (APC).
- 使用相互作用分析来确定准备品质是否改变了CADe的有效性.
主要成果:
- 在良好的准备组中,CADe改善了ADR8.4%,在良好的准备组中改善了10.6%,没有显著的相互作用.
- 结肠镜检查 (APC) 的腺瘤也显示了制剂组之间的非显著差异.
- 对于不同类型的腺瘤,CADe的有效性在不同肠道准备质量之间是一致的.
结论:
- 在结肠镜检查期间改善腺瘤检测的CADe系统的性能不受肠道准备质量的显著影响.
- 在腺瘤检测方面,无论清洁质量级别如何,CADe系统都提供了一致的好处.
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