人工智能内镜支持系统和内镜师之间的相互作用对胃瘤病变的诊断的影响
Hiroya Mizutani1,2, Yosuke Tsuji1,2, Dai Kubota1,2
1Department of Gastroenterology Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Japan.
Endoscopy international open
|October 13, 2025
概括
人工智能 (AI) 显著改善了专家内镜师的胃病变检测. 人工智能工具增强了灵敏度并保持了特异性,表明了它在各专业水平的价值.
科学领域:
- 胃肠病学 胃肠病学
- 医疗成像医学成像
- 人工智能的人工智能
背景情况:
- 人工智能 (AI) 在增强内镜病变检测方面表现有前途.
- 在高技能内镜师,特别是在日本,对人工智能有效性的验证是有限的.
- 一个新的AI辅助诊断工具被开发用于胃瘤病变.
研究的目的:
- 评估一种新型人工智能辅助诊断工具的实用性.
- 为了比较内镜师的诊断性能,有和没有人工智能辅助.
- 在专家内镜医生中评估AI对检测胃瘤病变的影响.
主要方法:
- 一项涉及14名专家和12名非专家内镜师的比较研究.
- 一个评估数据集,包括150张具有瘤病变的图像和350张没有的图像.
- 使用一般线性混合模型进行统计分析,以比较诊断性能.
主要成果:
- 在专家内镜师中,AI表现出更高的灵敏度 (83.5%与AI相比66.4%没有).
- 人工智能显示非劣质的特异性 (92.9%的人工智能与90.8%没有).
- 人工智能工具在检测胃瘤病变方面显著提高了诊断性能.
结论:
- 人工智能提高了胃瘤病变检测的诊断性能,即使是高度熟练的内镜医生.
- 人工智能系统显示出在不同专业水平上支持一致的诊断性能的潜力.
- 人工智能辅助内镜可能是改善胃癌查和诊断的宝贵工具.
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