结肠镜中的人工智能:专家的工具,而不是必要性的工具.
Raveena Karthikeyan1, Kristin Delfino2, Bridget Mcclain3
1Surgery, Southern Illinois University (SIU) School of Medicine, Springfield, USA.
Cureus
|October 27, 2025
概括
对于经验丰富的内镜医生来说,用于结肠镜的人工智能 (AI) 并没有显著改善多或腺瘤检测率. 然而,人工智能辅助结肠镜与更短的手术时间有关.
科学领域:
- 胃肠病学 胃肠病学
- 医学技术 医学技术 医学技术
- 医学中的人工智能
背景情况:
- 人工智能工具有望改善结肠镜检查期间的多体检测.
- 现实世界的人工智能性能各不相同,尤其是经验丰富的内镜医生.
- 这项研究评估了人工智能对单个高容量内镜师腺瘤检测率 (ADR) 和多检测率 (PDR) 的影响.
研究的目的:
- 评估人工智能辅助结肠镜 (AIAC) 在增强ADR和PDR方面的有效性.
- 为了确定人工智能是否会影响经验丰富的内镜医生使用时的结肠镜质量指标.
- 在现实临床环境中分析AI对手术时间和检测率的影响.
主要方法:
- 从2019年7月到2023年6月的结肠镜检查的回顾性分析.
- 包括由一位经验丰富的内镜医生进行的查或监视结肠镜检查.
- 在AI辅助结肠镜前 (pre-AIAC) 和AI辅助结肠镜 (AIAC) 组之间的结果比较.
主要成果:
- 在AIAC前组和AIAC组之间,ADR (35%与31%) 或PDR (42%与38%) 没有统计学上显著的差异.
- 结肠镜检查中的腺瘤也没有显著的变化 (0.62比0.51).
- 人工智能辅助结肠镜与显著缩短的平均戒断时间 (9.34分钟 vs 10.44分钟) 相关.
结论:
- 对于经验丰富的内镜医生来说,人工智能辅助结肠镜可能不会显著改善ADR或PDR.
- 使用AIAC与显著减少结肠镜抽取时间相关.
- 需要进一步的研究,以了解AI在各种临床场景中的作用.
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