临床评估PolyDeep,一个计算机辅助检测系统:一个多中心随机并列结肠镜试验
Pedro Davila-Piñón1,2, Astrid Irene Díez Martín1,2, Alba Nogueira-Rodríguez3,4
1Research Group in Gastrointestinal Oncology Ourense, University Hospital of Ourense, 32005 Ourense, Spain.
像PolyDeep这样的计算机辅助检测 (CADe) 系统在结肠直肠癌查期间在结肠镜检查中没有显著降低腺瘤错误率 (AMR). 这项随机试验在PolyDeep辅助和常规结肠镜之间没有AMR的统计差异.
科学领域:
- 胃肠病学 胃肠病学
- 医疗成像医学成像
- 在瘤学瘤学.
背景情况:
- 计算机辅助检测 (CADe) 系统可以在内镜检查过程中提高病变的识别能力.
- PolyDeep是一款CADe/x工具,此前曾在观察性研究中进行过评估.
- 在减少腺瘤错误率方面,CADe系统的临床实用性需要进一步研究.
研究的目的:
- 为了确定PolyDeep辅助结肠镜是否与传统结肠镜相比降低了腺瘤遗漏率 (AMR).
- 评估PolyDeep对多错误率 (PMR),状病变错误率 (SLMR) 和高级多错误率 (APMR) 的影响.
主要方法:
- 进行了一项多中心随机对照试验,采用双重结肠镜设计.
- 参与者从结直肠癌查计划中招募.
- 专家内镜师进行了结肠镜检查,患者随机分配到PolyDeep辅助或常规结肠镜检查组.
主要成果:
- 总共分析了240名患者,具有平衡的基线特征.
- 在PolyDeep辅助和常规结肠镜组之间没有观察到AMR的统计学上显著差异 (21.3%与18.1%,p=0.5).
- 二级终点,包括PMR,SLMR和APMR,也显示两组之间没有显著差异.
结论:
- 在这个结肠直肠癌查计划中,PolyDeep辅助结肠镜检查没有证明腺瘤错误率有所降低.
- 与标准结肠镜相比,该研究没有发现PolyDeep在检测各种类型的息肉方面有显著的好处.
- 可能需要进一步的研究来探索CADe系统在不同的临床环境或改进的算法中的作用.
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