胃肠道天才计算机辅助检测系统与标准结肠镜疗法的有效性:随机对照试验的系统审查和元分析
Aliya Sattar1, Arifa Sattar2, Muhammad Haris Khan3
1Internal Medicine, Capital Hospital CDA, Islamabad, PAK.
Cureus
|November 17, 2025
概括
计算机辅助检测系统GI Genius显著提高了结肠镜检查期间腺瘤检测率. 这种人工智能工具增强了聚和状状病变的检测,改善了结直肠癌预防策略.
科学领域:
- 胃肠病学 胃肠病学
- 医疗成像医学成像
- 人工智能在医学中的应用
背景情况:
- 高质量的结肠镜对于预防结肠直肠癌至关重要,但错过了临床相关的病变.
- 计算机辅助检测 (CADe) 系统,如GI Genius,旨在改善结肠镜检查期间的实时多体识别.
- 胃肠道天才系统经过FDA批准,可以在内镜手术期间标记可疑的息肉.
研究的目的:
- 系统地审查和元分析随机对照试验,将GI Genius辅助结肠镜与标准结肠镜进行比较.
- 评估GI Genius对腺瘤检测率 (ADR) 和其他关键的多重体检测指标的影响.
- 评估使用人工智能辅助技术在结肠镜中预防癌症的安全性和有效性.
主要方法:
- 一个与PRISMA一致的随机对照试验的系统审查和元分析.
- 在PubMed,Ovid Embase和Cochrane CENTRAL进行的搜索截至2025年8月25日,引用追逐.
- 包括七项试验,共有9639名成年参与者,将GI Genius与标准结肠镜检查进行比较.
主要成果:
- 胃肠道天才显著增加了腺瘤检测率 (ADR) (RR 1.12,95% CI 1.03-1.22).
- 支持GI Genius的次要结果包括更高的聚检测率 (PDR) (RR 1.05) 和状状病变检测率 (SSLDR) (RR 1.27).
- 在每次手术中,腺瘤和息肉的病变数量也与GI Genius显著增加 (SMD分别为0.15和0.10);在高级ADR中没有发现显著差异.
结论:
- 辅助GI Genius可以改善临床上有意义的病变的检测,包括腺瘤,多和SSL.
- 该系统提高了每次手术的病变计数,但对高级腺瘤检测没有可检测的效果.
- 支持常规使用GI Genius,等待适当的培训和遵守系统提示,需要进一步进行长期临床终点研究.
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