探索内镜师特征和人工智能对结肠镜检查中的腺瘤检测的影响
Chenxia Zhang1,2,3, Dexin Gong4, Xiao Tao1,2,3
1Department of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, China.
Frontiers in medicine
|January 28, 2026
概括
女性内镜师在结肠镜检查中显示出更高的腺瘤检测率 (ADR). 人工智能 (AI) 显著提高了男性内镜医生的ADR,减少了差异.
科学领域:
- 胃肠病学 胃肠病学
- 医疗技术 医疗技术 医学技术
- 改善临床质量 改善临床质量
背景情况:
- 腺瘤检测率 (ADR) 是结肠镜质量的关键指标.
- 内镜医生之间不良反应的变化凸显了提高绩效的需要.
- 人工智能 (AI) 正在成为改善结肠镜检查结果的工具.
研究的目的:
- 评估内镜师的性别和经验对ADR的影响.
- 在现实世界的结肠镜队列中评估人工智能协助对ADR的影响.
- 确定影响结肠镜检查质量和检测率的因素.
主要方法:
- 对17604名接受结肠镜检查的患者进行了回顾性队列研究.
- 对内镜师特征 (包括性别) 和人工智能辅助的分析.
- 多变量回归模型根据患者和内镜医生的混因素进行调整.
主要成果:
- 女性内镜师取得了显著更高的ADR和聚检测率 (PDR).
- 女性内镜师更好地检测了微小腺瘤和近端病变.
- 人工智能协助改善了男性内镜师的ADR,缩小了与女性内镜师的绩效差距.
结论:
- 内镜师的性别和AI显著影响ADR.
- 女性内镜师表现出优越的病变检测能力,特别是在小和近端病变.
- 人工智能有效地提高了男性内镜师的表现,减轻了ADR中基于性别的差异.
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