人工智能增强结肠镜的有效性:在年轻的查年龄人口中使用真实世界的证据的病例对照研究
Maryam A Alahmad1, Youstina A Ghoris1, Colleen S Thomas2
1Division of Gastroenterology and Hepatology, Sheikh Shakhbout Medical City, Abu Dhabi, United Arab Emirates.
概括
计算机辅助检测 (CADe) 在现实临床环境中在结肠镜检查期间显著提高了腺瘤检测率. 这项技术增强了多体的识别,特别是在年轻的查人群中.
科学领域:
- 胃肠病学 胃肠病学
- 医疗技术 医疗技术 医学技术
- 公共卫生 公共卫生
背景情况:
- 计算机辅助检测 (CADe) 结肠镜在随机试验中显示出改善腺瘤检测的前景.
- 在现实世界中,CADe结肠镜的有效性仍然不太清楚,特别是在不同的临床环境中.
- 这项研究评估了阿拉伯地区的CADe结肠镜,早期查年龄为40岁.
研究的目的:
- 在临床实践环境中,评估CADe结肠镜与常规结肠镜相比的疗效.
- 通过结肠镜检查 (APC) 和腺瘤检测率 (ADR) 确定CADe对腺瘤的影响.
- 为了评估低查年龄的人群中的CADe表现.
主要方法:
- 一项务实的研究设计将CADe结肠镜检查 (GI Genius,Medtronic) 与常规结肠镜检查进行了比较.
- 从2021年9月到2023年7月收集的数据,匹配了161例CADe病例与607例常规病例 (1:4比).
- 主要终点包括每次结肠镜检查的腺瘤 (APC) 和腺瘤检测率 (ADR),波士顿肠道准备分数作为排除标准.
主要成果:
- CADe显著增加了平均APC (0.602比0.293;速率比1.80) 和ADR (30.4%比16.8%).
- 对ADR与CADe的调整后风险比为1.68 (P < 0.001).
- 两组之间没有观察到结肠镜抽出时间的显著差异.
结论:
- 在现实临床环境中,CADe结肠镜显著提高了腺瘤多的检测.
- 这些发现支持随机对照试验,在较年轻的查人群中证明了CADe的好处.
- 这项研究与最近的研究形成鲜明对比,这些研究表明CADe在现实世界中所带来的益处有限.
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