人工智能增强的小肠囊内镜用于腹腔疾病:关于准确性,工作流程和安全性的文献综述
Arkadeep Dhali1,2, Rick Maity3, Jyotirmoy Biswas4
1Academic Unit of Gastroenterology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
Translational gastroenterology and hepatology
|February 12, 2026
概括
人工智能 (AI) 增强了小肠囊内镜 (SBCE) 用于胆固醇病 (CeD) 诊断,提高了效率和一致性. 人类监督对于在临床实践中安全和公平地采用人工智能辅助的SBCE至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 医疗成像医学成像
- 人工智能的人工智能
背景情况:
- 病 (CeD) 是一种普遍的,往往被诊断不足的肠病,发病率和诊断延迟日益增加.
- 小肠囊内镜 (SBCE) 和人工智能的进步为改善CeD诊断和管理提供了潜在的解决方案.
研究的目的:
- 审查SBCE和CeD的AI最近的进展.
- 概述这些技术发展的临床影响.
主要方法:
- 在主要数据库 (PubMed,Scopus,Embase,Cochrane Library) 中进行全面的文献搜索.
- 包括2015年至2025年间发表的英语文章.
- 两位独立审稿人的分析.
主要成果:
- 组织转胺酶免疫球蛋白A (tTG-IgA) 和内体抗体IgA (EMA-IgA) 是关键的血清学测试.
- 优化的活检协议和SBCE改善了诊断产量和疾病映射.
- 人工智能显著减少了SBCE审查时间 (10-12倍),并提高了诊断灵敏度,特别是对于非专家.
- 人工智能检测小性缩的准确性在94%-96%之间.
结论:
- 人工智能增强的SBCE可以提高CeD的效率,一致性和监控.
- 人在循环中的方法和安全协议对于人工智能采用至关重要.
- 公平考虑,包括血清学阴性病例和校准值,对于广泛实施至关重要.
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