删除和丢弃 - 它在世界上是可行的吗?
Roupen Djinbachian1, Daniel von Renteln1
1Division of Gastroenterology, University of Montreal Hospital Center (CHUM), Montreal, Quebec, Canada; University of Montreal Hospital Research Center (CRCHUM), Montreal, Quebec, Canada.
Best practice & research. Clinical gastroenterology
|February 22, 2026
概括
结直肠癌预防的切除和丢弃策略使用实时光学诊断,但面临实施障碍. 人工智能可能会提高准确性和接受性,尽管需要进一步的研究.
科学领域:
- 胃肠道学和瘤学
- 医疗技术和人工智能的人工智能
背景情况:
- 结直肠癌预防的切除和丢弃策略依赖于结直肠镜检查期间小息肉的实时光学诊断,旨在避免组织病理学分析.
- 尽管有证据支持其诊断准确性和主要胃肠病学学会的认可,但临床医生的信心,医疗法律问题和程序性挑战阻碍了广泛实施.
研究的目的:
- 审查目前关于结直肠癌预防的切除和丢弃策略的证据.
- 确定其实施的主要障碍,并提出未来的研究方向.
- 探索人工智能在克服这些障碍方面的潜在作用.
主要方法:
- 关于切除和丢弃策略,光学诊断和结肠镜中的人工智能研究的文献综述.
- 分析实施障碍,包括临床因素,法律问题和程序方面.
- 评估新兴的人工智能技术用于聚的诊断和大小估计.
主要成果:
- 切除和丢弃策略显示出希望,早期的现实世界数据表明患者的批准和潜在的成本/环境效益.
- 人工智能系统显示出提高诊断准确性和临床医生接受度的潜力,解决了关键的实施障碍.
- 关于最佳的息肉大小估计技术和AI区分组织学特征的能力,仍然存在重大未解答的问题.
结论:
- 删除和丢弃策略的广泛采用需要解决临床医生的信心,医疗法律的不确定性和程序标准化.
- 人工智能为提高这一战略的准确性和可行性提供了一个有希望的途径.
- 进一步的研究对于完善人工智能应用,建立质量保证和澄清医疗法律框架对于成功实施至关重要.
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