计算机辅助检测辅助结肠镜教导凝视改善腺瘤检测在第一年胃肠道学研究员
Nikita Chadha1,2, Marcus Healey1,2, Puneet Puri1,2
1Division of Gastroenterology Richmond Veterans Affairs Medical Center, Central Virginia VA Health Care System Richmond Virginia USA.
概括
计算机辅助检测 (CADe) 在结肠镜检查期间显著改善了第一年胃肠病学研究员的腺瘤检测率 (ADR). 然而,CADe对更有经验的研究员或教师没有显著影响ADR.
科学领域:
- 胃肠病学 胃肠病学
- 医疗技术 医疗技术 医学技术
- 内镜检查是指内镜检查.
背景情况:
- 计算机辅助检测 (CADe) 在改善胃肠病学学员结肠镜检查期间腺瘤检测率 (ADR) 的有效性尚未得到充分证实.
- 评估CADe对同学表现的影响对于提高结肠镜检查质量至关重要.
研究的目的:
- 评估CADe辅助结肠镜对胃肠病学研究员腺瘤检测率 (ADR) 的影响,按培训年分层.
- 为了比较同事辅助结肠镜检查中的ADR,有或没有CADe与教师进行的结肠镜检查.
主要方法:
- 一项质量改善研究,比较了使用CADe和不使用CADe进行的1580次结肠镜检查.
- 对第一年学员,第二年和第三年学员,以及没有同学协助的教师进行了ADR分析.
- 患者的人口统计和程序特征被评估为可比性.
主要成果:
- 在第一年研究生中,CADe显著增加了ADR (66.2%对48.6%,p < 0.001).
- 对于CADe的第二年和第三年学员 (61.5%对58.7%,p=0.39) 或教师 (61%对50%,p=0.24) 没有观察到ADR的显著差异.
- 关键的患者和程序因素在各组中是相似的.
结论:
- CADe辅助结肠镜增强了ADR,特别适用于初学者 (第一年) 胃肠病学研究员.
- 在CADe中人工智能生成的界限框可以通过引导不那么有经验的内镜师的目光来改善聚检测.
- 需要进一步的研究来证实CADe在结肠镜训练中的机制和更广泛的适用性.
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