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人工智能技术在女性宫颈癌筛查中的应用分析

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目的 探讨人工智能细胞学辅助诊断技术在妇女宫颈癌筛查项目中的有效性和准确率.方法 将自主研发设计的人工智能宫颈癌辅助诊断平台应用于芜湖市64 788名适龄妇女宫颈癌筛查项目,对智能辅助诊断平台检测出的"宫颈上皮细胞异常"全部阳性标本和随机抽取的10%阴性标本,以人工判读结果为标准,计算人工智能阅片在二分类的符合率、灵敏度、特异度;以组织病理结果为标准,分析该自动化细胞学诊断平台用于宫颈癌筛查的准确性.结果 采用人—机交互模式对64 788名妇女进行宫颈癌筛查,人工智能自动诊断与人工阅片一致率为98.81%.在严格执行初审—复审二级审核流程下,阳性检出率稳定在6%~7%,日签发报告由原来的人工阅片100份/日,上升至最高远程诊断数量1 000份/日.以人工复核结果为标准,人工智能的判读对二分类具有较高的特异度和灵敏度,分别为97.08%、98.94%,阳性预测值、阴性预测值分别为87.56%、99.77%.结论 人工智能宫颈癌辅助诊断平台在宫颈细胞学检测中的二分类结果,与人工阅片相比具有较高的一致性及特异度,同时具有较高的效率和准确性,能减轻细胞病理医师的工作量.
Application Analysis of Artificial Intelligence Technology in Female Cervical Cancer Screening
Objective To explore the effectiveness and accuracy of an automated cytology assisted diagnosis system based on artificial intelligence technology in cervical cancer screening.Methods Relying on the artificial intelligence cervical cancer diagnosis platform independently developed and designed by the Yangtze River Delta Information Intelligence Research Institute,the technology was applied to the cervical cancer screening project of 64,788 women of appropriate age in Wuhu City.The positive samples of"abnormal cervical epithelial cells"detected by the intelligent auxiliary diagnosis platform and 10%negative samples were randomly selected,and the manual review results were used as the standard to calculate the coincidence rate,sensitivity,specificity and other indicators in the classification of AI reading in two-classification.The accuracy of the automated cytology diagnostic platform for cervical cancer screening was analyzed based on the histopathological results.Results A total of 64,788 women were screened for cervical cancer using human-computer interaction mode,and the consistency rate of artificial intelligence diagnosis and manual screening was 98.81%.Under the strict implementation of the secondary audit process of primary examination and review,the positive detection rate was stable at 6%-7%,and the daily issue report increased from the original manual reading of 100 copies/day to the maximum remote diagnosis number of 1,000 copies/day.Based on the manual review results,the sensitivity and specificity of AI interpretation were 97.08%and 98.94%,while the positive predictive value and negative predictive value were 87.56%and 99.77%,respectively.AI achieved high sensitivity and specificity value in two-classification.Conclusion The binary classification results of the artificial intelligence cervical cancer assisted diagnosis system in cervical cytology detection have high consistency and specificity with manual film reading,which can reduce the workload of cytopathologists,with high efficiency and accuracy.

artificial intelligencecervical cancerscreening

张安慧、朱敏、毛建、张敏、陶红

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芜湖市妇幼保健院,安徽省芜湖市,241000

长三角信息智能创新研究院,安徽省芜湖市,241000

人工智能 宫颈癌 筛查

芜湖市科技局项目芜湖市卫生健康委科研项目

2022-cg162023WUWJ2023y073

2024

中国卫生信息管理杂志
卫生部统计信息中心

中国卫生信息管理杂志

CSTPCD
影响因子:1.2
ISSN:1672-5166
年,卷(期):2024.21(5)
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