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人工智能肠镜辅助诊断肠道腺瘤的价值

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目的 探究人工智能肠镜(肠镜AI)辅助诊断肠道腺瘤的价值.方法 选取512例疑似肠道腺瘤患者作为研究对象,所有研究对象均行普通肠镜、肠镜AI辅助诊断和病理组织切片活检.比较普通肠镜与肠镜AI联合普通肠镜诊断肠道腺瘤的效能.结果 在512例疑似肠道腺瘤患者中,445例病理组织切片活检结果为肠道腺瘤.肠镜AI联合普通肠镜检查诊断肠道腺瘤的灵敏度、特异度、准确度均高于普通肠镜检查(97.98%比90.34%,92.54%比61.19%,97.27%比86.52%,均P<0.05).肠镜AI联合普通肠镜检查对腺瘤的病理分型与病理组织切片活检一致的病例数为428例,普通肠镜检查对腺瘤的病理分型与病理组织切片活检一致的病例数为390例(96.18%比87.64%,P<0.05).445例肠道腺瘤患者中,19例病理组织检查结果为恶性肠道腺瘤,肠镜AI联合普通肠镜检查诊断恶性肠道腺瘤的特异度和准确度均高于普通肠镜检查(96.95%比93.66%,95.96%比91.91%,均P<0.05).结论 肠镜AI联合普通肠镜诊断肠道腺瘤的灵敏度、特异度、准确度和对肠道腺瘤病理分型的判定情况均显著优于普通肠镜,可提高恶性肠道腺瘤病变的检出率,具有较高的临床应用价值.
The auxiliary diagnosis value of artificial intelligence colonoscopy in intestinal adenoma
Objective To explore the auxiliary diagnosis value of artificial intelligence colonoscopy(colonoscopy AI)in intestinal adenoma.Methods A total of 512 patients with suspected intestinal adenoma were selected as the study subjects and underwent general colonoscopy,colonoscopy AI-aided diagnosis,and pathological tissue biopsy.The efficacy of general colonoscopy and colonoscopy AI combined with general colonoscopy in the diagnosis of intestinal adenoma was compared.Results Among the 512 patients with suspected intestinal adenoma,445 patients were found to have intestinal adenoma by biopsy.The sensitivity,specificity,and accuracy of colonoscopy AI combined with general colonoscopy in the diagnosis of intestinal adenoma were higher than those of general colonoscopy(97.98% vs.90.34%,92.54% vs.61.19%,97.27% vs.86.52%,all P<0.05).A total of 428 patients'pathological classifications of intestinal adenoma by colonoscopy AI combined with general colonoscopy were consistent with those by pathological tissue biopsy,390 patients'by general colonoscopy were consistent with those by pathological tissue biopsy(96.18% vs.87.64%,P<0.05).Among the 445 patients with intestinal adenoma,19 cases had malignant intestinal adenoma according to pathological tissue biopsy,and the specificity and accuracy of colonoscopy AI combined with general colonoscopy in diagnosing malignant intestinal adenoma were higher than those of general colonoscopy(96.95% vs.93.66%,95.96% vs.91.91%,all P<0.05).Conclusion In the diagnosis of intestinal adenoma,colonoscopy AI combined with general colonoscopy has higher sensitivity,specificity,and accuracy,and its ability to identify the pathological classification of intestinal adenoma is greater when compared with general colonoscopy,which can improve the detection rate of malignant intestinal adenoma lesions and have high clinical application value.

Artificial intelligence colonoscopyIntestinal adenomaDiagnostic value

晁帅恒、段淑芬、李岩、张龙杰、闫方博

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河南科技大学附属许昌市中心医院消化内镜中心,许昌市 461000

人工智能肠镜 肠道腺瘤 诊断价值

河南省医学科技攻关计划

LHGJ20200982

2024

内科
广西壮族自治区医学科学情报研究所

内科

影响因子:0.905
ISSN:1673-7768
年,卷(期):2024.19(1)
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