Expert consensus on the clinical application of artificial intelligence system to upper gastrointestinal endoscopy (2023, Wuhan)
于红刚 1王洛伟 2许文立 唐涌进
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作者信息
1. 武汉大学人民医院消化内科，武汉 430060
2. 海军军医大学第一附属医院消化内科，上海 200433
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摘要
食管胃十二指肠内镜（esophagogastroduodenoscope，EGD）是诊断上消化道肿瘤、癌前病变及危急重疾病的有效工具。人工智能技术在EGD的质量控制和辅助诊断中起到了重要作用，但目前国内外尚无EGD人工智能系统应用的相关共识。2023年中华医学会消化内镜学分会组织全国领域内权威专家讨论，结合国内外最新循证医学证据，形成EGD人工智能系统临床应用专家共识，旨在为临床医师应用EGD人工智能时提供合理的决策依据。本共识包括人工智能在胃镜盲区监测、食管异常病灶识别、食管癌浸润深度预测、食管胃静脉曲张分级、胃异常病灶识别等方面的13条推荐意见陈述，以及EGD人工智能系统临床应用要求。 The esophagogastroduodenoscope (EGD) is an effective tool for diagnosing upper gastrointestinal tumors, precancerous lesions and critical emergency diseases. Artificial intelligence (AI) technology plays a significant role in the quality control and auxiliary diagnosis of EGD. However, currently there is no consensus on the application of EGD AI system at home or abroad. In 2023, organizing discussions among nationwide authoritative experts in the field, and combining the latest evidence-based medical evidence at home and abroad, Digestive Endoscopology Branch of Chinese Medical Association has formulated an expert consensus on the clinical application of EGD AI system, in order to provide clinicians with a reasonable decision-making basis when using EGD AI. This consensus consists of 13 recommendations including blind spot monitoring under gastroscopy, esophageal abnormal lesion identification, prediction of esophageal cancer infiltration depth, grading of esophageal gastric varices, identification of gastric abnormal lesions, and clinical application requirements for EGD AI system.
Abstract
The esophagogastroduodenoscope (EGD) is an effective tool for diagnosing upper gastrointestinal tumors, precancerous lesions and critical emergency diseases. Artificial intelligence (AI) technology plays a significant role in the quality control and auxiliary diagnosis of EGD. However, currently there is no consensus on the application of EGD AI system at home or abroad. In 2023, organizing discussions among nationwide authoritative experts in the field, and combining the latest evidence-based medical evidence at home and abroad, Digestive Endoscopology Branch of Chinese Medical Association has formulated an expert consensus on the clinical application of EGD AI system, in order to provide clinicians with a reasonable decision-making basis when using EGD AI. This consensus consists of 13 recommendations including blind spot monitoring under gastroscopy, esophageal abnormal lesion identification, prediction of esophageal cancer infiltration depth, grading of esophageal gastric varices, identification of gastric abnormal lesions, and clinical application requirements for EGD AI system.
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