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人工智能在结肠息肉检测与鉴别中的应用:给医生的技术综述

Application of Artificial Intelligence in the Detection and Differentiation of Colon Polyps: A Technical Review for Physicians.

作者信息

Chao Wei-Lun, Manickavasagan Hanisha, Krishna Somashekar G

机构信息

Department of Computer Science, Cornell University, New York, NY 14853, USA.

Department of Computer Science and Engineering, Ohio State University, Columbus, OH 43210, USA.

出版信息

Diagnostics (Basel). 2019 Aug 20;9(3):99. doi: 10.3390/diagnostics9030099.

DOI:10.3390/diagnostics9030099
PMID:31434208
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6787748/
Abstract

Research in computer-aided diagnosis (CAD) and the application of artificial intelligence (AI) in the endoscopic evaluation of the gastrointestinal tract is novel. Since colonoscopy and detection of polyps can decrease the risk of colon cancer, it is recommended by multiple national and international societies. However, the procedure of colonoscopy is performed by humans where there are significant interoperator and interpatient variations, and hence, the risk of missing detection of adenomatous polyps. Early studies involving CAD and AI for the detection and differentiation of polyps show great promise. In this appraisal, we review existing scientific aspects of AI in CAD of colon polyps and discuss the pitfalls and future directions for advancing the science. This review addresses the technical intricacies in a manner that physicians can comprehend to promote a better understanding of this novel application.

摘要

计算机辅助诊断(CAD)研究以及人工智能(AI)在胃肠道内镜评估中的应用是新颖的。由于结肠镜检查和息肉检测可降低结肠癌风险,因此受到多个国家和国际协会的推荐。然而,结肠镜检查是由人工进行的,存在显著的操作者间和患者间差异,因此存在漏诊腺瘤性息肉的风险。早期涉及CAD和AI用于息肉检测与鉴别的研究显示出巨大潜力。在本评估中,我们回顾了AI在结肠息肉CAD中的现有科学方面,并讨论推进该科学的陷阱和未来方向。本综述以医生能够理解的方式阐述技术复杂性,以促进对这一新颖应用的更好理解。

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本文引用的文献

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Real-time gastric polyp detection using convolutional neural networks.使用卷积神经网络进行实时胃息肉检测。
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Optical Diagnosis of Colorectal Polyps: Recent Developments.结直肠息肉的光学诊断:最新进展
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Artificial intelligence and colonoscopy: Current status and future perspectives.人工智能与结肠镜检查:现状与未来展望。
Dig Endosc. 2019 Jul;31(4):363-371. doi: 10.1111/den.13340. Epub 2019 Feb 27.
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Deep Learning Localizes and Identifies Polyps in Real Time With 96% Accuracy in Screening Colonoscopy.深度学习以 96%的准确率实时定位和识别筛查结肠镜检查中的息肉。
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