内镜超声检查术：在下消化道中的技术与临床应用
Endocytoscopy: technology and clinical application in the lower GI tract.
作者信息
Takamaru Hiroyuki, Wu Shih Yea Sylvia, Saito Yutaka
机构信息
Endoscopy Division, National Cancer Center Hospital, Tokyo, Japan.
出版信息
Transl Gastroenterol Hepatol. 2020 Jul 5;5:40. doi: 10.21037/tgh.2019.12.04. eCollection 2020.
Abstract
Endocytoscopy (EC) is now one of the valuable technologies in diagnosing colorectal tumors. Providing ultra-high-resolution white light images (520×), endocytoscopy attains the so called virtual histology or optical biopsy, making it a promising tool to diagnose colorectal lesions. Recent studies about artificial intelligence (AI) or computer aided diagnosis (CAD) are also increasingly reported. We investigate the current application of endocytoscopy, as well as the benefit of AI and CAD. Furthermore, we performed a meta-analysis comparing the diagnostic performance of endocytoscopy and magnified chromoendoscopy. In conclusion, this systematic review and meta-analysis supports the recent finding indicating the higher diagnostic performance of endocytoscope in the depth assessment of colorectal neoplasms.
摘要
内镜下活检术（EC）现已成为诊断结直肠肿瘤的重要技术之一。内镜下活检术可提供超高分辨率白光图像（520倍），实现所谓的虚拟组织学或光学活检，使其成为诊断结直肠病变的有前景的工具。关于人工智能（AI）或计算机辅助诊断（CAD）的最新研究报道也日益增多。我们研究了内镜下活检术的当前应用以及AI和CAD的优势。此外，我们进行了一项荟萃分析，比较了内镜下活检术和放大色素内镜检查的诊断性能。总之，这项系统评价和荟萃分析支持了最近的研究结果，即内镜在结直肠肿瘤深度评估方面具有更高的诊断性能。
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