Department of Gastroenterology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Zhejiang, China.
J Clin Gastroenterol. 2021 Feb 1;55(2):110-120. doi: 10.1097/MCG.0000000000001423.
Artificial intelligence (AI), also known as computer-aided diagnosis, is a technology that enables machines to process information and functions at or above human level and has great potential in gastrointestinal endoscopy applications. At present, the research on medical image recognition usually adopts the deep-learning algorithm based on the convolutional neural network. AI has been used in gastrointestinal endoscopy including esophagogastroduodenoscopy, capsule endoscopy, colonoscopy, etc. AI can help endoscopic physicians improve the diagnosis rate of various lesions, reduce the rate of missed diagnosis, improve the quality of endoscopy, assess the severity of the disease, and improve the efficiency of endoscopy. The diversity, susceptibility, and imaging specificity of gastrointestinal endoscopic images are all difficulties and challenges on the road to intelligence. We need more large-scale, high-quality, multicenter prospective studies to explore the clinical applicability of AI, and ethical issues need to be taken into account.
人工智能(AI),也称为计算机辅助诊断,是一种使机器能够处理信息和执行人类或更高水平功能的技术,在胃肠内镜应用中具有巨大的潜力。目前,医学图像识别的研究通常采用基于卷积神经网络的深度学习算法。人工智能已应用于胃肠内镜检查,包括食管胃十二指肠镜、胶囊内镜、结肠镜检查等。人工智能可以帮助内镜医师提高对各种病变的诊断率,降低漏诊率,提高内镜质量,评估疾病严重程度,并提高内镜效率。胃肠内镜图像的多样性、易感性和成像特异性都是实现智能化的困难和挑战。我们需要更多的大规模、高质量、多中心前瞻性研究来探索人工智能的临床适用性,并需要考虑伦理问题。