Department of Electronic Engineering, Universidad Tecnica Federico Santa Maria, Valpaiso 2340000, Chile.
Hospital Clinico, University of Chile, Santiago 8380456, Chile.
World J Gastroenterol. 2021 Oct 14;27(38):6399-6414. doi: 10.3748/wjg.v27.i38.6399.
Colorectal cancer (CRC) was the second-ranked worldwide type of cancer during 2020 due to the crude mortality rate of 12.0 per 100000 inhabitants. It can be prevented if glandular tissue (adenomatous polyps) is detected early. Colonoscopy has been strongly recommended as a screening test for both early cancer and adenomatous polyps. However, it has some limitations that include the high polyp miss rate for smaller (< 10 mm) or flat polyps, which are easily missed during visual inspection. Due to the rapid advancement of technology, artificial intelligence (AI) has been a thriving area in different fields, including medicine. Particularly, in gastroenterology AI software has been included in computer-aided systems for diagnosis and to improve the assertiveness of automatic polyp detection and its classification as a preventive method for CRC. This article provides an overview of recent research focusing on AI tools and their applications in the early detection of CRC and adenomatous polyps, as well as an insightful analysis of the main advantages and misconceptions in the field.
结直肠癌(CRC)是 2020 年全球排名第二的癌症类型,粗死亡率为每 10 万人中有 12.0 人。如果能早期发现腺体组织(腺瘤性息肉),就可以预防这种疾病。结肠镜检查已被强烈推荐作为早期癌症和腺瘤性息肉的筛查试验。然而,它存在一些局限性,包括对较小(<10 毫米)或扁平息肉的高息肉漏诊率,这些息肉在目视检查时很容易被遗漏。由于技术的快速发展,人工智能(AI)已在不同领域蓬勃发展,包括医学。特别是在胃肠病学领域,人工智能软件已被纳入计算机辅助诊断系统,以提高自动息肉检测的准确性,并将其作为 CRC 的预防方法进行分类。本文概述了最近的研究重点,即人工智能工具及其在 CRC 和腺瘤性息肉早期检测中的应用,并对该领域的主要优势和误解进行了深入分析。