Mota Joana, Almeida Maria João, Martins Miguel, Mendes Francisco, Cardoso Pedro, Afonso João, Ribeiro Tiago, Ferreira João, Fonseca Filipa, Limbert Manuel, Lopes Susana, Macedo Guilherme, Castro Poças Fernando, Mascarenhas Miguel
Precision Medicine Unit, Department of Gastroenterology, São João University Hospital, 4200-427 Porto, Portugal.
WGO Gastroenterology and Hepatology Training Center, 4200-047 Porto, Portugal.
J Clin Med. 2024 Sep 30;13(19):5842. doi: 10.3390/jcm13195842.
Artificial intelligence (AI) has emerged as a transformative tool across several specialties, namely gastroenterology, where it has the potential to optimize both diagnosis and treatment as well as enhance patient care. Coloproctology, due to its highly prevalent pathologies and tremendous potential to cause significant mortality and morbidity, has drawn a lot of attention regarding AI applications. In fact, its application has yielded impressive outcomes in various domains, colonoscopy being one prominent example, where it aids in the detection of polyps and early signs of colorectal cancer with high accuracy and efficiency. With a less explored path but equivalent promise, AI-powered capsule endoscopy ensures accurate and time-efficient video readings, already detecting a wide spectrum of anomalies. High-resolution anoscopy is an area that has been growing in interest in recent years, with efforts being made to integrate AI. There are other areas, such as functional studies, that are currently in the early stages, but evidence is expected to emerge soon. According to the current state of research, AI is anticipated to empower gastroenterologists in the decision-making process, paving the way for a more precise approach to diagnosing and treating patients. This review aims to provide the state-of-the-art use of AI in coloproctology while also reflecting on future directions and perspectives.
人工智能(AI)已成为多个专业领域的变革性工具,尤其是在胃肠病学领域,它有潜力优化诊断和治疗,并改善患者护理。由于结直肠疾病发病率高,且有导致高死亡率和高发病率的巨大风险,结直肠外科学在人工智能应用方面备受关注。事实上,其应用在各个领域都取得了令人瞩目的成果,结肠镜检查就是一个突出的例子,人工智能在其中能高精度、高效率地辅助检测息肉和结直肠癌的早期迹象。人工智能驱动的胶囊内镜检查虽探索较少,但前景相当,能确保准确且高效地解读视频,已检测出多种异常情况。高分辨率肛门镜检查是近年来受关注程度不断提高的领域,目前正在努力整合人工智能技术。还有其他领域,如功能研究,目前尚处于早期阶段,但预计很快会有相关证据出现。根据目前的研究状况,预计人工智能将在决策过程中增强胃肠病学家的能力,为更精确地诊断和治疗患者铺平道路。本综述旨在介绍人工智能在结直肠外科学中的最新应用情况,同时也对未来的方向和前景进行思考。