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[远程医疗与人工智能支持的诊断在内科日常诊疗中的应用]

[Telemedicine and AI-supported diagnostics in the daily routine of visceral medicine].

作者信息

Grade Matthias, Uslar Verena

机构信息

Abteilung für Gastroenterologie, Allgemeine Innere Medizin und Infektiologie, Christliches Krankenhaus Quakenbrück GmbH, Lehrkrankenhaus der Carl von Ossietzky Universität Oldenburg und der European Medical School Oldenburg-Groningen (EMS), Danziger Straße 2, 49610, Quakenbrück, Deutschland.

Universitätsklinik für Viszeralchirurgie - Pius-Hospital Oldenburg, Universitätsmedizin Oldenburg, Oldenburg, Deutschland.

出版信息

Chirurgie (Heidelb). 2025 Jan;96(1):23-30. doi: 10.1007/s00104-024-02213-8. Epub 2024 Dec 30.

Abstract

Advances in telemedicine, exemplified by augmented reality (AR) and virtual reality (VR), are rapidly progressing. For instance, AR available over long distances has already been successfully utilized in crisis intervention, such as in war zones. The potential of telemedicine also appears promising in structurally weak areas or in the involvement of experts in emergency situations. Further research and development are needed on the avatars used in such telemedicine approaches to improve the sense of presence and thereby increase acceptance. Artificial intelligence (AI) in endoscopy, particularly in colonoscopy, is already a routine practice in many gastroenterology departments. The benefits are clearly evidenced by an increased adenoma detection rate (ADR). Studies have also shown a higher detection rate for sessile serrated adenomas (SSA) compared to the control group as well as a significantly increased rate of dysplastic Barrett's areas in the upper gastrointestinal (GI) tract (potential Barrett's carcinomas).

摘要

以增强现实(AR)和虚拟现实(VR)为代表的远程医疗进展迅速。例如,远距离可用的AR已成功应用于危机干预,如在战区。远程医疗在结构薄弱地区或专家参与紧急情况方面的潜力也很有前景。需要对这类远程医疗方法中使用的虚拟化身进行进一步研发,以提高临场感,从而提高接受度。人工智能(AI)在内窥镜检查中,尤其是在结肠镜检查中,在许多胃肠病学部门已经是常规操作。腺瘤检出率(ADR)的提高清楚地证明了其益处。研究还表明,与对照组相比,无蒂锯齿状腺瘤(SSA)的检出率更高,上消化道(GI)发育异常的巴雷特区域(潜在的巴雷特癌)的发生率也显著增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccb8/11729095/2a5f19cdc97b/104_2024_2213_Fig1_HTML.jpg

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