Adachi Kyoichi, Ebisutani Yuri, Matsubara Yuko, Okimoto Eiko, Ishimura Norihisa, Ishihara Shunji
Health Center, Shimane Environment and Health Public Corporation, Matsue, JPN.
Second Department of Internal Medicine, Faculty of Medicine, Shimane University, Izumo, JPN.
Cureus. 2025 Mar 2;17(3):e79935. doi: 10.7759/cureus.79935. eCollection 2025 Mar.
This retrospective study investigated the usefulness of the EW10-EG01 artificial intelligence (AI) application for screening esophagogastroduodenoscopy (EGD).
A total of 7,655 subjects (4,863 men, 2,792 women; mean age 54.9±10.1 years) who underwent EGD during a medical checkup were enrolled in the study. The number of diagnosed upper gastrointestinal tumors was compared between EGD examinations performed with and without the AI system.
EGD examinations with and without the AI system were performed on 3,841 and 3,814 subjects, respectively. Biopsy procedures were more frequently performed, and examination time was longer in EGD with AI applications than in those without. Upper gastrointestinal tumors diagnosed by EGD with and without AI were 39 (1.02%) and 24 (0.63%), respectively ( = 0.062). There was a significant difference in the detection rate of esophageal and gastric tumors between EGD with (30, 0.78%) and without (14, 0.37%) the AI system (= 0.017). When endoscopists were divided into three groups based on their experience with the EW10-EG01 application, higher detection rates of esophageal and gastric tumors were observed in each group when using EGD with AI.
Usage of the EW10-EG01 AI system may be useful for screening EGD due to the increased esophageal and gastric tumor detection rate.
本回顾性研究调查了EW10 - EG01人工智能（AI）应用于食管胃十二指肠镜检查（EGD）筛查的有效性。
共有7655名在体检期间接受EGD检查的受试者（4863名男性，2792名女性；平均年龄54.9±10.1岁）纳入本研究。比较了使用和未使用AI系统进行EGD检查时诊断出的上消化道肿瘤数量。
分别对3841名和3814名受试者进行了使用和未使用AI系统的EGD检查。与未使用AI的EGD检查相比，使用AI应用的EGD检查活检操作更频繁，检查时间更长。使用和未使用AI的EGD检查诊断出的上消化道肿瘤分别为39例（1.02%）和24例（0.63%）（P = 0.062）。使用AI系统的EGD检查（30例，0.78%）和未使用AI系统的EGD检查（14例，0.37%）在食管和胃肿瘤检测率上存在显著差异（P = 0.017）。当根据内镜医师对EW10 - EG01应用的经验将其分为三组时，每组在使用AI进行EGD检查时食管和胃肿瘤的检测率均更高。
由于食管和胃肿瘤检测率的提高，EW10 - EG01 AI系统的使用可能有助于EGD筛查。
