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一种预测内镜黏膜切除术后大肠息肉复发的机器学习模型的临床意义

Clinical implications of a machine learning model predicting colorectal polyp recurrence after endoscopic mucosal resection.

作者信息

Kagawa Yoshinori

机构信息

Department of Gastroenterological Surgery, Osaka International Cancer Institute, Osaka 541-8567, Japan.

出版信息

World J Gastroenterol. 2025 Jun 14;31(22):107197. doi: 10.3748/wjg.v31.i22.107197.

Abstract

The machine learning model developed by Shi for predicting colorectal polyp recurrence after endoscopic mucosal resection represents a significant advancement in the field of clinical gastroenterology. By integrating patient-specific factors, such as age, smoking history, and infection, the eXtreme Gradient Boosting algorithm enables precise personalised colonoscopy follow-up planning and risk assessment. This predictive tool offers substantial benefits by optimising surveillance intervals and directing healthcare resources more efficiently toward high-risk individuals. However, real-world implementation requires consideration of the generalisability of our findings across diverse patient populations and clinician training backgrounds.

摘要

施开发的用于预测内镜黏膜切除术后大肠息肉复发的机器学习模型代表了临床胃肠病学领域的一项重大进展。通过整合患者特定因素,如年龄、吸烟史和感染情况,极端梯度提升算法能够实现精确的个性化结肠镜随访计划和风险评估。这种预测工具通过优化监测间隔并更有效地将医疗资源导向高危个体,带来了巨大益处。然而,在现实世界中的实施需要考虑我们的研究结果在不同患者群体和临床医生培训背景中的可推广性。

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