Qhov tseem ceeb tshaj plaws ntawm kev mob qog noj ntshav tom qab colonoscopy colorectal cancer (CRC) yog qhov tsis nco qab ntawm cov kab mob hauv lub plab - qhov uas cov kab mob neoplastic tsis pom nyob rau hauv kev tshuaj ntsuam lossis soj ntsuam colonoscopy. Qee cov kev tshawb fawb qhia tias 52 feem pua mus rau 57 feem pua ntawm cov kab mob tom qab colonoscopyCRCCov mob no yog vim tsis muaj qhov txhab ntawm cov neeg mob 'colonoscopies. Nws tau kwv yees tias 25 feem pua ntawm cov kab mob neoplastic tsis tuaj tom qab kuaj kab mob colonoscopy.
Mayo Clinic Gastroenterology thiab Hepatology, hauv kev koom tes nrog cov npoj yaig los ntawm thoob plaws ntiaj teb, pom tias siv kev txawj ntse (AI) hauv kev kuaj mob qog noj ntshav hauv plab ua rau 50 feem pua txo qis rau qhov tsis zoo rau cov pob txha neoplasia. Cov txiaj ntsig ntawm txoj kev tshawb fawb tau luam tawm nyob rau hauv Lub Xya Hli 2022 tsab ntawm Gastroenterology.
"Kev mob qog nqaij hlav hauv plab yog yuav luag tiv thaiv tag nrho nrog kev tshuaj xyuas kom raug," hais tias tus kws sau ntawv lausMichael B. Wallace, MD, pawg thawj coj ntawm Gastroenterology thiab Hepatology ntawm Sheikh Shakhbout Medical City hauv Abu Dhabi, United Arab Emirates, thiab Fred C. Andersen xibfwb ntawm Mayo Clinic hauv Jacksonville, Florida. "Kev txo qis hauv kev siv tus nqi tsis zooAIreassures cov kws kho mob txog qhov txo qis ntawm kev nkag siab yuam kev. "
Ib txoj kev kawm multicenter, ntau lub tebchaws
Qhov kev sib tw tswj hwm no tau txheeb xyuas kev tshuaj xyuas ntawm 230 tus neeg mob, ob leeg txiv neej thiab poj niam, nrognruab nrab kev pheej hmoo rauCRC. Txhua tus neeg tuaj koom tau kuaj xyuas lossis soj ntsuam cov colonoscopies ntawm ib ntawm yim lub chaw hauv peb lub tebchaws: Ltalis, United Kingdom thiab Asmeskas
Txhua tus neeg koom nrog ob hnub tib hnub, rov qab-rau-rov qab colonoscopies. Ib qho kev tshuaj ntsuam tau ua nrog thiab ib qho tsis muajAI. Cov neeg mob tau randomized rau hauv ib qho ntawm ob txhais tes. Lub caj npab kuaj tau txais ib qho kev colonoscopy pab los ntawmAIua ntej, ua raws li kev kuaj ntshav colonoscopy yam tsis muajAI. Lub caj npab tswj tau txais ib qho kev colonoscopy yam tsis muajAIua ntej, ua raws li kev kuaj ntshav colonoscopy pab los ntawmAI.
Cov kws tshawb nrhiav ua qhov kev tshuaj ntsuam xyuas muaj qhov tsawg kawg nkaus ntawm 1,{1}} ua tiav cov colonoscopies thiab muaj qhov kuaj pom adenoma (ADR) ntawm 20 feem pua thiab 40 feem pua lossis tus nqi kuaj pom polyp (PDR) ntawm 30 feem pua thiab 70 feem pua. Qhov siab kawg ntawm peb tus kws kho mob endoscopists tau koom nrog, thiab txhua tus neeg tshawb xyuas muaj qhov siab tshaj plaws ntawm 90 tus neeg mob randomized los tshuaj xyuas.
Tsis nco tus nqi txo siv AI
Adenoma miss rate (AMR) qhia txog tus lej ntawm cov kab mob uas tau kuaj pom nyob rau ntawm qhov thib ob colonoscopy faib los ntawm tag nrho cov kab mob kuaj pom ntawm ob lub colonoscopies ua ke.
Nyob rau hauv lub xeem caj npab, caj npab nrogAIua ntej,AMRyog 15.5 feem pua. Nyob rau hauv lub caj npab tswj,AMRyog 32.4 feem pua. Tus polyp nco tus nqi (PMR) yog 16.9 feem pua thiab 31.1 feem pua rau cov pab pawg xeem thiab pawg tswj hwm, feem.
Thaum muab piv nrog cov tswj caj npab, qhov ntsuas caj npab qhia qis duaAMRrau cov kab mob nonpolypoid (16.8 feem pua rau kev sim caj npab thiab 45.8 feem pua rau kev tswj caj npab) thiab cov kab mob tsawg dua lossis sib npaug li 5 millimeters (15.9 feem pua rau kev kuaj caj npab thiab 35.8 feem pua rau caj npab). Lub caj npab xeem kuj tau qis duaAMRrau qhov proximal thiab distal nyuv tshaj qhov tswj caj npab. Cov nqi cuav-tsis zoo yog 6.8 feem pua hauv kev sim caj npab thiab 29.6 feem pua ntawm cov tswj caj npab.
Dr. Wallace hais tias "Qhov kev kuaj xyuas lub computer no yog qhov tseeb heev. "Nrog rau qhov txo qis qis, peb tuaj yeem nce peb qhov kev kuaj pom, kuaj mob qog noj ntshav kom raug ntau dua thiab cawm neeg txoj sia ntau dua."
CovAIcov cuab yeej siv hauv qhov kev tshawb fawb no tau pom tias muaj kev nce ntxiv hauvADRnyob rau hauv ob txoj kev tshawb fawb randomized tswj yav dhau los. Txoj kev tshawb no indirectly validates tias covADRnce yav dhau los pom yog tshwj xeeb tsav los ntawm kev txo qis tus nqi pheej hmoo. Cov kev tshawb fawb loj dua yog xav tau los ntsuas qhov ua tau txo qisAMRrau cov adenomas siab heev.
