磁控胶囊内窥镜检查和人工智能在胃肠道疾病诊断和治疗方面的系统综述。

IF 3.9 3区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Therapeutic Advances in Gastroenterology Pub Date : 2023-10-27 eCollection Date: 2023-01-01 DOI:10.1177/17562848231206991
Xiaotong Wang, Xiaoming Hu, Yongxue Xu, Jiahao Yong, Xiang Li, Kaixuan Zhang, Tao Gan, Jinlin Yang, Nini Rao
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摘要

背景:磁控胶囊内镜(MCCE)是一种无创、无痛、舒适、安全的胃肠道疾病诊断设备,部分克服了传统内镜和无线胶囊内镜(WCE)的缺点。随着技术的进步,MCCE的主要技术参数不断提高,MCCE变得更加智能。目的:本系统综述旨在总结MCCE和人工智能(AI)在GID诊断和治疗中的研究进展。数据来源和方法:我们在PubMed和EMBASE上进行了系统检索,以获取已发表的关于MCCE的GID检测、与MCCE成像质量相关的物理因素、人工智能在辅助MCCE中的应用及其附加功能的研究。我们协同审查了纳入的研究,提取了相关数据,并进行了比较。结果:MCCE与常规胃镜和WCE在检测常见GID方面具有相同的性能,但在检测早期癌症(EGC)方面缺乏研究。体位和胃肠道的清洁是影响成像质量的主要因素。人工智能在肠道疾病筛查中的应用是全面的,而在溃疡等常见胃部疾病的检测中,它已经得到了发展。MCCE可以执行一些额外的功能,例如观察药物在胃中的行为和药物对胃粘膜的损伤。此外,可以改进进行活检。结论:本综述表明,MCCE技术取得了很大进展,但对MCCE检测和治疗GID的研究尚处于初级阶段。需要进一步的研究来确认MCCE的性能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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A systematic review on diagnosis and treatment of gastrointestinal diseases by magnetically controlled capsule endoscopy and artificial intelligence.

Background: Magnetically controlled capsule endoscopy (MCCE) is a non-invasive, painless, comfortable, and safe equipment to diagnose gastrointestinal diseases (GID), partially overcoming the shortcomings of conventional endoscopy and wireless capsule endoscopy (WCE). With advancements in technology, the main technical parameters of MCCE have continuously been improved, and MCCE has become more intelligent.

Objectives: The aim of this systematic review was to summarize the research progress of MCCE and artificial intelligence (AI) in the diagnosis and treatment of GID.

Data sources and methods: We conducted a systematic search of PubMed and EMBASE for published studies on GID detection of MCCE, physical factors related to MCCE imaging quality, the application of AI in aiding MCCE, and its additional functions. We synergistically reviewed the included studies, extracted relevant data, and made comparisons.

Results: MCCE was confirmed to have the same performance as conventional gastroscopy and WCE in detecting common GID, while it lacks research in detecting early gastric cancer (EGC). The body position and cleanliness of the gastrointestinal tract are the main factors affecting imaging quality. The applications of AI in screening intestinal diseases have been comprehensive, while in the detection of common gastric diseases such as ulcers, it has been developed. MCCE can perform some additional functions, such as observations of drug behavior in the stomach and drug damage to the gastric mucosa. Furthermore, it can be improved to perform a biopsy.

Conclusion: This comprehensive review showed that the MCCE technology has made great progress, but studies on GID detection and treatment by MCCE are in the primary stage. Further studies are required to confirm the performance of MCCE.

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来源期刊
Therapeutic Advances in Gastroenterology
Therapeutic Advances in Gastroenterology GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
6.70
自引率
2.40%
发文量
103
审稿时长
15 weeks
期刊介绍: Therapeutic Advances in Gastroenterology is an open access journal which delivers the highest quality peer-reviewed original research articles, reviews, and scholarly comment on pioneering efforts and innovative studies in the medical treatment of gastrointestinal and hepatic disorders. The journal has a strong clinical and pharmacological focus and is aimed at an international audience of clinicians and researchers in gastroenterology and related disciplines, providing an online forum for rapid dissemination of recent research and perspectives in this area. The editors welcome original research articles across all areas of gastroenterology and hepatology. The journal publishes original research articles and review articles primarily. Original research manuscripts may include laboratory, animal or human/clinical studies – all phases. Letters to the Editor and Case Reports will also be considered.
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