人工智能在经内镜逆行胰胆管造影术中的应用进展

Recent Advances of Artificial Intelligence in Endoscopic Retrograde Cholangiopancreatography

  • 摘要: 以深度学习、计算机视觉等技术为核心的人工智能正介入经内镜逆行胰胆管造影术(endoscopic retrograde cholangiopancreatography,ERCP)的全流程:整合影像与实验室数据,精准把控手术必要性及风险分层;实时分析胆道镜或 透视图像,准确识别恶性狭窄、定位壶腹、预警困难插管等,显著降低操作难度与辐射剂量;高效预测术后胰腺炎、胆管 炎等并发症,实现个体化治疗。人工智能已显示出超越传统手段的诊断精度、优于经验的预测效能以及缩短学习曲线的培 训优势。未来生成式对抗网络更可高效合成高质量ERCP影像,为零风险训练与罕见病例数据扩增提供“数字胶片库”。

     

    Abstract: Artificial intelligence, powered by deep-learning convolutional neural networks and advanced computer-vision algorithms, is now embedded across every phase of endoscopic retrograde cholangiopancreatography (ERCP): it fuses imaging and laboratory data to refine indication selection and risk stratification; it interprets cholangioscopic or fluoroscopic video in real time to detect malignant strictures, localize the ampulla, and alert for difficult cannulation, markedly lowering technical difficulty and radiation exposure; and it accurately forecasts post-ERCP pancreatitis, cholangitis, and other complications to enable individualized therapy. Artificial intelligence has already surpassed conventional diagnostics in accuracy, outperformed empirical models in predictive power, and compressed the learning curve for trainees. Generative adversarial networks promise to synthesize high fidelity ERCP images on demand, creating a "digital film library" for zero-risk training and scalable augmentation of rare-case datasets.

     

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