人工智能赋能消化内镜早诊早治：现状及未来.pdfVIP

实用医院临床杂志2025年9月第22卷第5期13

人工智能赋能消化内镜早诊早治:现状及未来

梁豪,岳异星,崔曼莉,张明鑫

西安医学院第一附属医院消化内科,陕西西安710077

【摘要】胃肠道癌症的早期诊断与治疗对改善患者预后至关重要,但传统内镜技术高度依赖操作者经验,存在漏诊率

高、观察者间差异大等问题。近年来人工智能(AI)通过深度学习与计算机视觉技术,显著提升了消化内镜的精准性与效率。

尽管AI展现了优于人工的效能,其泛化能力、数据多样性、模型透明性及伦理责任界定仍存挑战。未来需通过多学科协作、大

规模临床验证及技术优化,推动AI在消化内镜中的规范化应用,实现精准医疗的可持续发展。

【关键词】消化道内镜;人工智能;早诊早治

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【中图分类号】R443.8【文献标志码】A【文章编号】1672-6170(2025)05-0013-07

Artificialintelligenceinearlydiagnosisandtreatmentofdigestiveendoscopy:currentstatus

andfutureprospectsLIANGHao,YUEYi-xing,CUIMan-li,ZHANGMing-xinDepartmentofGastroenter-

ology,TheFirstAffiliatedHospitalofXianMedicalUniversity,Xian710077,China

【Correspondingauthor】ZHANGMing-xin

【Abstract】Earlydiagnosisandtreatmentofgastrointestinalcancerarecrucialforimprovingpatientprognosis,buttraditional

endoscopictechniquesheavilyrelyonoperatorexperience,resultinginhighmisseddiagnosisratesandsignificantdifferencesbetween

observers.Inrecentyears,artificialintelligence(AI)hassignificantlyimprovedtheaccuracyandefficiencyofdigestiveendoscopy

throughdeeplearningandcomputervisiontechnology.AlthoughAIhasdemonstratedsuperiorperformancecomparedtohumans,there

arestillchallengesinitsgeneralizationability,datadiversity,modeltransparency,andethicalresponsibilitydelineation.Inthe

future,itisnecessarytopromotethestandardizedapplicationofAIindigestiveendoscopythroughmultidisciplinarycollaboration,

large-scaleclinicalvalidation,andtechnologicaloptimization,inordertoachievesustainabledevelopmentofprecisionmedicine.

【Keywords】gastrointestinalendoscopy;artificialintelligence;earlydiagnosisandtreatment

消化内镜自引入以来,历经硬管式内镜(19世了AI在识别早期肿瘤,如结直肠息肉和早期胃癌方

纪)、纤维内镜(20世纪