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Artificial intelligence-based diagnostic imaging system with virtual enteroscopy and virtual unfolded views to evaluate small bowel lesions in Crohn's disease.
Furukawa, Kazuhiro; Oda, Masahiro; Watanabe, Osamu; Nakamura, Masanao; Yamamura, Takeshi; Maeda, Keiko; Mori, Kensaku; Kawashima, Hiroki.
Afiliação
  • Furukawa K; Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, Japan.
  • Oda M; Information Technology Center, Nagoya University, Japan.
  • Watanabe O; Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, Japan.
  • Nakamura M; Endoscopy, Nagoya University Hospital, Japan.
  • Yamamura T; Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, Japan.
  • Maeda K; Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, Japan.
  • Mori K; Graduate School of Informatics, Nagoya University, Japan.
  • Kawashima H; Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, Japan.
Rev Esp Enferm Dig ; 2024 Mar 25.
Article em En | MEDLINE | ID: mdl-38525848
ABSTRACT
Since even subtle mucosal changes may be depicted using virtual endoscopy created by the three-dimensional reconstruction of MDCT images, we developed a novel diagnostic imaging system that integrates and displays virtual enteroscopy, curved planar reconstruction, and a virtual unfolded view, the width of which changes with increases/decreases in the inner luminal diameter. The system is also equipped with artificial intelligence that superimposes and displays depressed areas, generates an automatic small bowel centerline that connects fragmented small bowel regions, and performs electronic cleansing. We retrospectively evaluated the diagnostic performance of this system for small bowel lesions in Crohn's disease, which were divided into two groups endoscopically-observable and endoscopically-unobservable. Lesion detection rates for stenoses, longitudinal ulcers with a cobblestone appearance, and scars were excellent in both groups. This system, when used in combination with endoscopy, shows slight mucosal changes in areas in which an endoscope cannot reach due to strictures, thereby extending the range of observation of the small bowel. This system is a useful diagnostic modality that has the capacity to assess mucosal healing and provide extraluminal information.

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Rev Esp Enferm Dig Assunto da revista: GASTROENTEROLOGIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Japão

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Rev Esp Enferm Dig Assunto da revista: GASTROENTEROLOGIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Japão