摘要

Video capsule endoscopy (VCE) has revolutionized the diagnostic work-up in the field of small bowel diseases. Furthermore, VCE has the potential to become the leading screening technique for the entire gastrointestinal tract. Computational methods that can be implemented in software can enhance the diagnostic yield of VCE both in terms of efficiency and diagnostic accuracy. Since the appearance of the first capsule endoscope in clinical practice in 2001, information technology (IT) research groups have proposed a variety of such methods, including algorithms for detecting haemorrhage and lesions, reducing the reviewing time, localizing the capsule or lesion, assessing intestinal motility, enhancing the video quality and managing the data. Even though research is prolific (as measured by publication activity), the progress made during the past 5 years can only be considered as marginal with respect to clinically significant outcomes. One thing is clear-parallel pathways of medical and IT scientists exist, each publishing in their own area, but where do these research pathways meet? Could the proposed IT plans have any clinical effect and do clinicians really understand the limitations of VCE software? In this Review, we present an in-depth critical analysis that aims to inspire and align the agendas of the two scientific groups. 

译文

视频胶囊内窥镜 (VCE) 彻底改变了小肠疾病领域的诊断工作。此外,VCE 有可能成为整个胃肠道的领先筛查技术。可以在软件中实现的计算方法可以在效率和诊断准确性方面提高 VCE 的诊断产量。自 2001年第一个胶囊内窥镜在临床实践中出现以来,信息技术 (IT) 研究小组已经提出了各种此类方法,包括检测出血和病变的算法, 减少复查时间,定位包膜或病变,评估肠运动,提高视频质量和管理数据。尽管研究是多产的 (通过出版活动来衡量),但就临床显著结果而言,过去 5 年取得的进展只能被视为微不足道。有一点是明确的 -- 医学和信息技术科学家的平行途径存在,各自在自己的领域发表文章,但是这些研究途径在哪里相遇呢?提议的信息技术计划是否有任何临床效果,临床医生是否真正理解 VCE 软件的局限性?在这篇综述中,我们提出了一个深入的批判性分析,旨在激励和调整两个科学小组的议程。

Video capsule endoscopy

消化 胃肠疾病诊断 治疗仪器
概述  :  

视频胶囊内窥镜(VCE),简称胶囊内镜,提供了一种方便简单、快捷的胃肠道检查方法,其主要适用于克罗恩病、乳糜泻小肠息肉病综合征、不明原因消化道出血、缺铁性贫血等。除可对整个胃肠道进行无创检查外,还对后续的诊治起着重大意义,目前已成为广大消化科医生对小肠疾病的筛查手段之一。   VCE在不同疾病中的应用 在克罗恩病的应用 1)出现与克罗恩病相关的临床特征,但结肠镜检查和影像学检查未发现病变,如果没有证据显示有梗阻发生,

video 英 /ˈvɪdiəʊ/  美 /ˈvɪdioʊ/

释义   n. [电子] 视频;录像,录像机;电视adj. 视频的;录像的;电视的

例句   There’s only one way to prove this to yourself and that’s by watching yourself present on video. 只有一种方法可以证明这一点,那就是观看你自己的录像。

 

capsule 英 /ˈkæpsjuːl/  美 /ˈkæpsl,ˈkæpsuːl/

释义   n. 胶囊;小容器adj. 压缩的;概要的vt. 压缩

例句   If you do not like the taste, take it in capsule form. 如果你实在不喜欢这个味道,那么就服用胶囊吧。

 

endoscopy 英 /enˈdɒskəpi/  美 /enˈdɑːskəpi/

释义   n.  [临床] 内窥镜检查

例句   The core of RealView’s endoscopy capsule is a hard plastic cylinder 25mm long and 7.5mm in diameter. RealView公司生产的内窥镜胶囊核心是一个25毫米长、直径7.5毫米的硬塑料圆柱体。

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