Artificial Intelligence Tools for Improving Manometric Diagnosis of Esophageal Dysmotility

被引：2
作者：
Fass O. [1 ]
Rogers B.D. [2 ,3 ]
Gyawali C.P. [3 ]
机构：
[1] Division of Gastroenterology and Hepatology, Stanford University, Stanford, CA
[2] Division of Gastroenterology, Hepatology and Nutrition, University of Louisville School of Medicine, Louisville, KY
[3] Division of Gastroenterology, Washington University School of Medicine, 660 South Euclid Ave., Campus Box 8124, Saint Louis, 63110, MO
来源：
Current Gastroenterology Reports | 2024年 / 26卷 / 4期
关键词：
Artificial intelligence; Functional lumen imaging probe; High resolution manometry; Machine learning;
D O I：
10.1007/s11894-024-00921-z
中图分类号：
学科分类号：
摘要：
Purpose of Review: Artificial intelligence (AI) is a broad term that pertains to a computer’s ability to mimic and sometimes surpass human intelligence in interpretation of large datasets. The adoption of AI in gastrointestinal motility has been slower compared to other areas such as polyp detection and interpretation of histopathology. Recent Findings: Within esophageal physiologic testing, AI can automate interpretation of image-based tests, especially high resolution manometry (HRM) and functional luminal imaging probe (FLIP) studies. Basic tasks such as identification of landmarks, determining adequacy of the HRM study and identification from achalasia from non-achalasia patterns are achieved with good accuracy. However, existing AI systems compare AI interpretation to expert analysis rather than to clinical outcome from management based on AI diagnosis. The use of AI methods is much less advanced within the field of ambulatory reflux monitoring, where challenges exist in assimilation of data from multiple impedance and pH channels. There remains potential for replication of the AI successes within esophageal physiologic testing to HRM of the anorectum, and to innovative and novel methods of evaluating gastric electrical activity and motor function. Summary: The use of AI has tremendous potential to improve detection of dysmotility within the esophagus using esophageal physiologic testing, as well as in other regions of the gastrointestinal tract. Eventually, integration of patient presentation, demographics and alternate test results to individual motility test interpretation will improve diagnostic precision and prognostication using AI tools. © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2024.
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页码：115 / 123
页数：8
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