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  <doc>
    <id>7308</id>
    <completedYear/>
    <publishedYear>2024</publishedYear>
    <thesisYearAccepted/>
    <language>eng</language>
    <pageFirst>3355</pageFirst>
    <pageLast>3372</pageLast>
    <pageNumber/>
    <edition/>
    <issue/>
    <volume>62</volume>
    <type>article</type>
    <publisherName>Springer Nature</publisherName>
    <publisherPlace>Heidelberg</publisherPlace>
    <creatingCorporation/>
    <contributingCorporation/>
    <belongsToBibliography>0</belongsToBibliography>
    <completedDate>2024-06-12</completedDate>
    <publishedDate>--</publishedDate>
    <thesisDateAccepted>--</thesisDateAccepted>
    <title language="eng">Layer-selective deep representation to improve esophageal cancer classification</title>
    <abstract language="eng">Even though artiﬁcial intelligence and machine learning have demonstrated remarkable performances in medical image computing, their accountability and transparency level must be improved to transfer this success into clinical practice. The reliability of machine learning decisions must be explained and interpreted, especially for supporting the medical diagnosis.For this task, the deep learning techniques’ black-box nature must somehow be lightened up to clarify its promising results. Hence, we aim to investigate the impact of the ResNet-50 deep convolutional design for Barrett’s esophagus and adenocarcinoma classiﬁcation. For such a task, and aiming at proposing a two-step learning technique, the output of each convolutional layer that composes the ResNet-50 architecture was trained and classiﬁed for further deﬁnition of layers that would provide more impact in the architecture. We showed that local information and high-dimensional features are essential to improve the classiﬁcation for our task. Besides, we observed a signiﬁcant improvement when the most discriminative layers expressed more impact in the training and classiﬁcation of ResNet-50 for Barrett’s esophagus and adenocarcinoma classiﬁcation, demonstrating that both human knowledge and computational processing may inﬂuence the correct learning of such a problem.</abstract>
    <parentTitle language="eng">Medical &amp; Biological Engineering &amp; Computing</parentTitle>
    <identifier type="doi">10.1007/s11517-024-03142-8</identifier>
    <enrichment key="BegutachtungStatus">peer-reviewed</enrichment>
    <enrichment key="opus.source">publish</enrichment>
    <licence>Keine Lizenz - Es gilt das deutsche Urheberrecht: § 53 UrhG</licence>
    <author>Luis Antonio de Souza Jr.</author>
    <author>Leandro A. Passos</author>
    <author>Marcos Cleison S. Santana</author>
    <author>Robert Mendel</author>
    <author>David Rauber</author>
    <author>Alanna Ebigbo</author>
    <author>Andreas Probst</author>
    <author>Helmut Messmann</author>
    <author>João Paulo Papa</author>
    <author>Christoph Palm</author>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Multistep training</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Barrett’s esophagus detection</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Convolutional neural networks</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Deep learning</value>
    </subject>
    <collection role="institutes" number="FakIM">Fakultät Informatik und Mathematik</collection>
    <collection role="persons" number="palmremic">Palm, Christoph (Prof. Dr.) - ReMIC</collection>
    <collection role="persons" number="palmbarrett">Palm, Christoph (Prof. Dr.) - Projekt Barrett</collection>
    <collection role="othforschungsschwerpunkt" number="16314">Lebenswissenschaften und Ethik</collection>
    <collection role="institutes" number="">Labor Regensburg Medical Image Computing (ReMIC)</collection>
  </doc>
  <doc>
    <id>7116</id>
    <completedYear/>
    <publishedYear>2024</publishedYear>
    <thesisYearAccepted/>
    <language>eng</language>
    <pageFirst>261</pageFirst>
    <pageLast>266</pageLast>
    <pageNumber/>
    <edition/>
    <issue/>
    <volume/>
    <type>conferenceobject</type>
    <publisherName>Springer</publisherName>
    <publisherPlace>Wiesbaden</publisherPlace>
    <creatingCorporation/>
    <contributingCorporation/>
    <belongsToBibliography>0</belongsToBibliography>
    <completedDate>2024-03-11</completedDate>
    <publishedDate>--</publishedDate>
    <thesisDateAccepted>--</thesisDateAccepted>
    <title language="eng">Data Augmentation for Images of Chronic Foot Wounds</title>
    <abstract language="eng">Training data for Neural Networks is often scarce in the medical domain, which often results in models that struggle to generalize and consequently showpoor performance on unseen datasets. Generally, adding augmentation methods to the training pipeline considerably enhances a model’s performance. Using the dataset of the Foot Ulcer Segmentation Challenge, we analyze two additional augmentation methods in the domain of chronic foot wounds - local warping of wound edges along with projection and blurring of shapes inside wounds. Our experiments show that improvements in the Dice similarity coefficient and Normalized Surface Distance metrics depend on a sensible selection of those augmentation methods.</abstract>
    <parentTitle language="deu">Bildverarbeitung für die Medizin 2024: Proceedings, German Workshop on Medical Image Computing, March 10-12, 2024, Erlangen</parentTitle>
    <identifier type="doi">10.1007/978-3-658-44037-4_71</identifier>
    <enrichment key="BegutachtungStatus">peer-reviewed</enrichment>
    <enrichment key="opus.source">publish</enrichment>
    <licence>Keine Lizenz - Es gilt das deutsche Urheberrecht: § 53 UrhG</licence>
    <author>Max Gutbrod</author>
    <author>Benedikt Geisler</author>
    <author>David Rauber</author>
    <author>Christoph Palm</author>
    <collection role="institutes" number="FakIM">Fakultät Informatik und Mathematik</collection>
    <collection role="persons" number="palmremic">Palm, Christoph (Prof. Dr.) - ReMIC</collection>
    <collection role="othforschungsschwerpunkt" number="16314">Lebenswissenschaften und Ethik</collection>
    <collection role="institutes" number="">Labor Regensburg Medical Image Computing (ReMIC)</collection>
  </doc>
  <doc>
    <id>7118</id>
    <completedYear/>
    <publishedYear>2024</publishedYear>
    <thesisYearAccepted/>
    <language>eng</language>
    <pageFirst>298</pageFirst>
    <pageLast>303</pageLast>
    <pageNumber/>
    <edition/>
    <issue/>
    <volume/>
    <type>conferenceobject</type>
    <publisherName>Springeer</publisherName>
    <publisherPlace>Wiesbaden</publisherPlace>
    <creatingCorporation/>
    <contributingCorporation/>
    <belongsToBibliography>0</belongsToBibliography>
    <completedDate>2024-03-11</completedDate>
    <publishedDate>--</publishedDate>
    <thesisDateAccepted>--</thesisDateAccepted>
    <title language="eng">Smoke Classification in Laparoscopic Cholecystectomy Videos Incorporating Spatio-temporal Information</title>
    <abstract language="eng">Heavy smoke development represents an important challenge for operating physicians during laparoscopic procedures and can potentially affect the success of an intervention due to reduced visibility and orientation. Reliable and accurate recognition of smoke is therefore a prerequisite for the use of downstream systems such as automated smoke evacuation systems. Current approaches distinguish between non-smoked and smoked frames but often ignore the temporal context inherent in endoscopic video data. In this work, we therefore present a method that utilizes the pixel-wise displacement from randomly sampled images to the preceding frames determined using the optical flow algorithm by providing the transformed magnitude of the displacement as an additional input to the network. Further, we incorporate the temporal context at evaluation time by applying an exponential moving average on the estimated class probabilities of the model output to obtain more stable and robust results over time. We evaluate our method on two convolutional-based and one state-of-the-art transformer architecture and show improvements in the classification results over a baseline approach, regardless of the network used.</abstract>
    <parentTitle language="deu">Bildverarbeitung für die Medizin 2024: Proceedings, German Workshop on Medical Image Computing, March 10-12, 2024, Erlangen</parentTitle>
    <identifier type="doi">10.1007/978-3-658-44037-4_78</identifier>
    <enrichment key="BegutachtungStatus">begutachtet</enrichment>
    <enrichment key="Kostentraeger">2027701</enrichment>
    <enrichment key="opus.source">publish</enrichment>
    <enrichment key="OtherSeries">Informatik aktuell</enrichment>
    <licence>Keine Lizenz - Es gilt das deutsche Urheberrecht: § 53 UrhG</licence>
    <author>Tobias Rückert</author>
    <author>Maximilian Rieder</author>
    <author>Hubertus Feussner</author>
    <author>Dirk Wilhelm</author>
    <author>Daniel Rückert</author>
    <author>Christoph Palm</author>
    <collection role="institutes" number="FakIM">Fakultät Informatik und Mathematik</collection>
    <collection role="institutes" number="RCHST">Regensburg Center of Health Sciences and Technology - RCHST</collection>
    <collection role="persons" number="palmremic">Palm, Christoph (Prof. Dr.) - ReMIC</collection>
    <collection role="othforschungsschwerpunkt" number="16314">Lebenswissenschaften und Ethik</collection>
    <collection role="institutes" number="">Labor Regensburg Medical Image Computing (ReMIC)</collection>
  </doc>
  <doc>
    <id>7120</id>
    <completedYear/>
    <publishedYear>2024</publishedYear>
    <thesisYearAccepted/>
    <language>eng</language>
    <pageFirst/>
    <pageLast/>
    <pageNumber>9</pageNumber>
    <edition/>
    <issue/>
    <volume/>
    <type>preprint</type>
    <publisherName/>
    <publisherPlace/>
    <creatingCorporation/>
    <contributingCorporation/>
    <belongsToBibliography>0</belongsToBibliography>
    <completedDate>2024-03-18</completedDate>
    <publishedDate>--</publishedDate>
    <thesisDateAccepted>--</thesisDateAccepted>
    <title language="eng">Motion-Corrected Moving Average: Including Post-Hoc Temporal Information for Improved Video Segmentation</title>
    <abstract language="eng">Real-time computational speed and a high degree of precision are requirements for computer-assisted interventions. Applying a segmentation network to a medical video processing task can introduce significant inter-frame prediction noise. Existing approaches can reduce inconsistencies by including temporal information but often impose requirements on the architecture or dataset. This paper proposes a method to include temporal information in any segmentation model and, thus, a technique to improve video segmentation performance without alterations during training or additional labeling. With Motion-Corrected Moving Average, we refine the exponential moving average between the current and previous predictions. Using optical flow to estimate the movement between consecutive frames, we can shift the prior term in the moving-average calculation to align with the geometry of the current frame. The optical flow calculation does not require the output of the model and can therefore be performed in parallel, leading to no significant runtime penalty for our approach. We evaluate our approach on two publicly available segmentation datasets and two proprietary endoscopic datasets and show improvements over a baseline approach.</abstract>
    <identifier type="doi">10.48550/arXiv.2403.03120</identifier>
    <identifier type="arxiv">arXiv:2403.03120</identifier>
    <enrichment key="Kostentraeger">2027701</enrichment>
    <enrichment key="opus.source">publish</enrichment>
    <enrichment key="opus.doi.autoCreate">false</enrichment>
    <enrichment key="opus.urn.autoCreate">true</enrichment>
    <licence>Creative Commons - CC BY-NC-ND - Namensnennung - Nicht kommerziell - Keine Bearbeitungen 4.0 International</licence>
    <author>Robert Mendel</author>
    <author>Tobias Rückert</author>
    <author>Dirk Wilhelm</author>
    <author>Daniel Rückert</author>
    <author>Christoph Palm</author>
    <subject>
      <language>deu</language>
      <type>swd</type>
      <value>Deep Learning</value>
    </subject>
    <subject>
      <language>deu</language>
      <type>swd</type>
      <value>Video</value>
    </subject>
    <subject>
      <language>deu</language>
      <type>swd</type>
      <value>Segmentation</value>
    </subject>
    <collection role="institutes" number="FakIM">Fakultät Informatik und Mathematik</collection>
    <collection role="institutes" number="RCHST">Regensburg Center of Health Sciences and Technology - RCHST</collection>
    <collection role="persons" number="palmremic">Palm, Christoph (Prof. Dr.) - ReMIC</collection>
    <collection role="othforschungsschwerpunkt" number="16314">Lebenswissenschaften und Ethik</collection>
    <collection role="institutes" number="">Labor Regensburg Medical Image Computing (ReMIC)</collection>
  </doc>
  <doc>
    <id>7119</id>
    <completedYear/>
    <publishedYear>2024</publishedYear>
    <thesisYearAccepted/>
    <language>eng</language>
    <pageFirst>10445</pageFirst>
    <pageLast>10459</pageLast>
    <pageNumber>15</pageNumber>
    <edition/>
    <issue/>
    <volume>36</volume>
    <type>article</type>
    <publisherName>Springer</publisherName>
    <publisherPlace>London</publisherPlace>
    <creatingCorporation/>
    <contributingCorporation/>
    <belongsToBibliography>0</belongsToBibliography>
    <completedDate>2024-03-14</completedDate>
    <publishedDate>--</publishedDate>
    <thesisDateAccepted>--</thesisDateAccepted>
    <title language="eng">DeepCraftFuse: visual and deeply-learnable features work better together for esophageal cancer detection in patients with Barrett’s esophagus</title>
    <abstract language="eng">Limitations in computer-assisted diagnosis include lack of labeled data and inability to model the relation between what experts see and what computers learn. Even though artificial intelligence and machine learning have demonstrated remarkable performances in medical image computing, their accountability and transparency level must be improved to transfer this success into clinical practice. The reliability of machine learning decisions must be explained and interpreted, especially for supporting the medical diagnosis. While deep learning techniques are broad so that unseen information might help learn patterns of interest, human insights to describe objects of interest help in decision-making. This paper proposes a novel approach, DeepCraftFuse, to address the challenge of combining information provided by deep networks with visual-based features to significantly enhance the correct identification of cancerous tissues in patients affected with Barrett’s esophagus (BE). We demonstrate that DeepCraftFuse outperforms state-of-the-art techniques on private and public datasets, reaching results of around 95% when distinguishing patients affected by BE that is either positive or negative to esophageal cancer.</abstract>
    <parentTitle language="eng">Neural Computing and Applications</parentTitle>
    <identifier type="doi">10.1007/s00521-024-09615-z</identifier>
    <enrichment key="BegutachtungStatus">peer-reviewed</enrichment>
    <enrichment key="Kostentraeger">2027700</enrichment>
    <enrichment key="opus.source">publish</enrichment>
    <licence>Keine Lizenz - Es gilt das deutsche Urheberrecht: § 53 UrhG</licence>
    <author>Luis Antonio de Souza Jr.</author>
    <author>André G.C. Pacheco</author>
    <author>Leandro A. Passos</author>
    <author>Marcos Cleison S. Santana</author>
    <author>Robert Mendel</author>
    <author>Alanna Ebigbo</author>
    <author>Andreas Probst</author>
    <author>Helmut Messmann</author>
    <author>Christoph Palm</author>
    <author>João Paulo Papa</author>
    <subject>
      <language>deu</language>
      <type>swd</type>
      <value>Deep Learning</value>
    </subject>
    <subject>
      <language>deu</language>
      <type>swd</type>
      <value>Speiseröhrenkrebs</value>
    </subject>
    <subject>
      <language>deu</language>
      <type>swd</type>
      <value>Adenocarcinom</value>
    </subject>
    <subject>
      <language>deu</language>
      <type>swd</type>
      <value>Endobrachyösophagus</value>
    </subject>
    <subject>
      <language>deu</language>
      <type>swd</type>
      <value>Diagnose</value>
    </subject>
    <subject>
      <language>deu</language>
      <type>swd</type>
      <value>Maschinelles Lernen</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Machine learning</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Adenocarcinoma</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Object detector</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Barrett’s esophagus</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Deep Learning</value>
    </subject>
    <collection role="institutes" number="FakIM">Fakultät Informatik und Mathematik</collection>
    <collection role="persons" number="palmremic">Palm, Christoph (Prof. Dr.) - ReMIC</collection>
    <collection role="persons" number="palmbarrett">Palm, Christoph (Prof. Dr.) - Projekt Barrett</collection>
    <collection role="othforschungsschwerpunkt" number="16314">Lebenswissenschaften und Ethik</collection>
    <collection role="institutes" number="">Labor Regensburg Medical Image Computing (ReMIC)</collection>
  </doc>
  <doc>
    <id>7033</id>
    <completedYear/>
    <publishedYear>2024</publishedYear>
    <thesisYearAccepted/>
    <language>eng</language>
    <pageFirst/>
    <pageLast/>
    <pageNumber>1</pageNumber>
    <edition/>
    <issue/>
    <volume/>
    <type>other</type>
    <publisherName>Elsevier</publisherName>
    <publisherPlace/>
    <creatingCorporation/>
    <contributingCorporation/>
    <belongsToBibliography>0</belongsToBibliography>
    <completedDate>2024-01-10</completedDate>
    <publishedDate>--</publishedDate>
    <thesisDateAccepted>--</thesisDateAccepted>
    <title language="eng">Corrigendum to “Methods and datasets for segmentation of minimally invasive surgical instruments in endoscopic images and videos: A review of the state of the art” [Comput. Biol. Med. 169 (2024) 107929]</title>
    <abstract language="eng">The authors regret that the SAR-RARP50 dataset is missing from the description of publicly available datasets presented in Chapter 4.</abstract>
    <parentTitle language="eng">Computers in Biology and Medicine</parentTitle>
    <identifier type="doi">10.1016/j.compbiomed.2024.108027</identifier>
    <identifier type="urn">urn:nbn:de:bvb:898-opus4-70337</identifier>
    <note>Aufsatz unter: https://opus4.kobv.de/opus4-oth-regensburg/frontdoor/index/index/docId/6983</note>
    <enrichment key="opus.source">publish</enrichment>
    <enrichment key="BegutachtungStatus">peer-reviewed</enrichment>
    <licence>Creative Commons - CC BY - Namensnennung 4.0 International</licence>
    <author>Tobias Rückert</author>
    <author>Daniel Rückert</author>
    <author>Christoph Palm</author>
    <collection role="institutes" number="FakIM">Fakultät Informatik und Mathematik</collection>
    <collection role="institutes" number="RCHST">Regensburg Center of Health Sciences and Technology - RCHST</collection>
    <collection role="persons" number="palmremic">Palm, Christoph (Prof. Dr.) - ReMIC</collection>
    <collection role="othforschungsschwerpunkt" number="16314">Lebenswissenschaften und Ethik</collection>
    <collection role="institutes" number="">Labor Regensburg Medical Image Computing (ReMIC)</collection>
    <thesisPublisher>Ostbayerische Technische Hochschule Regensburg</thesisPublisher>
    <file>https://opus4.kobv.de/opus4-oth-regensburg/files/7033/1-s2.0-S0010482524001112-main.pdf</file>
  </doc>
  <doc>
    <id>7021</id>
    <completedYear/>
    <publishedYear>2024</publishedYear>
    <thesisYearAccepted/>
    <language>eng</language>
    <pageFirst>1</pageFirst>
    <pageLast>15</pageLast>
    <pageNumber/>
    <edition>Pre-press</edition>
    <issue/>
    <volume/>
    <type>article</type>
    <publisherName>IOP Press</publisherName>
    <publisherPlace/>
    <creatingCorporation/>
    <contributingCorporation/>
    <belongsToBibliography>0</belongsToBibliography>
    <completedDate>--</completedDate>
    <publishedDate>--</publishedDate>
    <thesisDateAccepted>--</thesisDateAccepted>
    <title language="eng">Deep learning-based differentiation of peripheral high-flow and low-flow vascular malformations in T2-weighted short tau inversion recovery MRI</title>
    <abstract language="eng">BACKGROUND&#13;
Differentiation of high-flow from low-flow vascular malformations (VMs) is crucial for therapeutic management of this orphan disease.&#13;
OBJECTIVE&#13;
A convolutional neural network (CNN) was evaluated for differentiation of peripheral vascular malformations (VMs) on T2-weighted short tau inversion recovery (STIR) MRI.&#13;
METHODS&#13;
527 MRIs (386 low-flow and 141 high-flow VMs) were randomly divided into training, validation and test set for this single-center study. 1) Results of the CNN's diagnostic performance were compared with that of two expert and four junior radiologists. 2) The influence of CNN's prediction on the radiologists' performance and diagnostic certainty was evaluated. 3) Junior radiologists' performance after self-training was compared with that of the CNN.&#13;
RESULTS&#13;
Compared with the expert radiologists the CNN achieved similar accuracy (92% vs. 97%, p = 0.11), sensitivity (80% vs. 93%, p = 0.16) and specificity (97% vs. 100%, p = 0.50). In comparison to the junior radiologists, the CNN had a higher specificity and accuracy (97% vs. 80%, p &lt;  0.001; 92% vs. 77%, p &lt;  0.001). CNN assistance had no significant influence on their diagnostic performance and certainty. After self-training, the junior radiologists' specificity and accuracy improved and were comparable to that of the CNN.&#13;
CONCLUSIONS&#13;
Diagnostic performance of the CNN for differentiating high-flow from low-flow VM was comparable to that of expert radiologists. CNN did not significantly improve the simulated daily practice of junior radiologists, self-training was more effective.</abstract>
    <parentTitle language="eng">Clinical hemorheology and microcirculation</parentTitle>
    <identifier type="doi">10.3233/CH-232071</identifier>
    <identifier type="pmid">38306026</identifier>
    <enrichment key="opus.import.date">2024-02-09T09:33:27+00:00</enrichment>
    <enrichment key="opus.source">sword</enrichment>
    <enrichment key="opus.import.user">importuser</enrichment>
    <enrichment key="BegutachtungStatus">peer-reviewed</enrichment>
    <licence>Keine Lizenz - Es gilt das deutsche Urheberrecht: § 53 UrhG</licence>
    <author>Simone Hammer</author>
    <author>Danilo Weber Nunes</author>
    <author>Michael Hammer</author>
    <author>Florian Zeman</author>
    <author>Michael Akers</author>
    <author>Andrea Götz</author>
    <author>Annika Balla</author>
    <author>Michael Christian Doppler</author>
    <author>Claudia Fellner</author>
    <author>Natascha Da Platz Batista Silva</author>
    <author>Sylvia Thurn</author>
    <author>Niklas Verloh</author>
    <author>Christian Stroszczynski</author>
    <author>Walter Alexander Wohlgemuth</author>
    <author>Christoph Palm</author>
    <author>Wibke Uller</author>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>magnetic resonance imaging</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>deep learning</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Vascular malformation</value>
    </subject>
    <collection role="institutes" number="FakIM">Fakultät Informatik und Mathematik</collection>
    <collection role="persons" number="palmremic">Palm, Christoph (Prof. Dr.) - ReMIC</collection>
    <collection role="othforschungsschwerpunkt" number="16314">Lebenswissenschaften und Ethik</collection>
    <collection role="institutes" number="">Labor Regensburg Medical Image Computing (ReMIC)</collection>
  </doc>
  <doc>
    <id>7801</id>
    <completedYear/>
    <publishedYear>2024</publishedYear>
    <thesisYearAccepted/>
    <language>deu</language>
    <pageFirst>e575</pageFirst>
    <pageLast>e576</pageLast>
    <pageNumber/>
    <edition/>
    <issue>09</issue>
    <volume>62</volume>
    <type>conferencepresentation</type>
    <publisherName>Georg Thieme Verlag KG</publisherName>
    <publisherPlace/>
    <creatingCorporation/>
    <contributingCorporation/>
    <belongsToBibliography>0</belongsToBibliography>
    <completedDate>--</completedDate>
    <publishedDate>--</publishedDate>
    <thesisDateAccepted>--</thesisDateAccepted>
    <title language="deu">Mensch-Maschine-Interaktion: Einfluss künstlicher Intelligenz auf das diagnostische Vertrauen von Endoskopikern bei der Beurteilung des Barrett-Ösophagus</title>
    <abstract language="deu">Ziele: &#13;
Das Ziel der Studie war es, den Einfluss von KI auf die diagnostische Sicherheit (Konfidenzniveau) von Endoskopikern anhand von BÖ-Videos zu untersuchen und mögliche Korrelationen mit der Untersuchungsqualität zu erforschen.&#13;
Methodik: &#13;
22 Endoskopiker aus zwölf Zentren mit unterschiedlicher Barrett-Erfahrung untersuchten 96 standardisierte Endoskopievideos. Die Untersucher wurden in Experten und Nicht-Experten eingeteilt und nach dem Zufallsprinzip für die Bewertung der Videos mit oder ohne KI eingeteilt. Die Teilnehmer wurden in zwei Gruppen aufgeteilt: Arm A bewertete zunächst Videos ohne KI und dann mit KI, während Arm B die umgekehrte Reihenfolge einhielt. Die Untersucher hatten die Aufgabe, BÖ-assoziierte Neoplasien zu erkennen und ihr Konfidenzniveau sowohl mit als auch ohne KI auf einer Skala von 0 bis 9 anzugeben.&#13;
Ergebnis: &#13;
In Arm A erhöhte der Einsatz von KI das Konfidenzniveau bei beiden signifikant (p&lt;0.001). Bemerkenswert ist, dass jedoch nur Nicht-Experten durch die KI eine signifikante Verbesserung der Sensitivität und Spezifität (p&lt;0.001 bzw. p&lt;0.05) erfuhren. Während Experten ohne KI im Vergleich zu Nicht-Experten mit KI ein höheres Konfidenzniveau aufwiesen, gab es keinen signifikanten Unterschied in der Genauigkeit. In Arm B zeigten beide Gruppen eine signifikante Abnahme des Konfidenzniveaus (p&lt;0.001) bei gleichbleibender Genauigkeit. Darüber hinaus wurden in 9% der Entscheidungen trotz korrekter KI eine falsche Wahl getroffen.&#13;
Schlussfolgerung: &#13;
Der Einsatz künstlicher Intelligenz steigerte das Konfidenzniveau sowohl bei Experten als auch bei Nicht-Experten signifikant – ein Effekt, der im Studienmodell reversibel war. Darüber hinaus wiesen Experten mit oder ohne KI durchweg höhere Konfidenzniveaus auf als Nicht-Experten mit KI, trotz vergleichbarer Ergebnisse. Zudem konnte beobachtet werden, dass die Untersucher in 9% der Fälle die KI zuungunsten des Patienten ignorierten.</abstract>
    <parentTitle language="deu">Zeitschrift für Gastroenterologie</parentTitle>
    <identifier type="doi">10.1055/s-0044-1789656</identifier>
    <enrichment key="opus.import.date">2024-11-18T10:16:05+00:00</enrichment>
    <enrichment key="opus.source">sword</enrichment>
    <enrichment key="opus.import.user">importuser</enrichment>
    <enrichment key="ConferenceStatement">78. Jahrestagung der DGVS mit Sektion Endoskopie Jahrestagung der Deutschen Gesellschaft für Allgemein- und Viszeralchirurgie mit den Arbeitsgemeinschaften der DGAV und Jahrestagung der CACP. - Viszeralmedizin 2024. - 9/30/2024 - 10/5/2024</enrichment>
    <enrichment key="BegutachtungStatus">peer-reviewed</enrichment>
    <licence>Keine Lizenz - Es gilt das deutsche Urheberrecht: § 53 UrhG</licence>
    <author>David Roser</author>
    <author>Michael Meinikheim</author>
    <author>Robert Mendel</author>
    <author>Christoph Palm</author>
    <author>Anna Muzalyova</author>
    <author>David Rauber</author>
    <author>Tobias Rückert</author>
    <author>Nasim Parsa</author>
    <author>Michael F. Byrne</author>
    <author>Helmut Messmann</author>
    <author>Alanna Ebigbo</author>
    <collection role="institutes" number="FakIM">Fakultät Informatik und Mathematik</collection>
    <collection role="persons" number="palmremic">Palm, Christoph (Prof. Dr.) - ReMIC</collection>
    <collection role="persons" number="palmbarrett">Palm, Christoph (Prof. Dr.) - Projekt Barrett</collection>
    <collection role="othforschungsschwerpunkt" number="16314">Lebenswissenschaften und Ethik</collection>
    <collection role="institutes" number="">Labor Regensburg Medical Image Computing (ReMIC)</collection>
  </doc>
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