Gulshan Parasher  Morgan Wong  Manmeet Rawat 《World journal of gastroenterology : WJG》2020,26(46):7287-7298

Artificial intelligence (AI) is a combination of different technologies that enable machines to sense, comprehend, and learn with human-like levels of intelligence. AI technology will eventually enhance human capability, provide machines genuine autonomy, and reduce errors, and increase productivity and efficiency. AI seems promising, and the field is full of invention, novel applications; however, the limitation of machine learning suggests a cautious optimism as the right strategy. AI is also becoming incorporated into medicine to improve patient care by speeding up processes and achieving greater accuracy for optimal patient care. AI using deep learning technology has been used to identify, differentiate catalog images in several medical fields including gastrointestinal endoscopy. The gastrointestinal endoscopy field involves endoscopic diagnoses and prognostication of various digestive diseases using image analysis with the help of various gastrointestinal endoscopic device systems. AI-based endoscopic systems can reliably detect and provide crucial information on gastrointestinal pathology based on their training and validation. These systems can make gastroenterology practice easier, faster, more reliable, and reduce inter-observer variability in the coming years. However, the thought that these systems will replace human decision making replace gastrointestinal endoscopists does not seem plausible in the near future. In this review, we discuss AI and associated various technological terminologies, evolving role in gastrointestinal endoscopy, and future possibilities.  相似文献   

    

Muhammad S. Ali  William Trick  Benjamin I. Mba  Divyanshu Mohananey  Jaskaran Sethi  Ali I. Musani 《Respirology (Carlton, Vic.)》2017,22(3):443-453

Tissue diagnosis of peripheral pulmonary lesions (PPLs) can be challenging. In the past, flexible bronchoscopy was commonly performed for this purpose but its diagnostic yield is suboptimal. This has led to the development of new bronchoscopic modalities such as radial endobronchial ultrasound (R‐EBUS), electromagnetic navigation bronchoscopy (ENB) and virtual bronchoscopy (VB). We performed this meta‐analysis using data from previously published R‐EBUS studies, to determine its diagnostic yield and other performance characteristics. Ovid MEDLINE and PubMed databases were searched for R‐EBUS studies in September 2016. Diagnostic yield was calculated by dividing the number of successful diagnoses by the total number of lesions. Meta‐analysis was performed using MedCalc (Version 16.8). Inverse variance weighting was used to aggregate diagnostic yield proportions across studies. Publication bias was assessed using funnel plot and Duval and Tweedie's test. 57 studies with a total of 7872 lesions were included in the meta‐analysis. These were published between October 2002 and August 2016. Overall weighted diagnostic yield for R‐EBUS was 70.6% (95% CI: 68–73.1%). The diagnostic yield was significantly higher for lesions >2 cm in size, malignant in nature and those associated with a bronchus sign on computerized tomography (CT) scan. Diagnostic yield was also higher when R‐EBUS probe was within the lesion as opposed to being adjacent to it. Overall complication rate was 2.8%. This is the largest meta‐analysis performed to date, assessing the performance of R‐EBUS for diagnosing PPLs. R‐EBUS has a high diagnostic yield (70.6%) with a very low complication rate.  相似文献   

    

Ritobrato Datta  Varun Sethi  Sophia Ly  Amy T. Waldman  Sona Narula  Blake E. Dewey  Pascal Sati  Daniel Reich  Brenda Banwell 《Journal of neuroimaging》2017,27(5):447-452

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Suma Ganesh  Shailja Tibrewal  Abhijeet Yadav  Sumita Sethi 《Strabismus》2017,25(4):191-194

Anomalous orbital structures are suspected in restrictive strabismus with features of severe globe retractions, overshoots, or synergistic movements. We report a case of suspected Duane syndrome that was found to have an anomalous band beneath the lateral rectus muscle. Such abnormal structures are rare, but it is important to identify and manage them to optimize outcomes.  相似文献   

    

Oliver D. Robertson  Nieves G. Coronado  Rickinder Sethi  Michael Berk  Seetal Dodd 《Early intervention in psychiatry》2019,13(5):1032-1049

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Maxwell P. Kligerman  Rosh K. V. Sethi  Elliott D. Kozin  Stacey T. Gray  Mark G. Shrime 《Head & neck》2019,41(4):1007-1015

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Caroline M Gorvin  Bushra N Ahmad  Michael J Stechman  Nellie Y Loh  Tertius A Hough  Paul Leo  Mhairi Marshall  Siddharth Sethi  Liz Bentley  Sian E Piret  Anita Reed  Jeshmi Jeyabalan  Paul T Christie  Sara Wells  Michelle M Simon  Ann-Marie Mallon  Herbert Schulz  Norbert Huebner  Matthew A Brown  Roger D Cox  Steve D Brown  Rajesh V Thakker 《Journal of bone and mineral research》2019,34(3):497-507

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Vinod Krishnappa  Mohit Gupta  Mohamed Elrifai  Bahar Moftakhar  Michael J Ensley  Tushar J Vachharajani  Sidharth Kumar Sethi  Rupesh Raina 《Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy》2018,22(2):178-188

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Rachelle Ireson BA  Bharati Sethi PhD  Allison Williams PhD 《Health & social care in the community》2018,26(1):e1-e14

Little research has been done to summarise: what is currently available to caregiver‐employees (CEs), what types of employers are offering caregiver‐friendly workplace policies (CFWPs), and the characteristics of employers offering CFWPs. The purpose of this scoping review was to explore the availability of CFWPs within workplaces on an international scale while being observant of how gender is implicated in care‐giving. This paper followed the Arksey & O’Malley (2005) methodology for conducting scoping reviews. The authors applied an iterative method of determining study search strings, study inclusion and data extraction, and qualitative thematic analysis of the search results. Searches were performed in both the academic and grey literature, published between 1994 and 2014. A total of 701 articles were found. Seventy (n = 70) articles met all inclusion criteria and were included in this review. Four main qualitative themes were identified: (i) Diversity and Inclusiveness, (ii) Motivation, (iii) Accessibility, and (iv) Workplace Culture. Policy recommendations are discussed. This scoping review narrows the gap in the literature with respect to determining: (i) the workplaces which offer CFWPs, (ii) the sectors of the labour force shown to be supportive and (iii) the most frequently offered CFWPs.  相似文献   

    

Samuel R. Barber  Elliott D. Kozin  Matthew R. Naunheim  Rosh Sethi  Aaron K. Remenschneider  Daniel G. Deschler 《American journal of otolaryngology》2018,39(1):37-40

Objectives

A tracheoesophageal prosthesis (TEP) allows for speech after total laryngectomy. However, TEP placement is technically challenging, requiring a coordinated series of steps. Surgical simulators improve technical skills and reduce operative time. We hypothesize that a reusable 3-dimensional (3D)-printed TEP simulator will facilitate comprehension and rehearsal prior to actual procedures.

Methods

The simulator was designed using Fusion360 (Autodesk, San Rafael, CA). Components were 3D-printed in-house using an Ultimaker 2 + (Ultimaker, Netherlands). Squid simulated the common tracheoesophageal wall. A Blom-Singer TEP (InHealth Technologies, Carpinteria, CA) replicated placement. Subjects watched an instructional video and completed pre- and post-simulation surveys.

Results

The simulator comprised 3D-printed parts: the esophageal lumen and superficial stoma. Squid was placed between components. Ten trainees participated. Significant differences existed between junior and senior residents with surveys regarding anatomy knowledge(p < 0.05), technical details(p < 0.01), and equipment setup(p < 0.01). Subjects agreed that simulation felt accurate, and rehearsal raised confidence in future procedures.

Conclusions

A 3D-printed TEP simulator is feasible for surgical training. Simulation involving multiple steps may accelerate technical skills and improve education.  相似文献