The diagnosis of autoimmune pancreatitis (AIP) is often challenging and distinguishing it from chronic pancreatitis or pancreatic cancer (PC) could be very difficult. In particular, AIP can present at CT scan, MRI or endoscopic ultrasound (EUS) as a focal mass, sometimes with no other specific peculiarities. Furthermore, current international guidelines1 2 consider EUS only as a way to obtain cyto-histological specimens to exclude malignancy, regardless to its diagnostic capacity based on morphologic aspects. For these reasons, we read with great interest the paper by Marya et al 3 about the possible role of a new EUS-convolutional neural network (EUS-CNN) model for the diagnosis of AIP. In this model, videos and pictures of EUS, accurately preselected by the endosonographers, were …

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EUS 中的人工智能用于自身免疫性胰腺炎：偏见和现实生活

自身免疫性胰腺炎 (AIP) 的诊断通常具有挑战性，将其与慢性胰腺炎或胰腺癌 (PC) 区分开来可能非常困难。特别是，AIP 可以在 CT 扫描、MRI 或内窥镜超声 (EUS) 中表现为局灶性肿块，有时没有其他特定特征。此外，当前的国际指南 1 2 仅将 EUS 视为获取细胞组织学标本以排除恶性肿瘤的一种方式，而不管其基于形态学方面的诊断能力如何。由于这些原因，我们非常感兴趣地阅读了 Marya 等人 3 的论文，该论文关于新的 EUS 卷积神经网络 (EUS-CNN) 模型在 AIP 诊断中的可能作用。在这个模型中，由内窥镜检查者准确预选的 EUS 的视频和图片是……