{"title":"新型人工智能辅助子宫肌瘤分割算法的评价","authors":"S Naval , DM Anagani , DU BR , S Kothamachu","doi":"10.1016/j.jmig.2025.09.007","DOIUrl":null,"url":null,"abstract":"<div><h3>Study Objective</h3><div>To evaluate uterine and fibroid segmentation performed by an AI-assisted algorithm (Nesa Medtech, Bengaluru - 560085, India) by three experienced clinicians.</div></div><div><h3>Design</h3><div>This study was a prospective validation study. A structured questionnaire was designed to validate the parameters of the uterus and fibroid and to capture the satisfaction rate of AI segmentation among the clinicians.</div></div><div><h3>Setting</h3><div>Uterine fibroid scanned data from different ultrasonography machines (irrespective of make) with less than a maximum fibroid size not exceeding 5 cm with a maximum of 4 fibroids, were segmented by an AI-assisted algorithm.</div></div><div><h3>Patients or Participants</h3><div>A total of 100 patients with uterine fibroids were included in the study.</div></div><div><h3>Interventions</h3><div>NA</div></div><div><h3>Measurements and Primary Results</h3><div>The acquired imaging data were segmented using the AI-assisted algorithm. The uterus and fibroid segmentation of 100 cases was successfully done by this algorithm. The precise size of the uterus and accurate mapping (size, location, and FIGO-type) of the fibroid were appreciated when these segmentation results were validated by 3 experienced clinicians with expertise in ultrasonography. Clinician -1 - was satisfied in 98% of cases, Clinician -2 - was satisfied in 97% of cases, and Clinician -3 - was satisfied in 99% of cases.</div></div><div><h3>Conclusion</h3><div>The AI-assisted algorithm demonstrated strong agreement with expert analysis of the segmentation of the uterus and fibroid by ultrasonography. It appears this novel AI algorithm is promising in fibroid segmentation and its accuracy should be analyzed in future studies. In the future, this AI algorithm could be used for surgical planning.</div></div>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"32 11","pages":"Pages S2-S3"},"PeriodicalIF":3.3000,"publicationDate":"2025-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Evaluation of Novel AI Assisted Algorithm for Segmentation of Uterine Fibroids\",\"authors\":\"S Naval , DM Anagani , DU BR , S Kothamachu\",\"doi\":\"10.1016/j.jmig.2025.09.007\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Study Objective</h3><div>To evaluate uterine and fibroid segmentation performed by an AI-assisted algorithm (Nesa Medtech, Bengaluru - 560085, India) by three experienced clinicians.</div></div><div><h3>Design</h3><div>This study was a prospective validation study. A structured questionnaire was designed to validate the parameters of the uterus and fibroid and to capture the satisfaction rate of AI segmentation among the clinicians.</div></div><div><h3>Setting</h3><div>Uterine fibroid scanned data from different ultrasonography machines (irrespective of make) with less than a maximum fibroid size not exceeding 5 cm with a maximum of 4 fibroids, were segmented by an AI-assisted algorithm.</div></div><div><h3>Patients or Participants</h3><div>A total of 100 patients with uterine fibroids were included in the study.</div></div><div><h3>Interventions</h3><div>NA</div></div><div><h3>Measurements and Primary Results</h3><div>The acquired imaging data were segmented using the AI-assisted algorithm. The uterus and fibroid segmentation of 100 cases was successfully done by this algorithm. The precise size of the uterus and accurate mapping (size, location, and FIGO-type) of the fibroid were appreciated when these segmentation results were validated by 3 experienced clinicians with expertise in ultrasonography. Clinician -1 - was satisfied in 98% of cases, Clinician -2 - was satisfied in 97% of cases, and Clinician -3 - was satisfied in 99% of cases.</div></div><div><h3>Conclusion</h3><div>The AI-assisted algorithm demonstrated strong agreement with expert analysis of the segmentation of the uterus and fibroid by ultrasonography. It appears this novel AI algorithm is promising in fibroid segmentation and its accuracy should be analyzed in future studies. In the future, this AI algorithm could be used for surgical planning.</div></div>\",\"PeriodicalId\":16397,\"journal\":{\"name\":\"Journal of minimally invasive gynecology\",\"volume\":\"32 11\",\"pages\":\"Pages S2-S3\"},\"PeriodicalIF\":3.3000,\"publicationDate\":\"2025-10-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of minimally invasive gynecology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1553465025003449\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"OBSTETRICS & GYNECOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of minimally invasive gynecology","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1553465025003449","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
Evaluation of Novel AI Assisted Algorithm for Segmentation of Uterine Fibroids
Study Objective
To evaluate uterine and fibroid segmentation performed by an AI-assisted algorithm (Nesa Medtech, Bengaluru - 560085, India) by three experienced clinicians.
Design
This study was a prospective validation study. A structured questionnaire was designed to validate the parameters of the uterus and fibroid and to capture the satisfaction rate of AI segmentation among the clinicians.
Setting
Uterine fibroid scanned data from different ultrasonography machines (irrespective of make) with less than a maximum fibroid size not exceeding 5 cm with a maximum of 4 fibroids, were segmented by an AI-assisted algorithm.
Patients or Participants
A total of 100 patients with uterine fibroids were included in the study.
Interventions
NA
Measurements and Primary Results
The acquired imaging data were segmented using the AI-assisted algorithm. The uterus and fibroid segmentation of 100 cases was successfully done by this algorithm. The precise size of the uterus and accurate mapping (size, location, and FIGO-type) of the fibroid were appreciated when these segmentation results were validated by 3 experienced clinicians with expertise in ultrasonography. Clinician -1 - was satisfied in 98% of cases, Clinician -2 - was satisfied in 97% of cases, and Clinician -3 - was satisfied in 99% of cases.
Conclusion
The AI-assisted algorithm demonstrated strong agreement with expert analysis of the segmentation of the uterus and fibroid by ultrasonography. It appears this novel AI algorithm is promising in fibroid segmentation and its accuracy should be analyzed in future studies. In the future, this AI algorithm could be used for surgical planning.
期刊介绍:
The Journal of Minimally Invasive Gynecology, formerly titled The Journal of the American Association of Gynecologic Laparoscopists, is an international clinical forum for the exchange and dissemination of ideas, findings and techniques relevant to gynecologic endoscopy and other minimally invasive procedures. The Journal, which presents research, clinical opinions and case reports from the brightest minds in gynecologic surgery, is an authoritative source informing practicing physicians of the latest, cutting-edge developments occurring in this emerging field.