Effect of computer aided detection device on the adenoma detection rate and serrated detection rate among trainee fellows

IF 1.7 Q3 GASTROENTEROLOGY & HEPATOLOGY JGH Open Pub Date : 2024-09-09 DOI:10.1002/jgh3.70018

Anas Khouri, Chance Dickson, Alvin Green, Abrahim Hanjar, William Sonnier

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Abstract

Background and Aims

The utilization of artificial intelligence (AI) with computer-aided detection (CADe) has the potential to increase the adenoma detection rate (ADR) by up to 30% in expert settings and specialized centers. The impact of CADe on serrated polyp detection rates (SDR) and academic trainees ADR & SDR remains underexplored. We aim to investigate the effect of CADe on ADR and SDR at an academic center with various levels of providers' experience.

Methods

A single-center retrospective analysis was conducted on asymptomatic patients between the ages of 45 and 75 who underwent screening colonoscopy. Colonoscopy reports were reviewed for 3 months prior to the introduction of GI Genius™ (Medtronic, USA) and 3 months after its implementation. The primary outcome was ADR and SDR with and without CADe.

Results

Totally 658 colonoscopies were eligible for analysis. CADe resulted in statistically significant improvement in SDR from 8.92% to 14.1% (P = 0.037). The (ADR + SDR) with CADe and without CADe was 58% and 55.1%, respectively (P = 0.46). Average colonoscopy (CSC) withdrawal time was 17.33 min (SD 10) with the device compared with 17.35 min (SD 9) without the device (P = 0.98).

Conclusion

In this study, GI Genius™ was associated with a statistically significant increase in SDR alone, but not in ADR or (ADR + SDR), likely secondary to the more elusive nature of serrated polyps compared to adenomatous polyps. The use of CADe did not affect withdrawal time.

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计算机辅助检测设备对见习研究员腺瘤检出率和锯齿状检出率的影响

背景和目的利用人工智能（AI）和计算机辅助检测（CADe）有可能将专家和专业中心的腺瘤检出率（ADR）提高 30%。CADe 对锯齿状息肉检出率（SDR）和学术学员 ADR & 的影响仍未得到充分探索。我们旨在研究 CADe 对具有不同水平医疗人员经验的学术中心的 ADR 和 SDR 的影响。方法对年龄在 45 岁至 75 岁之间接受结肠镜筛查的无症状患者进行单中心回顾性分析。在引入 GI Genius™（美敦力，美国）前 3 个月和引入后 3 个月对结肠镜检查报告进行了审查。主要结果是有无 CADe 的 ADR 和 SDR。结果共有 658 例结肠镜检查符合分析条件。CADe 使 SDR 从 8.92% 显著提高到 14.1%（P = 0.037）。使用 CADe 和不使用 CADe 的（ADR + SDR）分别为 58% 和 55.1%（P = 0.46）。使用该设备的平均结肠镜检查 (CSC) 撤离时间为 17.33 分钟（标度 10），而不使用该设备的平均撤离时间为 17.35 分钟（标度 9）（P = 0.98）。结论在本研究中，GI Genius™ 与单纯 SDR 的统计学显著增加有关，但与 ADR 或（ADR + SDR）的统计学显著增加无关，这可能是由于锯齿状息肉比腺瘤性息肉更难以捉摸。使用 CADe 不会影响停药时间。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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