Dataset Information

The single-monitor trial: an embedded CADe system increased adenoma detection during colonoscopy: a prospective randomized study.

ABSTRACT:

Background

Computer-aided detection (CADe) of colon polyps has been demonstrated to improve colon polyp and adenoma detection during colonoscopy by indicating the location of a given polyp on a parallel monitor. The aim of this study was to investigate whether embedding the CADe system into the primary colonoscopy monitor may serve to increase polyp and adenoma detection, without increasing physician fatigue level.

Methods

Consecutive patients presenting for colonoscopies were prospectively randomized to undergo routine colonoscopy with or without the assistance of a real-time polyp detection CADe system. Fatigue level was evaluated from score 0 to 10 by the performing endoscopists after each colonoscopy procedure. The main outcome was adenoma detection rate (ADR).

Results

Out of 790 patients analyzed, 397 were randomized to routine colonoscopy (control group), and 393 to a colonoscopy with computer-aided diagnosis (CADe group). The ADRs were 20.91% and 29.01%, respectively (OR?=?1.546, 95% CI 1.116-2.141, p?=?0.009). The average number of adenomas per colonoscopy (APC) was 0.29 and 0.48, respectively (Change Folds?=?1.64, 95% CI 1.299-2.063, p?versus 3.40 for routine and CADe group, p?=?0.357.

Conclusions

A real-time CADe system employed on the primary endoscopy monitor may lead to improvements in ADR and polyp detection rate without increasing fatigue level during colonoscopy. The integration of a low-latency and high-performance CADe systems may serve as an effective quality assurance tool during colonoscopy. www.chictr.org.cn number, ChiCTR1800018058.

SUBMITTER: Liu P

PROVIDER: S-EPMC7745558 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature

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Publications

The single-monitor trial: an embedded CADe system increased adenoma detection during colonoscopy: a prospective randomized study.

Liu Peixi P Wang Pu P Glissen Brown Jeremy R JR Berzin Tyler M TM Zhou Guanyu G Liu Weihui W Xiao Xun X Chen Ziyang Z Zhang Zhihong Z Zhou Chao C Lei Lei L Xiong Fei F Li Liangping L Liu Xiaogang X

Therapeutic advances in gastroenterology 20201215

<h4>Background</h4>Computer-aided detection (CADe) of colon polyps has been demonstrated to improve colon polyp and adenoma detection during colonoscopy by indicating the location of a given polyp on a parallel monitor. The aim of this study was to investigate whether embedding the CADe system into the primary colonoscopy monitor may serve to increase polyp and adenoma detection, without increasing physician fatigue level.<h4>Methods</h4>Consecutive patients presenting for colonoscopies were pro ...[more]

PMID: 33403003

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Dataset Information

The single-monitor trial: an embedded CADe system increased adenoma detection during colonoscopy: a prospective randomized study.

Background

Methods

Results

Conclusions

Publications

The single-monitor trial: an embedded CADe system increased adenoma detection during colonoscopy: a prospective randomized study.

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