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An artificial intelligence-based system, named EndoAngel,has been constructed previously,which has polyp detection and quality monitoring functions. This study aims to evaluate the two different functions of EndoAngle in improving adenoma detection rate.
The detection and removal of precancerous polyps via colonoscopy can reduce the the risk of colon cancer. However, the detection rate of adenomatous polyps can vary significantly among endoscopists. EndoAngel is an artificial intelligence-based system,consisting of polyp detection and quality monitoring functions. The polyp detection function can remind endoscopists of the location of the polyp. The quality monitoring function can monitor the velocity of insertion of the endoscope, record the time of insertion and withdrawal of the endoscope, and remind endoscopists of the blind areas caused by intestinal segment slipping.This study aims to evaluate the two different functions of EndoAngle by 2 × 2 factorial design in improving adenoma detection rate and the quality of colonscopy .
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control group | Sham Comparator | Patients will receive colonoscopy without assistance of EndoAngel's any function. |
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| Polyp detection function group | Experimental | Patients will receive colonoscopy with the assistance of EndoAngel's polyp detection function. |
|
| Quality monitoring function group | Experimental | Patients will receive colonoscopy with the assistance of EndoAngel's quality monitoring function. |
|
| Polyp detection plus quality monitoring functions group | Experimental | Patients will receive colonoscopy with the assistance of EndoAngel's polyp detection plus quality monitoring function. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Colonoscopy with the assistance of EndoAngel's polyp detection function. | Diagnostic Test | Patient in this group will receive colonoscopy with assistance of EndoAngel's polyp detection function,which can remind endoscopists of the location of the polyp. |
| Measure | Description | Time Frame |
|---|---|---|
| Adenoma detection rate | The numerator is the number of cases of adenomas detected by colonoscopy, and the denominator is the total number of cases of patients undergoing colonoscopy. | 3 Months |
| Measure | Description | Time Frame |
|---|---|---|
| Polyp detection rate | The numerator is the number of cases of polyps detected by colonoscopy, and the denominator is the total number of cases of patients undergoing colonoscopy. | 3 months |
| The mean number of polyps per procedure |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Honggang Yu, MD | Contact | +8613871281899 | yuhonggang1968@163.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Renmin Hospital of Wuhan University | Recruiting | Wuhan | Hubei | 430060 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34823258 | Derived | Yao L, Zhang L, Liu J, Zhou W, He C, Zhang J, Wu L, Wang H, Xu Y, Gong D, Xu M, Li X, Bai Y, Gong R, Sharma P, Yu H. Effect of an artificial intelligence-based quality improvement system on efficacy of a computer-aided detection system in colonoscopy: a four-group parallel study. Endoscopy. 2022 Aug;54(8):757-768. doi: 10.1055/a-1706-6174. Epub 2022 Feb 4. |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Apr 11, 2023 | |
| Reset | Jan 18, 2024 |
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| Colonoscopy with the assistance of EndoAngel's quality monitoring function. | Diagnostic Test | Patient in this group will receive colonoscopy with assistance of EndoAngel's quality monitoring function,which can monitor the withdrawal speed of the endoscope. |
|
| Colonoscopy without the assistance of EndoAngel's any function. | Diagnostic Test | Patient in this group will receive colonoscopy with assistance of EndoAngel's both functions. |
|
The numerator is the total number of polyps detected by colonoscopy, and the denominator is the total number of patients undergoing colonoscopy.
| 3 months |
| The mean number of adenomas per procedure | The numerator is the total number of adenomas detected by colonoscopy, and the denominator is the total number of patients undergoing colonoscopy. | 3 months |
| Detection rate of large, small and diminutive polyps | The numerator was the number of patients with large (≥10 mm), small (>5 to <10 mm), and diminutive(≤5 mm) polyps detected by colonoscopy, and the denominator was the total number of patients receiving colonoscopy. | 3 months |
| The mean number of large, small and diminutive polyps per procedure | The numerator was the number of large (≥10 mm), small (>5 to <10 mm), and diminutive(≤5 mm) polyps detected by colonoscopy, and the denominator was the total number of patients receiving colonoscopy. | 3 months |
| Detection rate of large, small and diminutive adenomas | The numerator was the number of patients with large (≥10 mm), small (>5 to <10 mm), and diminutive(≤5 mm) adenomas detected by colonoscopy, and the denominator was the total number of patients receiving colonoscopy. | 3 months |
| The mean number of large, small and diminutive adenomas per procedure | The numerator was the number of large (≥10 mm), small (>5 to <10 mm), and diminutive(≤5 mm) adenomas detected by colonoscopy, and the denominator was the total number of patients receiving colonoscopy. | 3 months |
| Detection rate of adenoma in different sites | The numerator is the number of cases of adenoma detected in the rectum, sigmoid colon, descending colon, transverse colon, ascending colon and ileocecal region during colonoscopy, and the denominator is the total number of patients undergoing colonoscopy. | 3 months |
| The mean number of adenomas in different sites per procedure | The numerator is the total number of adenomas detected in the rectum, sigmoid colon, descending colon, transverse colon, ascending colon and ileocecal region during colonoscopy, and the denominator is the total number of patients undergoing colonoscopy. | 3 months |
| Time of colonoscopic insertion | The duration of colonoscopic insertion from rectum to ileocecal valve or appendiceal opening | 3 months |
| Time of colonoscopic withdrawal | The duration of colonoscopic withdrawal from ileocecal valve or appendiceal opening to colonoscopy finished. | 3 months |
| Cecal intubation rate | The numerator is the number of cases of colonoscopy reaching ileocecal valve or appendiceal opening, and the denominator is the total number of colonoscopy cases. | 3 months |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Apr 11, 2023 | Jan 18, 2024 |
| ID | Term |
|---|---|
| D000236 | Adenoma |
| ID | Term |
|---|---|
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| D003113 | Colonoscopy |
| ID | Term |
|---|---|
| D016099 | Endoscopy, Gastrointestinal |
| D016145 | Endoscopy, Digestive System |
| D003938 | Diagnostic Techniques, Digestive System |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D004724 | Endoscopy |
| D003949 | Diagnostic Techniques, Surgical |
| D013505 | Digestive System Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
| D019060 | Minimally Invasive Surgical Procedures |
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