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Computer-aided detection (CADe) based on artificial intelligence (AI) may improve colonoscopy quality. An increasing number of young endoscopists are trained in an AI environment. However its impact on trainees' future outcomes remains unclear. The study aimed to evaluate the quality indicators of endoscopists trained in an AI environment compared to those trained conventionally.
Computer-aided detection (CADe) based on artificial intelligence (AI) may improve colonoscopy quality. An increasing number of young endoscopists are trained in an AI environment. However its impact on trainees' future outcomes remains unclear. The study aimed to evaluate the quality indicators of endoscopists trained in an AI environment compared to those trained conventionally. A study included 6,000 adult patients who underwent a colonoscopy for various reasons. The study retrospectively evaluated the first 1,000 procedures performed by six endoscopists after completing training relying entirely on endoscopists' detection skills without AI enhancement. Three of those young endoscopists were trained with CADe, and three without additional assistance. Quality indicators were assessed in both groups. The morphology of detected polyps was evaluated to determine the influence of AI-enhanced training on laterally spreading tumors (LST) detection rate.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A | Colonoscopies performed by endoscopists trained in AI-enhanced environment. The quality indicators are measured after completing training without AI enhancement. |
| |
| Group B | Colonoscopies performed by endoscopists trained conventionally. The quality indicators are measured after completing training without AI enhancement. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AI-enhanced endoscopy training | Other | Endoscopists trained in AI-enhanced environment. Their quality indicators are measured after completing training, without additional AI enhancement. |
| Measure | Description | Time Frame |
|---|---|---|
| Serrated polyp detection rate (SDR) | The percentage of colonoscopies when the serrated polyp was found | During the colonoscopy examination |
| withdrawal time | The time from the cecal intubation to the end of the examination | During the colonoscopy examination |
| Cecal intubation rate (CIR) | The percentage of colonoscopies with successful cecal intubations | During the colonoscopy examination |
| Adenoma Detection Rate (ADR) | The percentage of colonoscopies when the adenoma was found | During the colonoscopy examination |
| Advanced adenoma detection rate (AADR) | The percentage of colonoscopies when the advanced adenoma (>10mm) was found | During the colonoscopy examination |
| Adenoma per colonoscopy score (APC) | The average number of adenomas detected in a single colonoscopy | During the colonoscopy examination |
| Measure | Description | Time Frame |
|---|---|---|
| Laterally spreading tumor detection rate | The percentage of colonoscopies when the laterally spreading tumor lesion was found | During the colonoscopy examination |
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Inclusion Criteria:
Exclusion Criteria:
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This study included 6,000 adult patients who underwent a colonoscopy for various reasons in a single high-volume endoscopy clinic in Krakow.
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| Name | Affiliation | Role |
|---|---|---|
| Zofia Orzeszko, MD | Jagiellonian University | Principal Investigator |
| Miroslaw Szura, PhD, Prof. | Jagiellonian University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Jagiellonian University | Krakow | 31007 | Poland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34363763 | Background | Spadaccini M, Iannone A, Maselli R, Badalamenti M, Desai M, Chandrasekar VT, Patel HK, Fugazza A, Pellegatta G, Galtieri PA, Lollo G, Carrara S, Anderloni A, Rex DK, Savevski V, Wallace MB, Bhandari P, Roesch T, Gralnek IM, Sharma P, Hassan C, Repici A. Computer-aided detection versus advanced imaging for detection of colorectal neoplasia: a systematic review and network meta-analysis. Lancet Gastroenterol Hepatol. 2021 Oct;6(10):793-802. doi: 10.1016/S2468-1253(21)00215-6. Epub 2021 Aug 5. | |
| 32557490 |
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| Conventional endoscopy training | Other | Endoscopists trained conventionally |
|
| Background |
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| 24693890 | Background | Corley DA, Jensen CD, Marks AR, Zhao WK, Lee JK, Doubeni CA, Zauber AG, de Boer J, Fireman BH, Schottinger JE, Quinn VP, Ghai NR, Levin TR, Quesenberry CP. Adenoma detection rate and risk of colorectal cancer and death. N Engl J Med. 2014 Apr 3;370(14):1298-306. doi: 10.1056/NEJMoa1309086. |
| 20463339 | Background | Kaminski MF, Regula J, Kraszewska E, Polkowski M, Wojciechowska U, Didkowska J, Zwierko M, Rupinski M, Nowacki MP, Butruk E. Quality indicators for colonoscopy and the risk of interval cancer. N Engl J Med. 2010 May 13;362(19):1795-803. doi: 10.1056/NEJMoa0907667. |