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The investigators conducted a multicenter randomized controlled trial to explore the adjuvant effect of artificial intelligence in the detection of precancerous lesions in the proximal colon.This is a prospective, multicenter, single-blind, parallel randomized controlled trial.During the colonoscopy retraction process, the investigators aimed to compare the detection rates of proximal colon adenomas with and without the assistance of an AI(Artificial Intelligence) diagnostic device.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| AI group |
| ||
| Series group |
| ||
| Standard group |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AI group | Procedure | Full AI assistance was used throughout the standard colonoscopy procedure. |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Adenoma detection rate | The proportion of patients who have at least one adenoma detected during colonoscopy examination | Day 1 |
| Average adenoma detection rate | The result is the number of adenomas detected by colonoscopy divided by the total number of colonoscopies performed. | Day 1 |
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Inclusion Criteria:
1.Patients with symptoms such as abdominal pain, black stools, constipation, or diarrhea undergo colonoscopy for diagnostic purposes.
Exclusion Criteria:
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Patients with symptoms such as abdominal pain, black stools, constipation, or diarrhea
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Li mian Er, doctor | Contact | 13513379068 | Hbsyelm@163.com | |
| Zhenzhen Wang, master | Contact | 13803365602 | 13803365602@163.com |
| Name | Affiliation | Role |
|---|---|---|
| Li mian Er | Hebei Medical University Fourth Hospital | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| the Fourth Hospital of Hebei Medical University | Shijiazhuang | Hebei | 050000 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32968933 | Background | Luo Y, Zhang Y, Liu M, Lai Y, Liu P, Wang Z, Xing T, Huang Y, Li Y, Li A, Wang Y, Luo X, Liu S, Han Z. Artificial Intelligence-Assisted Colonoscopy for Detection of Colon Polyps: a Prospective, Randomized Cohort Study. J Gastrointest Surg. 2021 Aug;25(8):2011-2018. doi: 10.1007/s11605-020-04802-4. Epub 2020 Sep 23. | |
| 39688959 | Background |
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| ID | Term |
|---|---|
| D015746 | Abdominal Pain |
| D008551 | Melena |
| D003248 | Constipation |
| D003967 | Diarrhea |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Serial group |
| Procedure |
After normal withdrawal of the colonoscope to the splenic flexure during standard colonoscopy, full AI assistance was initiated. The colonoscope was re-entered to the ileocecal region for observation. Any missed lesions were recorded. |
|
| Standard colonoscopy group | Procedure | The standard colonoscopy procedure was performed as usual |
|
| Wu J, Zhang Q, Li X, Bai T, Hou X, Li G, Song J. The Effect of the Second Forward View on the Detection Rate of Sessile Serrated Lesions in the Proximal Colon: A Single-Center Prospective Randomized Controlled Study. Clin Transl Gastroenterol. 2025 Feb 1;16(2):e00805. doi: 10.14309/ctg.0000000000000805. |
| 20420948 | Background | Leggett B, Whitehall V. Role of the serrated pathway in colorectal cancer pathogenesis. Gastroenterology. 2010 Jun;138(6):2088-100. doi: 10.1053/j.gastro.2009.12.066. |
| 24775268 | Background | Kim HY, Kim SM, Seo JH, Park EH, Kim N, Lee DH. Age-specific prevalence of serrated lesions and their subtypes by screening colonoscopy: a retrospective study. BMC Gastroenterol. 2014 Apr 28;14:82. doi: 10.1186/1471-230X-14-82. |
| 33655052 | Background | Huang J, Chan PSF, Pang TWY, Choi P, Chen X, Lok V, Zheng ZJ, Wong MCS. Rate of detection of serrated lesions at colonoscopy in an average-risk population: a meta-analysis of 129,001 individuals. Endosc Int Open. 2021 Mar;9(3):E472-E481. doi: 10.1055/a-1333-1776. Epub 2021 Feb 19. |
| Background | 王人杰, 张晓兰, 蔡继东, 等. 结直肠息肉的规范化诊疗[J]. 中华胃肠外科杂志, 2024, 27(6): 583-590. |
| Background | 叶倩云,刘凤斌.大肠息肉发病相关风险因素及方法学研究[J].中华中医药杂志, 2018,33(3):4. DOI:CNKI:SUN:BXYY. 0.2018-03-080. |
| D012817 | Signs and Symptoms, Digestive |
| D006471 | Gastrointestinal Hemorrhage |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
| D006470 | Hemorrhage |
| D010335 | Pathologic Processes |