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The Imitation Game: a Review of the Use of Artificial Intelligence in Colonoscopy, and Endoscopists' Perceptions Thereof

Overview
Journal Ann Coloproctol
Date 2023 Mar 12
PMID 36907170
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Abstract

The development of deep learning systems in artificial intelligence (AI) has enabled advances in endoscopy, and AI-aided colonoscopy has recently been ushered into clinical practice as a clinical decision-support tool. This has enabled real-time AI-aided detection of polyps with a higher sensitivity than the average endoscopist, and evidence to support its use has been promising thus far. This review article provides a summary of currently published data relating to AI-aided colonoscopy, discusses current clinical applications, and introduces ongoing research directions. We also explore endoscopists' perceptions and attitudes toward the use of this technology, and discuss factors influencing its uptake in clinical practice.

References
1.
Knudsen A, Zauber A, Rutter C, Naber S, Doria-Rose V, Pabiniak C . Estimation of Benefits, Burden, and Harms of Colorectal Cancer Screening Strategies: Modeling Study for the US Preventive Services Task Force. JAMA. 2016; 315(23):2595-609. PMC: 5493310. DOI: 10.1001/jama.2016.6828. View

2.
Rex D, Kahi C, OBrien M, Levin T, Pohl H, Rastogi A . The American Society for Gastrointestinal Endoscopy PIVI (Preservation and Incorporation of Valuable Endoscopic Innovations) on real-time endoscopic assessment of the histology of diminutive colorectal polyps. Gastrointest Endosc. 2011; 73(3):419-22. DOI: 10.1016/j.gie.2011.01.023. View

3.
Lee S, Chung I, Kim S, Kim J, Ko B, Hwangbo Y . An adequate level of training for technical competence in screening and diagnostic colonoscopy: a prospective multicenter evaluation of the learning curve. Gastrointest Endosc. 2008; 67(4):683-9. DOI: 10.1016/j.gie.2007.10.018. View

4.
Huang D, Shen J, Hong J, Zhang Y, Dai S, Du N . Effect of artificial intelligence-aided colonoscopy for adenoma and polyp detection: a meta-analysis of randomized clinical trials. Int J Colorectal Dis. 2021; 37(3):495-506. DOI: 10.1007/s00384-021-04062-x. View

5.
Wang P, Liu X, Berzin T, Glissen Brown J, Liu P, Zhou C . Effect of a deep-learning computer-aided detection system on adenoma detection during colonoscopy (CADe-DB trial): a double-blind randomised study. Lancet Gastroenterol Hepatol. 2020; 5(4):343-351. DOI: 10.1016/S2468-1253(19)30411-X. View