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Endoscopist-Level and Procedure-Level Factors Associated With Increased Adenoma Detection With the Use of a
Aasma Shaukat1, David R Lichtenstein2, Daniel C Chung3
1Division of Gastroenterology and Hepatology, Department of Medicine, New York University Grossman School of Medicine, New York, New York, USA.
Computer-aided detection (CADe) devices improved adenoma per colonoscopy (APC) detection rates in community settings. Effectiveness varied based on endoscopist experience and withdrawal time.
Area of Science:
- Gastroenterology
- Medical Devices
- Clinical Trials
Background:
- Computer-aided detection (CADe) systems aim to enhance adenoma per colonoscopy (APC) detection.
- Factors influencing CADe effectiveness require further investigation.
Purpose of the Study:
- To assess the impact of procedure-related and endoscopist-related factors on CADe effectiveness for APC detection.
- To analyze prespecified factors within the SKOUT clinical trial.
Main Methods:
- The SKOUT clinical trial involved 5 US sites, comparing CADe (SKOUT) with standard colonoscopy.
- Prespecified analyses examined procedure and endoscopist factors associated with APC detection.
Main Results:
- CADe showed increased APC detection in community-based endoscopists, with longer withdrawal times (≥8 minutes), and for endoscopists with over 20 years of experience or a baseline adenoma detection rate below 45%.
Conclusions:
- CADe devices show promise in improving APC detection, particularly in specific clinical scenarios.
- Further research is needed to understand endoscopist-related factors influencing CADe performance.
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