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Using Computer-aided Optical Diagnosis and Expert Review to Evaluate Colorectal Polyps Diagnosed as Normal Mucosa in
Roupen Djinbachian1, Mohammed El Mehdi El Yamani2, Douglas K Rex3
1Division of Gastroenterology, University of Montreal Hospital Center (CHUM), Montreal, Quebec, Canada; University of Montreal Hospital Research Center (CRCHUM), Montreal, Quebec, Canada.
None:
Pathological assessment of colorectal polyps is considered the current reference standard for histologic diagnosis. About 10% of polyps sent to the pathology lab are returned with the diagnosis of mucosal folds, mucosal prolapse, or normal mucosa.1,2 Two recent publications have indicated that disagreements between endoscopic optical diagnosis and the subsequent pathological diagnoses might be due to misdiagnosis in pathology.3,4 We were therefore interested in re-evaluating pathology-based diagnosis of "mucosal polyps" using expert endoscopists and computer-assisted diagnosis (CADx) evaluation.
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