Clinical Endoscopy

The Korean Society of Gastrointestinal Endoscopy (대한소화기내시경학회)
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Computer-aided polyp characterization in colonoscopy: sufficient performance or not?

  • Natalie Halvorsen (Clinical Effectiveness Research Group, Oslo University Hospital and University of Oslo) ;
  • Yuichi Mori (Clinical Effectiveness Research Group, Oslo University Hospital and University of Oslo)
  • Received : 2023.03.23
  • Accepted : 2023.05.24
  • Published : 2024.01.30
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Abstract

Computer-assisted polyp characterization (computer-aided diagnosis, CADx) facilitates optical diagnosis during colonoscopy. Several studies have demonstrated high sensitivity and specificity of CADx tools in identifying neoplastic changes in colorectal polyps. To implement CADx tools in colonoscopy, there is a need to confirm whether these tools satisfy the threshold levels that are required to introduce optical diagnosis strategies such as "diagnose-and-leave," "resect-and-discard" or "DISCARD-lite." In this article, we review the available data from prospective trials regarding the effect of multiple CADx tools and discuss whether they meet these thresholds.

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References

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