Clin Endosc.  2024 Jan;57(1):18-23. 10.5946/ce.2023.092.

Computer-aided polyp characterization in colonoscopy: sufficient performance or not?

• Halvorsen N
• Mori Y

• KMID: 2551186
• DOI: http://doi.org/10.5946/ce.2023.092

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.

Keyword

Artificial intelligence; Colonoscopy; Computer-assisted diagnosis; Optical diagnosis

Figure

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  Fig. 1. Example of computer-assisted polyp characterization (CADx) with EndoBRAIN (Cybernet Systems Corp.). NBI, narrow-band imaging.

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