دورية أكاديمية

Artificial Intelligence–Assisted Optical Diagnosis: A Comprehensive Review of Its Role in Leave-In-Situ and Resect-and-Discard Strategies in Colonoscopy

التفاصيل البيبلوغرافية
العنوان: Artificial Intelligence–Assisted Optical Diagnosis: A Comprehensive Review of Its Role in Leave-In-Situ and Resect-and-Discard Strategies in Colonoscopy
المؤلفون: El Zoghbi, Maysaa, Shaukat, Aasma, Hassan, Cesare, Anderson, Joseph C., Repici, Alessandro, Gross, Seth A.
المصدر: Clinical and Translational Gastroenterology ; volume 14, issue 10, page e00640 ; ISSN 2155-384X
بيانات النشر: Ovid Technologies (Wolters Kluwer Health)
سنة النشر: 2023
الوصف: Colorectal cancer screening plays a vital role in early detection and removal of precancerous adenomas, contributing to decreased mortality rates. Most polyps found during colonoscopies are small and unlikely to harbor advanced neoplasia or invasive cancer, leading to the development of “leave-in-situ” and “resect-and-discard” approaches. These strategies could lead to significant cost savings and efficiencies, but their implementation has been hampered by concerns around financial incentives, medical-legal risks, and local rules for tissue handling. This article reviews the potential of artificial intelligence to enhance the accuracy of polyp diagnosis through computer-aided diagnosis (CADx). While the adoption of CADx in optical biopsy has shown mixed results, it has the potential to significantly improve the management of colorectal polyps. Several studies reviewed in this article highlight the varied results of CADx in optical biopsy for colorectal polyps. Although artificial intelligence does not consistently outperform expert endoscopists, it has the potential to serve as a beneficial secondary reader, aiding in accurate optical diagnosis and increasing the confidence of the endoscopist. These studies indicate that although CADx holds great potential, it is yet to fully meet the performance thresholds necessary for clinical implementation.
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.14309/ctg.0000000000000640
الإتاحة: https://doi.org/10.14309/ctg.0000000000000640Test
حقوق: http://creativecommons.org/licenses/by-nc-nd/4.0Test/
رقم الانضمام: edsbas.12AFABE2
قاعدة البيانات: BASE