In parallel-arm randomized trials involving mostly primary screening and surveillance colonoscopy patients, computer-aided detection (CADe) has increased the adenoma detection rate (ADR) by about 10%. No prior study has had sufficient numbers of fecal immunochemical test (FIT)-positive patients to demonstrate benefit in this group. Because of the higher prevalence of adenomas in FIT-positive patients, the benefit of CADe-assisted colonoscopy could be blunted. <\/p>\n\n\n\n
In a randomized trial involving 800 FIT-positive patients, patients underwent high-definition white-light colonoscopy or CADe-assisted colonoscopy with Fujifilm CAD EYE (Tokyo, Japan). Fujifilm colonoscopes were used in all colonoscopies. <\/p>\n\n\n\n
The ADR was higher with CADe than without (53.6% vs 45.3%), as were adenomas per colonoscopy (APC; 1.13 vs 0.90) and advanced-ADR (18.5% vs 15.9%), but the difference in advanced-ADR was not significant. At least one sessile serrated lesion was detected in 5.6% of patients when CADe was used versus 4.8% when it was not, although this was also not significantly different.<\/p>\n\n\n\n
When endoscopists were separated into 3 predefined baseline ADR groups, there were comparable gains in ADR, ranging from 7% to 11% among the 3 groups.<\/p>\n","protected":false},"excerpt":{"rendered":"
In parallel-arm randomized trials involving mostly primary screening and surveillance colonoscopy patients, computer-aided detection (CADe) has increased the adenoma detection rate (ADR) by about 10%. No prior study has had sufficient numbers of fecal immunochemical test (FIT)-positive patients to demonstrate benefit in this group. Because of the higher prevalence of adenomas in FIT-positive patients, the … Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,1769],"tags":[2470,3312,1933,3313,2978,2058,3115,1826,1898,129],"class_list":["post-12303","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-asge-kolon","tag-adenoma-detection-rate-2","tag-adenomas-per-colonoscopy","tag-adr-2","tag-apc","tag-cade","tag-colon-2","tag-computer-aided-detection","tag-fecal-immunochemical-test","tag-fit","tag-fujifilm"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/12303","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news"}],"about":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/types\/ec-news"}],"wp:attachment":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/media?parent=12303"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=12303"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=12303"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}