Adenoma Detection Rate

ASGE Journal ScanKolon

To Optimally Prevent Colorectal Cancer, We Need to Detect Both Adenomas and Serrated Lesions

To Optimally Prevent Colorectal Cancer, We Need to Detect Both Adenomas and Serrated Lesions

Recent studies have found that significant fractions of colonoscopists possess adequate detection of conventional adenomas, as measured by adenoma detection rate (ADR), but low detection

ASGE Journal ScanKolon

More on Expanding ADR Measurement Beyond Screening

More on Expanding ADR Measurement Beyond Screening

Current recommendations suggest measuring the adenoma detection rate (ADR) in first-time screening colonoscopies. Several studies have found that including surveillance and diagnostic colonoscopies in an

ASGE Journal ScanKolon

Endoscopy Unit-Level Measures That Improve ADR: Report Cards and a Second Observer

Endoscopy Unit-Level Measures That Improve ADR: Report Cards and a Second Observer

In a systematic review and meta-analysis, 15 studies evaluating the impact of report cards on adenoma detection rate (ADR) were among the 34 studies that

ASGE Journal ScanKolon

Free Online 30-Minute Interactive Training Improves ADR and Lowers Interval Cancer Risk

Free Online 30-Minute Interactive Training Improves ADR and Lowers Interval Cancer Risk

This study from the Northern California Kaiser Permanente health care system evaluated the impact of a 30-minute online interactive training program collaboratively developed by endoscopists,

ASGE Journal ScanKolon

Endocuff Vision Enhances Detection in CADe-Assisted Colonoscopy

Endocuff Vision Enhances Detection in CADe-Assisted Colonoscopy

In a randomized trial, 1316 patients underwent colonoscopy with either computer-aided detection (CADe) assistance alone or CADe plus Endocuff Vision (ECV; Olympus America, Center Valley,

ASGE Journal ScanKolon

Computer-aided Detection Said To Fail in Randomized Controlled Trial, but It Actually Performed Well

Computer-aided Detection Said To Fail in Randomized Controlled Trial, but It Actually Performed Well

Artificial intelligence programs for highlighting or detecting polyps during colonoscopy are designated computer-aided detection (CADe) programs. In general, randomized controlled trials of CADe have been

ASGE Journal ScanKolon

Artificial Intelligence for Adenoma Detection Rate: Simply the Best?

Artificial Intelligence for Adenoma Detection Rate: Simply the Best?

This study assessed 94 randomized controlled trials with 61,172 patients to determine how artificial intelligence (AI) impacts the adenoma detection rate (ADR). In short, AI

ASGE Journal ScanKolon

Colonoscopist Adenoma Detection Rate Predicts Advanced Neoplasia Risk After Polypectomy

Colonoscopist Adenoma Detection Rate Predicts Advanced Neoplasia Risk After Polypectomy

Investigators evaluated 30,897 individuals with baseline polypectomy and at least 1 surveillance colonoscopy between 2004 and 2016 across 73 Veterans Administration sites in the U.S.,

ASGE Journal ScanKolon

More on Withdrawal Time in Colonoscopy

More on Withdrawal Time in Colonoscopy

Current recommendations are that minimum withdrawal times in screening colonoscopy that are negative should average at least 6 minutes.  In an analysis of a previously

ASGE Journal ScanKolon

ADR Works in FIT-Positive Populations: Target ADR Must Be Substantially Higher Than Primary Screening ADR

ADR Works in FIT-Positive Populations: Target ADR Must Be Substantially Higher Than Primary Screening ADR

It is well known that the prevalence of adenomas is higher in patients with a positive result from a stool test, including both the fecal

ASGE Journal ScanKolon

First Randomized Controlled Trial Comparing Colonoscopy With No Screening Finds Less Benefit Than Expected for Colonoscopy

First Randomized Controlled Trial Comparing Colonoscopy With No Screening Finds Less Benefit Than Expected for Colonoscopy

In the first report of incidence and mortality results from a randomized controlled trial (RCT) comparing colonoscopy with no screening, 84,585 previously unscreened persons aged

ASGE Journal ScanKolon

Second-Generation Endocuff Again Found to Be Effective in New Randomized Controlled Trial

Second-Generation Endocuff Again Found to Be Effective in New Randomized Controlled Trial

The second-generation Endocuff (Olympus America, Center Valley, Penn, USA) is called Endocuff Vision (ECV). It differs from the original Endocuff by having only a single

ASGE Journal ScanKolon

Artificial Intelligence Increased Fraction of Colonoscopy Patients Needing 3-Year Surveillance: Relative Increase of 35% and Absolute Increase of 2.9%

Artificial Intelligence Increased Fraction of Colonoscopy Patients Needing 3-Year Surveillance: Relative Increase of 35% and Absolute Increase of 2.9%

This study examined the fraction of patients undergoing colonoscopy with versus without artificial intelligence (AI) in 9 randomized controlled trials (6 parallel and 3 tandem)

ASGE Journal ScanKolon

Double Right-Sided Colon Examination Effective No Matter How You Do It

Double Right-Sided Colon Examination Effective No Matter How You Do It

This study identified 5 randomized controlled trials that addressed the value of a second right-sided colon examination in the forward view versus no second examination.

ASGE Journal ScanKolon

Adenoma Detection Rate Says It All in FIT-Positive Patients

Adenoma Detection Rate Says It All in FIT-Positive Patients

This is a study of detection indicators in 13,067 fecal immunochemical test (FIT)-positive colonoscopies performed by 80 community gastroenterologists. The cutoff for FIT positivity was

ASGE Journal ScanKolon

Again, No Need To Adjust Adenoma Detection Rate After Inclusion of 45- To 49-Year-Olds

Again, No Need To Adjust Adenoma Detection Rate After Inclusion of 45- To 49-Year-Olds

This study looked at a large health care system’s first-time screening colonoscopies from the period October 2017 through December 2018, prior to the American Cancer

ASGE Journal ScanKolon

Computer-Aided Detection Improves Adenoma Detection Rate and Adenomas Per Colonoscopy in Fecal Immunochemical Test-Positive Patients

Computer-Aided Detection Improves Adenoma Detection Rate and Adenomas Per Colonoscopy in Fecal Immunochemical Test-Positive Patients

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%.

ASGE Journal ScanKolon

Artificial Intelligence Detection Program Assessment by a High Detector: Improved Adenoma Detection Rate, but Some Misses of Large, Flat Lesions

Artificial Intelligence Detection Program Assessment by a High Detector: Improved Adenoma Detection Rate, but Some Misses of Large, Flat Lesions

Artificial intelligence (AI) programs for computer-aided detection (CADe) of colorectal polyps have increased adenoma detection rates (ADR) by about 10% in parallel randomized trials and

ASGE Journal ScanKolon

Smartphone Apps on Bowel Preparation for Colonoscopy Improve Bowel Prep and Increase Adenoma Detection Rate

Smartphone Apps on Bowel Preparation for Colonoscopy Improve Bowel Prep and Increase Adenoma Detection Rate

This is a meta-analysis of 12 eligible randomized controlled trials with a total of 4165 patients that compared the effect of education using a smartphone

ASGE Journal ScanKolon

Detection Measures Other Than Adenoma Detection Rate Predict Postcolonoscopy Cancer

Detection Measures Other Than Adenoma Detection Rate Predict Postcolonoscopy Cancer

The adenoma detection rate (ADR) predicts the incidence of interval cancer after colonoscopy. Although ADR correlates in retrospective studies with other detection measures, it is

ASGE Journal ScanKolon

Adenoma Detection Rate in 45- to 49-year-olds in the GIQuIC Registry

Adenoma Detection Rate in 45- to 49-year-olds in the GIQuIC Registry

According to 2014-2020 data from the GI Quality Improvement Consortium (GIQuIC) Registry, 2.81 million screening colonoscopies were performed by 814 endoscopists in patients aged 45

ASGE Journal ScanKolon

Endocuff Vision Effective in “Real-World” Experience

Endocuff Vision Effective in “Real-World” Experience

Endocuff Vision (ECV; Olympus America, Center Valley, Pa) has produced adenoma detection rate (ADR) gains in randomized controlled trials, but it has not received widespread

ASGE Journal ScanKolon

Do We Keep Measuring and Measuring and Measuring Adenoma Detection Rate?

Do We Keep Measuring and Measuring and Measuring Adenoma Detection Rate?

The adenoma detection rate (ADR), first recommended by the U.S. Multi-Society Task Force on Colorectal Cancer in 2002, is a validated predictor of colorectal cancer

ASGE Journal ScanKolon

Artificial Intelligence Improves Detection, Regardless of Endoscopist Experience

Artificial Intelligence Improves Detection, Regardless of Endoscopist Experience

Five randomized controlled trials (4 from China and 1 from Europe and the U.S.) have demonstrated that artificial intelligence (AI) increases the adenoma detection rate

ASGE Journal ScanKolon

Adenoma Detection Rate Can Be Measured in Combined Screening, Surveillance, and Diagnostic Examinations

Adenoma Detection Rate Can Be Measured in Combined Screening, Surveillance, and Diagnostic Examinations

When the adenoma detection rate (ADR) was originally proposed as a quality measure in 2002, the recommendation did not constrain its indication to screening colonoscopies

ASGE Journal ScanKolon

Polish Study Calls for Using Adenoma Detection Rate to Stratify Screening and Surveillance Recommendations

Polish Study Calls for Using Adenoma Detection Rate to Stratify Screening and Surveillance Recommendations

In this study, the risk of interval cancer was compared between doctors with high (≥20%) versus low (<20%) adenoma detection rates (ADRs) in the Polish