Endoscopist-Level and Procedure-Level Factors Associated With Increased Adenoma Detection With the Use of a Computer-Aided Detection Device

Aasma Shaukat; David R Lichtenstein; Daniel C Chung; Yeli Wang; Emma E Navajas; Daniel R Colucci; Shrujal Baxi; Sahin Coban; William R Brugge

doi:10.14309/ajg.0000000000002479

Endoscopist-Level and Procedure-Level Factors Associated With Increased Adenoma Detection With the Use of a Computer-Aided Detection Device

Am J Gastroenterol. 2023 Oct 1;118(10):1891-1894. doi: 10.14309/ajg.0000000000002479. Epub 2023 Aug 24.

Authors

Aasma Shaukat¹, David R Lichtenstein², Daniel C Chung³, Yeli Wang⁴, Emma E Navajas⁴, Daniel R Colucci⁴, Shrujal Baxi⁴, Sahin Coban⁵, William R Brugge⁶

Affiliations

¹ Division of Gastroenterology and Hepatology, Department of Medicine, New York University Grossman School of Medicine, New York, New York, USA.
² Division of Gastroenterology, Department of Medicine, Boston Medical Center, Boston University School of Medicine, Boston, Massachusetts, USA.
³ Division of Gastroenterology, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
⁴ Iterative Health Inc., Cambridge, Massachusetts, USA.
⁵ Division of Geriatrics, Department of Medicine, School of Medicine & Health Sciences, University of North Dakota, Grand Forks, North Dakota, USA.
⁶ Division of Gastroenterology, Department of Medicine, Mount Auburn Hospital, Harvard Medical School, Boston, Massachusetts, USA.

PMID: 37615279
DOI: 10.14309/ajg.0000000000002479

Abstract

Introduction: To investigate the impact of procedure-related and endoscopist-related factors on the effectiveness of a computer-aided detection (CADe) device in adenomas per colonoscopy (APC) detection.

Methods: The SKOUT clinical trial was conducted at 5 US sites. We present prespecified analyses of procedure-related and endoscopist-related factors, and association with APC across treatment and control cohorts.

Results: There were numeric increases in APC between SKOUT vs standard colonoscopy in community-based endoscopists, withdrawal time of ≥8 minutes, for endoscopists with >20 years of experience, and endoscopists with baseline adenoma detection rate <45%.

Discussion: The application of CADe devices in clinical practice should be carefully evaluated. Larger studies should explore differences in endoscopist-related factors for CADe.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Adenoma* / diagnostic imaging
Colonic Polyps* / diagnostic imaging
Colonoscopy
Colorectal Neoplasms* / diagnosis
Computers
Humans