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Title: Can a polyp detection and characterization system predict complete resection?
Author(s): Kliegis, Leon
Obst, WilfriedLook up in the Integrated Authority File of the German National Library
Bruns, Johannes
Weigt, JochenLook up in the Integrated Authority File of the German National Library
Issue Date: 2022
Type: Article
Language: English
URN: urn:nbn:de:gbv:ma9:1-1981185920-883033
Subjects: Artificial intelligence
Polyp detection software
Polyp resection
Abstract: Introduction: Artificial Intelligence (AI) is one of the most evolving fields in endoscopy. We aimed to test if a system for polyp detection and polyp characterization can be used to predict complete endoscopic resection of colon adenomas. Methods: We used the CAD-Eye AI system (Fujifilm Europe) in consecutive patients who received polypectomy using a cold snare. After resection, the submucosal space was flushed with water using an irrigation pump. Images were obtained using the CAD Eye system, and the characterization of the system was noted and afterward compared to histology of the removed specimen. Results: In total, 17 polypectomies were observed, and in no case the AI was able to give information about resection status. First, the resection plane itself was classified as being adenomatous in all cases, while, second, all adenomas were resected completely, thus harboring no potential for overlying misinterpretations in the images. Conclusion: An AI system trained to characterize polyps in healthy surrounding colorectal mucosa cannot predict the state of resection after removal of the adenoma. This is explained by the training and programming. Endoscopists using AI from now on should learn about the basics of AI and the pitfalls in interpreting results from AI.
Open Access: Open access publication
License: (CC BY-NC 4.0) Creative Commons Attribution NonCommercial 4.0(CC BY-NC 4.0) Creative Commons Attribution NonCommercial 4.0
Journal Title: Digestive diseases
Publisher: Karger
Publisher Place: Basel
Volume: 40
Issue: 1
Original Publication: 10.1159/000516974
Page Start: 115
Page End: 118
Appears in Collections:Medizinische Fakultät (OA)

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