Hoerter N, Gross SA, Liang PS. Artificial Intelligence and Polyp Detection.
CURRENT TREATMENT OPTIONS IN GASTROENTEROLOGY 2020;
18:120-136. [PMID:
31960282 PMCID:
PMC7371513 DOI:
10.1007/s11938-020-00274-2]
[Citation(s) in RCA: 26] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
PURPOSE OF REVIEW
This review highlights the history, recent advances, and ongoing challenges of artificial intelligence (AI) technology in colonic polyp detection.
RECENT FINDINGS
Hand-crafted AI algorithms have recently given way to convolutional neural networks with the ability to detect polyps in real-time. The first randomized controlled trial comparing an AI system to standard colonoscopy found a 9% increase in adenoma detection rate, but the improvement was restricted to polyps smaller than 10 mm and the results need validation. As this field rapidly evolves, important issues to consider include standardization of outcomes, dataset availability, real-world applications, and regulatory approval.
SUMMARY
AI has shown great potential for improving colonic polyp detection while requiring minimal training for endoscopists. The question of when AI will enter endoscopic practice depends on whether the technology can be integrated into existing hardware and an assessment of its added value for patient care.
Collapse