Tom Nolan’s research reviews—7 September 2023

AI in the endoscopy suiteOne advantage of adding artificial intelligence (AI) powered software to your clinical team is that, unlike us humans, AI doesn’t get tired or have to do mandatory training, and it won’t go on strike. But in the endoscopy suite, is it worth having a second pair of AI eyes that—although oblivious to the art of handwashing and safeguarding policies—is always on red alert for spotting polyps and cancers? A systematic review and meta-analysis of randomised control trials comparing AI powered, computer aided detection (CADe) versus standard colonoscopy for polyp and cancer detection found that having AI on the team helped detect more adenomas (44.0% v 35.9%; relative risk 1.24 (95% confidence interval 1.16 to 1.33)). However, what that means for cancer detection and mortality isn’t clear, particularly as the review found no increase in detection of advanced adenomas but did find higher rates of unnecessary removal…
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