AI and Polyp Detection During Colonoscopy

被引：0
作者：
Spadaccini, Marco [1 ,2 ]
Menini, Maddalena [1 ,2 ]
Massimi, Davide [1 ,2 ]
Rizkala, Tommy [2 ]
De Sire, Roberto [2 ]
Alfarone, Ludovico [2 ]
Capogreco, Antonio [2 ]
Colombo, Matteo [2 ]
Maselli, Roberta [1 ,2 ]
Fugazza, Alessandro [2 ]
Brandaleone, Luca [1 ,2 ]
Di Martino, Antonio [1 ,2 ]
Ramai, Daryl [3 ]
Repici, Alessandro [1 ,2 ]
Hassan, Cesare [1 ,2 ]
机构：
[1] Humanitas Univ, Dept Biomed Sci, Via Rita Levi Montalcini 4, I-20090 Milan, Italy
[2] IRCCS Humanitas Res Hosp, Dept Gastroneterol, Via Alessandro Manzoni 56, I-20089 Milan, Italy
[3] Univ Utah, Div Gastroenterol & Hepatol, Salt Lake City, UT 84112 USA
来源：
CANCERS | 2025年 / 17卷 / 05期
关键词：
artificial intelligence (AI); colonoscopy; adenoma detection rate (ADR); computer-aided detection (CADe); colorectal cancer (CRC); polyp detection; COMPUTER-AIDED DETECTION; ADENOMA DETECTION RATE; ARTIFICIAL-INTELLIGENCE; COLORECTAL CANCERS; QUALITY; RISK; ENDOSCOPY; RESECTION;
D O I：
10.3390/cancers17050797
中图分类号：
R73 [肿瘤学];
学科分类号：
100214 ;
摘要：
Colorectal cancer (CRC) prevention depends on effective colonoscopy; yet variability in adenoma detection rates (ADRs) and missed lesions remain significant hurdles. Artificial intelligence-powered computer-aided detection (CADe) systems offer promising advancements in enhancing polyp detection. This review examines the role of CADe in improving ADR and reducing adenoma miss rates (AMRs) while addressing its broader clinical implications. CADe has demonstrated consistent improvements in ADRs and AMRs; largely by detecting diminutive polyps, but shows limited efficacy in identifying advanced adenomas or sessile serrated lesions. Challenges such as operator deskilling and the need for enhanced algorithms persist. Combining CADe with adjunctive techniques has shown potential for further optimizing performance. While CADe has standardized detection quality; its long-term impact on CRC incidence and mortality remains inconclusive. Future research should focus on refining CADe technology and assessing its effectiveness in reducing the global burden of CRC.
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页数：11
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