Artificial intelligence-assisted adenoma detection in people with Lynch syndrome
Mené sur 430 patients adultes présentant des mutations pathogènes ou probablement pathogènes au niveau des gènes MLH1, MSH2, MSH6 ou EPCAM, cet essai international (Belgique, Allemagne, Italie et Espagne) évalue, par rapport à une endoscopie en lumière blanche seule, la performance d'un système assisté par l'intelligence artificielle pour détecter des adénomes colorectaux
High-quality colonoscopy decreases post-colonoscopy colorectal cancer. Colonoscopy quality metrics have long been endorsed, with adenoma detection rate providing the strongest evidence for protection against post-colonoscopy colorectal cancer. 1 , 2 Adenoma detection rate has increased over the past 20 years, due in part to the establishment of key performance indicators, 3 , 4 yet wide variability in adenoma detection rate between endoscopists still exists. Adenomas per colonoscopy is increasingly being recognised as a measure to better delineate the ability of the endoscopist to detect more than one adenoma and decrease adenoma miss rate; two large observational studies have shown that endoscopists who detected more adenomas per colonoscopy had lower post-colonoscopy cancer rates.
The Lancet Gastroenterology & Hepatology , commentaire, 2023