Abstract:
BACKGROUND AND AIMS:False positive (FP) results by computer-aided detection (CADe) hamper the efficiency of colonoscopy by extending examination time. Our aim was to develop a classification of the causes and clinical relevance of CADe FPs, and to assess the relative distribution of FPs in a real-life setting. METHODS:In a post-hoc analysis of a randomized trial comparing colonoscopy with and without CADe (NCT: 04079478), we extracted 40 CADe colonoscopy videos. Using a modified Delphi process, 4 expert endoscopists identified the main domains for the reasons and clinical relevance of FPs. Then, 2 expert endoscopists manually examined each FP and classified it according to the proposed domains. The analysis was limited to the withdrawal phase. RESULTS:The 2 main domains for the causes of CADe FPs were identified as artifacts due to either the mucosal wall or bowel content, and clinical relevance was defined as the time spent on FPs and the FP rate per minute. The mean number of FPs per colonoscopy was 27.3 ± 13.1, of which 24 ± 12 (88%) and 3.2 ± 2.6 (12%) were due to artifacts in the bowel wall and bowel content, respectively. Of the 27.3 FPs per colonoscopy, 1.6 (5.7%) required additional exploration time of 4.8 ± 6.2 seconds per FP (ie, 0.7% of the mean withdrawal time). In detail, 15 (24.2%), 33 (53.2%), and 14 (22.6%) FPs were classified as being of mild, moderate, or severe clinical relevance. The rate of FPs per minute of withdrawal time was 2.4 ± 1.2, and was higher for FPs due to artifacts from the bowel wall than for those from bowel content (2.4 ± 0.6 vs 0.3 ± 0.2, P < .001). CONCLUSIONS:FPs by CADe are primarily due to artifacts from the bowel wall. Despite a high frequency, FPs result in a negligible 1% increase in the total withdrawal time because most of them are immediately discarded by the endoscopist.
journal_name
Gastrointest Endoscjournal_title
Gastrointestinal endoscopyauthors
Hassan C,Badalamenti M,Maselli R,Correale L,Iannone A,Radaelli F,Rondonotti E,Ferrara E,Spadaccini M,Alkandari A,Fugazza A,Anderloni A,Galtieri PA,Pellegatta G,Carrara S,Di Leo M,Craviotto V,Lamonaca L,Lorenzetti R,doi
10.1016/j.gie.2020.06.021subject
Has Abstractpub_date
2020-10-01 00:00:00pages
900-904.e4issue
4eissn
0016-5107issn
1097-6779pii
S0016-5107(20)34446-1journal_volume
92pub_type
杂志文章abstract:BACKGROUND:The differential diagnosis between benign and malignant polyps of the gallbladder (GB) is often challenging. OBJECTIVES:To evaluate whether contrast-enhanced harmonic EUS (CEH-EUS) might be an accurate method for discriminating malignant GB polyps from benign polyps. DESIGN:Observational study. SETTING:Te...
journal_title:Gastrointestinal endoscopy
pub_type: 杂志文章
doi:10.1016/j.gie.2013.03.1328
更新日期:2013-09-01 00:00:00
abstract:BACKGROUND:A screening colonoscopy is recommended in first-degree relatives (FDRs) of colorectal cancer patients; few prospective, controlled studies have evaluated colorectal findings in a population-based screening program. OBJECTIVE:To evaluate the prevalence of colorectal neoplasia (adenomas and adenocarcinomas) i...
journal_title:Gastrointestinal endoscopy
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doi:10.1016/j.gie.2010.12.025
更新日期:2011-03-01 00:00:00
abstract:BACKGROUND AND AIMS:In patients who undergo cholecystectomy after endoscopic common bile duct (CBD) stone extraction, CBD stones found postoperatively could be problematic. This study aimed to investigate the incidence and risk factors of postoperative CBD stones after cholecystectomy. METHODS:A total of 278 patients ...
journal_title:Gastrointestinal endoscopy
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doi:10.1016/j.gie.2020.06.060
更新日期:2020-06-26 00:00:00
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journal_title:Gastrointestinal endoscopy
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2004-07-01 00:00:00
abstract:BACKGROUND:The aims of this study were to determine the rate of false-positive diagnosis with EUS-guided fine-needle aspiration and to identify factors contributing to this type of error. METHODS:The records of 577 patients undergoing EUS-guided fine-needle aspiration were reviewed and a subset of 188 patients with ma...
journal_title:Gastrointestinal endoscopy
pub_type: 杂志文章
doi:10.1067/mge.2002.129610
更新日期:2002-12-01 00:00:00
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journal_title:Gastrointestinal endoscopy
pub_type: 杂志文章
doi:10.1016/j.gie.2006.12.038
更新日期:2007-04-01 00:00:00
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journal_title:Gastrointestinal endoscopy
pub_type: 杂志文章,多中心研究
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更新日期:2009-07-01 00:00:00
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journal_title:Gastrointestinal endoscopy
pub_type: 杂志文章
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更新日期:2015-02-01 00:00:00
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journal_title:Gastrointestinal endoscopy
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journal_title:Gastrointestinal endoscopy
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journal_title:Gastrointestinal endoscopy
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journal_title:Gastrointestinal endoscopy
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doi:10.1016/s0016-5107(91)70866-3
更新日期:1991-11-01 00:00:00
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journal_title:Gastrointestinal endoscopy
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doi:10.1016/s0016-5107(80)73249-2
更新日期:1980-02-01 00:00:00
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journal_title:Gastrointestinal endoscopy
pub_type: 杂志文章
doi:10.1016/s0016-5107(88)71322-x
更新日期:1988-05-01 00:00:00
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journal_title:Gastrointestinal endoscopy
pub_type: 杂志文章
doi:10.1016/s0016-5107(88)71225-0
更新日期:1988-01-01 00:00:00
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journal_title:Gastrointestinal endoscopy
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journal_title:Gastrointestinal endoscopy
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journal_title:Gastrointestinal endoscopy
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journal_title:Gastrointestinal endoscopy
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更新日期:2006-10-01 00:00:00
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journal_title:Gastrointestinal endoscopy
pub_type: 杂志文章
doi:10.1016/s0016-5107(04)00181-6
更新日期:2004-06-01 00:00:00
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journal_title:Gastrointestinal endoscopy
pub_type: 杂志文章
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更新日期:2016-09-01 00:00:00
abstract::Explosions are a rare complication of electrocautery in the colon. The cause of these explosions is ignition of gas containing hydrogen (greater than 4%) or methane (greater than 5%), and oxygen. Hydrogen and methane are products of colonic bacterial metabolism. Oral solutions used for colonoscopy preparation are desi...
journal_title:Gastrointestinal endoscopy
pub_type: 杂志文章
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更新日期:1990-11-01 00:00:00
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journal_title:Gastrointestinal endoscopy
pub_type: 杂志文章
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更新日期:1999-12-01 00:00:00
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journal_title:Gastrointestinal endoscopy
pub_type: 杂志文章
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更新日期:2020-05-01 00:00:00
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journal_title:Gastrointestinal endoscopy
pub_type: 杂志文章
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更新日期:2011-05-01 00:00:00