Artificial intelligence and colorectal neoplasia detection performances in patients with positive fecal immunochemical test: Meta-analysis and systematic review.

Journal: Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society
Published Date: May 6, 2025

Abstract

OBJECTIVES: The combination of fecal immunochemical test (FIT) followed by colonoscopy has established itself as one of the preferred population-based screening strategies. Despite extensive exploration of various techniques and technologies, their impact on adenoma detection rate has shown inconsistency across studies in this specific setting "FIT+ population." We aimed to assess the impact of the computer-aided detection (CADe) system in all randomized trials focused on this subpopulation.

Authors

  • Marco Spadaccini
    Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Italy.
  • Cesare Hassan
    Gastroenterology Unit, Nuovo Regina Margherita Hospital, Rome, Italy.
  • Yuichi Mori
    Clinical Effectiveness Research Group, Institute of Health and Society, University of Oslo, and Department of Transplantation Medicine Oslo University Hospital, Oslo, Norway; Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan. Electronic address: ibusiginjp@gmail.com.
  • Natalie Halvorsen
    Clinical Effectiveness Research Group, University of Oslo, Oslo, Norway.
  • Antonio Z Gimeno-García
    Servicio de Gastroenterología, Hospital Universitario de Canarias, Instituto Universitario de Tecnologías Biomédicas (ITB), Tenerife, Spain.
  • Hirotaka Nakashima
    Department of Gastroenterology, Foundation for Detection of Early Gastric Carcinoma, Tokyo, Japan.
  • Antonio Facciorusso
    Department of Medical Sciences, Section of Gastroenterology, University of Foggia, Foggia, Italy.
  • Harsh K Patel
    Department of Gastroenterology and Hepatology, Kansas City VA Medical Center, Kansas City, Kansas, USA.
  • Giulio Antonelli
    Gastroenterology Unit, Nuovo Regina Margherita Hospital, Rome, Italy.
  • Kareem Khalaf
    The Center for Therapeutic Endoscopy and Endoscopic Oncology, St. Michael's Hospital, University of Toronto, Toronto, Canada.
  • Tommy Rizkala
    Endoscopy Unit, Humanitas Clinical Center - IRCCS, Rozzano, Italy.
  • Daryl Ramai
    Department of Anatomical Sciences, St George's University School of Medicine, True Blue, Grenada, WI.
  • Emanuele Rondonotti
    Gastroenterology Unit, Valduce Hospital, Como, Italy.
  • Shunsuke Kamba
    Department of Endoscopy, The Jikei University School of Medicine, Tokyo, Japan.
  • Roberta Maselli
    Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Italy.
  • Loredana Correale
    Endoscopy Unit, Humanitas Clinical Center - IRCCS, Rozzano, Italy.
  • Michael Bretthauer
    Clinical Effectiveness Research Group, Institute of Health and Society, University of Oslo, and Department of Transplantation Medicine Oslo University Hospital, Oslo, Norway.
  • Pradeep Bhandari
    Department of Gastroenterology, Queen Alexandra Hospital, Portsmouth, UK.
  • Prateek Sharma
    Department of Gastroenterology and Hepatology, Kansas City VA Medical Center, Kansas City, Kansas, USA.
  • Douglas K Rex
    Division of Gastroenterology, Indiana University School of Medicine, Indianapolis, Indiana, USA.
  • Alessandro Repici
    Digestive Endoscopy Unit, Division of Gastroenterology, Humanitas Clinical and Research Center IRCCS, Rozzano, 20089, Italy; Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, MI, Italy.

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