Artificial Intelligence in Gastrointestinal Endoscopy: The Japan Gastroenterological Endoscopy Society Position Statements.

Journal: Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society
Published Date:

Abstract

Research and development of artificial intelligence (AI) in the field of gastrointestinal endoscopy is progressing rapidly. In Japan alone, there are more than 10 AI-assisted endoscopic medical devices that have received regulatory approval, and numerous randomized controlled trials have been published both domestically and internationally. However, the adoption of AI in clinical practice has not been smooth due to factors such as insufficient evaluation of the balance between clinical benefits and harms, unclear cost-effectiveness, the lack of reliable guidelines, and the absence of established reimbursement systems for medical fees. Considering this situation, the Japan Gastroenterological Endoscopy Society (JGES) presents its perspective on the status of AI in endoscopic practice in the form of the following position statements. This comprises nine statements developed by the JGES AI Committee in collaboration with a diverse panel of members. These statements comprehensively address issues related to the quality of endoscopic examinations, cost-effectiveness, clinical disadvantages, preparatory knowledge, medical safety, and legal responsibilities. They have been developed to be practical and useful in actual endoscopy settings.

Authors

  • 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.
  • Ryu Ishihara
    Department of Gastrointestinal Oncology Osaka International Cancer Institute Osaka Japan.
  • Haruhiko Ogata
    Center for Diagnostic and Therapeutic Endoscopy, Keio University School of Medicine, Tokyo, Japan.
  • Hiromu Kutsumi
    Center for Clinical Research and Advanced Medicine, Shiga University of Medical Science, Shiga, Japan.
  • Yutaka Saito
    National Cancer Center Hospital, Tokyo, Japan (Y.S.).
  • Kazuki Sumiyama
    Department of Endoscopy, The Jikei University School of Medicine, Tokyo, Japan.
  • Masau Sekiguchi
    Screening Center/Department of Endoscopy, National Cancer Center Hospital, Tokyo, Japan.
  • Hisao Tajiri
    The Jikei University School of Medicine, Tokyo, Japan.
  • Mitsuhiro Fujishiro
    Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; Department of Endoscopy and Endoscopic Surgery, The University of Tokyo, Tokyo, Japan.
  • Koji Matsuda
    Department of Gastroenterology, NHO Shizuoka Medical Center, Shizuoka, Japan.
  • Tomonori Yano
    Department of Gastroenterology and Endoscopy National Cancer Center Hospital East Chiba Japan.
  • Rika Aoki
    Tokushima Health Screening Center, Tokushima, Japan.
  • Misaki Ishiyama
    Shinagawa Gut Clinic, Tokyo, Japan.
  • Atsushi Imagawa
    Department of Gastroenterology, Imagawa Medical Clinic, Mitoyo, Japan.
  • Masami Omae
    Karolinska University Hospital, Karolinska Institute, Solna, Sweden.
  • Yasushi Oda
    Oda GI Clinic, Kumamoto, Japan.
  • Motohiko Kato
    Center for Diagnostic and Therapeutic Endoscopy, Keio University School of Medicine, Tokyo, Japan.
  • Taku Sakamoto
    Endoscopy Division, National Cancer Center Hospital, Tokyo, Japan.
  • Maasa Sasabe
    Department of Gastroenterology and Endoscopy National Cancer Center Hospital East Chiba Japan.
  • Akiko Shiotani
    Department of Gastroenterology and Hepatology, Kawasaki Medical School, Kurashiki, Okayama, Japan.
  • Shiho Suzuki
    Department of Gastroenterology, Kakogawa City Hospital, Kakogawa, Hyogo, Japan.
  • Naoto Tamai
    Department of Endoscopy, The Jikei University School of Medicine, Tokyo, Japan.
  • Takuto Hikichi
    Department of Endoscopy, Fukushima Medical University Hospital, Fukushima, Fukushima, Japan.
  • Toshiaki Hirasawa
    Department of Gastroenterology, Cancer Institute Hospital Ariake, Japanese Foundation for Cancer Research, 3-10-6 Ariake, Koto-ku, Tokyo, 135-8550, Japan. toshiaki.hirasawa@jfcr.or.jp.
  • Mai Makiguchi
    Department of Endoscopy, National Cancer Center Hospital, Tokyo, Japan.
  • Masashi Misawa
    Digestive Disease Center, Showa University Northern Yokohama Hospital, Tsuzuki-ku, Yokohama, 224-8503, Japan.
  • Yohei Yabuuchi
    Department of Gastroenterology, Kobe City Medical Center General Hospital, Kobe, Japan.
  • Daisuke Yamaguchi
    Graduate School of Environmental, Life, Natural Science and Technology, Okayama University, Okayama 700-8530, Japan.
  • Masayoshi Yamada
    Endoscopy Division, National Cancer Center Hospital, Tokyo, Japan. masyamad@ncc.go.jp.
  • Yoshinori Igarashi
    Division of Gastroenterology and Hepatology, Toho University Omori Medical Center, Tokyo, Japan.
  • Shinji Tanaka
    Department of Endoscopy, Hiroshima University Hospital, Hiroshima, Japan.

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