From Staining Techniques to Artificial Intelligence: A Review of Colorectal Polyps Characterization.

Journal: Medicina (Kaunas, Lithuania)
PMID:

Abstract

This review article provides a comprehensive overview of the evolving techniques in image-enhanced endoscopy (IEE) for the characterization of colorectal polyps, and the potential of artificial intelligence (AI) in revolutionizing the diagnostic accuracy of endoscopy. We discuss the historical use of dye-spray and virtual chromoendoscopy for the characterization of colorectal polyps, which are now being replaced with more advanced technologies. Specifically, we focus on the application of AI to create a "virtual biopsy" for the detection and characterization of colorectal polyps, with potential for replacing histopathological diagnosis. The incorporation of AI has the potential to provide an evolutionary learning system that aids in the diagnosis and management of patients with the best possible outcomes. A detailed analysis of the literature supporting AI-assisted diagnostic techniques for the detection and characterization of colorectal polyps, with a particular emphasis on AI's characterization mechanism, is provided. The benefits of AI over traditional IEE techniques, including the reduction in human error in diagnosis, and its potential to provide an accurate diagnosis with similar accuracy to the gold standard are presented. However, the need for large-scale testing of AI in clinical practice and the importance of integrating patient data into the diagnostic process are acknowledged. In conclusion, the constant evolution of IEE technology and the potential for AI to revolutionize the field of endoscopy in the future are presented.

Authors

  • Kareem Khalaf
    The Center for Therapeutic Endoscopy and Endoscopic Oncology, St. Michael's Hospital, University of Toronto, Toronto, Canada.
  • Mary Raina Angeli Fujiyoshi
    Division of Gastroenterology, St. Michael's Hospital, University of Toronto, Toronto, ON M5B 1T8, Canada.
  • Marco Spadaccini
    Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Italy.
  • 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.
  • Matteo Colombo
    Department of Endoscopy, Humanitas Research Hospital, IRCCS, 20089 Rozzano, Italy.
  • Alessandro Fugazza
    Department of Gastroenterology, Humanitas Research Hospital, Milano, Italy.
  • Antonio Facciorusso
    Department of Medical Sciences, Section of Gastroenterology, University of Foggia, Foggia, Italy.
  • Silvia Carrara
    Department of Gastroenterology, Humanitas Research Hospital, Milano, Italy.
  • Cesare Hassan
    Gastroenterology Unit, Nuovo Regina Margherita Hospital, Rome, Italy.
  • 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.