Artificial intelligence (AI) driven computer-assisted colonoscopy can enhance the detection of small polyps, but it doesn’t significantly improve the detection of colorectal neoplasias or advanced adenomas, according to two new reports. A randomized controlled trial in Spain found that AI use didn’t lead to better detection of advanced neoplasias in patients with a positive fecal immunochemical test (FIT).
This was surprising given prior studies that showed AI’s benefits in detecting small polyps. Another systematic review and meta-analysis found that while AI increased the detection of adenomas, it didn’t detect advanced adenomas and led to higher rates of unnecessary removal of non-neoplastic polyps. The studies emphasize the need for further improvement in this technology.
Thought-Provoking Questions & Insights:
- Technological Limitations: Given the current capabilities of AI in polyp detection, what are the potential risks and benefits for patients undergoing colonoscopy with AI assistance?
- Clinical Relevance: How might the increased detection of small polyps without a corresponding increase in advanced adenoma detection impact the overall effectiveness of colonoscopy as a preventive measure for colorectal cancer?
- Future of AI in Medicine: Considering the current limitations of AI in polyp detection, what steps should be taken to enhance the technology’s accuracy and reliability in clinical settings?