ASGE Annual Postgraduate Course: Clinical Challenges and Real-Time Decision Making in GI Endoscopy (On-demand) | May 2023-CADx Allows for Resect and Discard or Diagnose and Leave Behind

Video Transcription

Video Summary

The video features Dr. Cadman Leggett, a clinical gastroenterologist and assistant professor of medicine at the Mayo Clinic. He discusses the role of computer-aided diagnosis (CADx) in the detection and characterization of diminutive colorectal polyps. Currently, determining the histology of these polyps requires polypectomy and subsequent histopathology, which is costly and time-consuming. However, using CADx, real-time characterization of polyps can be done, potentially reducing costs and improving efficiency. The American Society for Gastrointestinal Endoscopy (ASGE) has established guidelines for the use of CADx in polyp characterization. The video also discusses the barriers to implementing CADx, including medical-legal concerns, financial disincentives, and lack of standardized training and performance monitoring. CADx systems have shown promising results in accurately classifying polyps and meeting ASGE guidelines. However, there are still challenges to address, such as the order of using CADx and the classification of different polyp types. The video concludes by highlighting the potential of CADx to improve diagnostic capabilities and standardize practices, but further research and patient perspectives are needed to fully understand its impact.

Asset Subtitle

Cadman Leggett, MD

Keywords

CADx

colorectal polyps

ASGE guidelines

cost-effective

efficient

standardized practices