ASGE Endoscopy Live: Colonoscopy Symposium | September 2022-Endoscopy Live Presentation 1

Video Transcription

Video Summary

In this video, Dr. Alessandro Repici presents a lecture on the topic of artificial intelligence (AI) in colonoscopy. He begins by discussing the rising incidence of colorectal cancer, particularly in younger populations, and the need for more effective screening and detection methods. He then addresses the issues of incomplete mucosal exposure and failure recognition of polyps during colonoscopy, which can contribute to missed diagnoses. Dr. Repici introduces the concept of AI in colonoscopy and its potential to improve detection rates. He provides an overview of the history of AI in colonoscopy and highlights the various AI systems currently available, some of which have already been FDA approved. Dr. Repici presents data from randomized trials and meta-analyses that demonstrate the positive impact of AI in increasing adenoma detection rates and reducing miss rates. He also discusses the combination of AI with endocap, a device that improves mucosal exposure, and how this combination further enhances detection rates. Dr. Repici emphasizes that AI should not be seen as a replacement for human doctors, but rather as a tool to support and augment their capabilities. He concludes by identifying future directions for AI in colonoscopy, including automated histology assessment and personalized risk stratification.

Keywords

artificial intelligence

colonoscopy

colorectal cancer

detection rates

adenoma detection