Gastroenterology and Artificial Intelligence: 4th Annual Global Artificial Intelligence Summit (On-Demand | August 2022-Institutional Set-Up: Implementing CADe and CADx Colonoscopy into Your Endoscopy Unit

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This document discusses the institutional set-up and implementation of CADe (computer-aided detection) and CADx (computer-aided diagnosis) systems for colonoscopy in hospitals and ambulatory surgery centers (ASCs). The author highlights the importance of these AI tools for improving adenoma detection rate (ADR) and reducing healthcare costs. The financial benefit to institutions is justified by the potential increase in ADR, shift in billing from screening to therapeutic procedures, and potential additional revenue from pathology. The healthcare value of these systems lies in improved outcomes at lower costs. The implementation team typically consists of various stakeholders, including the Chief of GI, Director of Endoscopy, IT representative, and vendors.<br /><br />The document mentions several studies that demonstrate the value of CADe and CADx. For example, one study showed that AI tools can increase ADR by up to 50% and reduce cancer diagnoses through increased ADR. Another study highlighted the cost savings of implementing CADx, estimating reductions in colonoscopy costs and annual reimbursements in different countries.<br /><br />The technical aspects of implementation include considerations of time frame, compatibilities of hard wire vs wireless systems, and impact on ancillary equipment. A marketing framework is suggested, including press releases, direct patient communication, and social media posts, to promote the adoption of these systems.<br /><br />Outcome measures to assess the return on investment include the impact on ADR, procedure time, volume trends, marketing campaign effectiveness, financial outcomes, and polyp/cancer miss rates. The document also discusses the research pathway for further development of these AI tools and opportunities for grants.<br /><br />In conclusion, the document asserts that the incorporation of CADe and CADx systems requires a multidisciplinary approach and can provide significant benefits in terms of improved ADR, cost savings, and innovation.

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Shyam Thakkar, MD

Keywords

CADe

CADx

computer-aided detection

computer-aided diagnosis

colonoscopy

hospitals

ambulatory surgery centers

adenoma detection rate

healthcare costs

financial benefit