Computer-assisted colonoscopies reduce rates of missed lesions, according to a study published in Clinical Gastroenterology and Hepatology. Investigators who randomly assigned patients presenting for colorectal cancer screening or surveillance to either artificial intelligence-based computer-aided polyp detection (CADe) colonoscopy first or high-definition white light (HDWL) colonos copy first—followed immediately by the other procedure in tandem fashion by the same endoscopist—found that the adenoma miss rate was lower in the CADe-first group versus HDWL first group (20.12% vs 31.25%). The sessile serrated lesion miss rate also was lower in the CADe-first group (7.14% vs 42.11%). Further more, the CADe-first group had a higher rate of first-pass adenomas per colonoscopy (1.19 vs 0.90) and first-pass adenoma detection rate (50.44% vs 43.64%).

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