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Tuesday Poster Session

Category: Colorectal Cancer Prevention

P3847 - Effect of Computer-Aided Detection Device on the Adenoma Detection Rate and Serrated Detection Rate Among Trainee Fellows

Tuesday, October 29, 2024
10:30 AM – 4:00 PM ET
Location: Exhibit Hall E
Has Audio
Anas Khouri, MD1, Hunter Chance Dickson, DO1, Alvin Green, DO2, William P. Sonnier, MD3, Abrahim Hanjar, MD4, Gannon J. Ray, MD3, Karan B. Singh, MD4, Seema Mir, MD4, Charles Yi, MD5, Cesar Moreno, MD1, Elizabeth Statham, MD6
1USA Health, University of South Alabama, Mobile, AL; 2USA, Daphne, AL; 3University of South Alabama College of Medicine, Mobile, AL; 4University of South Alabama, Mobile, AL; 5University of South Alabama Health Systems, Mobile, AL; 6University of Alabama at Birmingham, Birmingham, AL

Introduction: The utilization of artificial intelligence (AI) with computer aided detection (CADe) has the potential to increase the adenoma detection rate (ADR) by up to 30% in expert settings and specialized centers. The impact of CADe on serrated polyp detection rates (SDR) and academic trainees ADR and SDR remains under examined. We aim to investigate the effect of CADe on ADR and SDR at an academic center with various levels of providers’ experience.

Methods: A single-center retrospective analysis was conducted on asymptomatic patients between the ages of 45 and 75 who underwent screening colonoscopy. Colonoscopy reports were reviewed for 3 months prior to the introduction of GI Genius TM (Medtronic, USA) and 3 months after its implementation. The primary outcome was ADR and SDR with and without CADe.

Results: 658 colonoscopies were eligible for analysis. CADe resulted in statistically significant improvement in SDR from 8.92% to 14.1% (P = 0.037). The ADR + SDR with CADe and without CADe was 58% and 55.1%, respectively (P = 0.46). Average CSC withdrawal time was 17.33 minutes with the device compared to 17.35 minutes without the device (P = 0.98).

Discussion: In this study, GI - Genius TM was associated with a statistically significant increase in SDR alone, but not in ADR or ADR + SDR, likely secondary to the more elusive nature of serrated polyps compared to adenomatous polyps. The use of CADe did not affect withdrawal time.


Disclosures:
Anas Khouri indicated no relevant financial relationships.
Hunter Chance Dickson indicated no relevant financial relationships.
Alvin Green indicated no relevant financial relationships.
William Sonnier: Abbvie – Speakers Bureau. Janssen – Consultant.
Abrahim Hanjar indicated no relevant financial relationships.
Gannon Ray indicated no relevant financial relationships.
Karan Singh indicated no relevant financial relationships.
Seema Mir indicated no relevant financial relationships.
Charles Yi indicated no relevant financial relationships.
Cesar Moreno indicated no relevant financial relationships.
Elizabeth Statham indicated no relevant financial relationships.


Anas Khouri, MD1, Hunter Chance Dickson, DO1, Alvin Green, DO2, William P. Sonnier, MD3, Abrahim Hanjar, MD4, Gannon J. Ray, MD3, Karan B. Singh, MD4, Seema Mir, MD4, Charles Yi, MD5, Cesar Moreno, MD1, Elizabeth Statham, MD6. P3847 - Effect of Computer-Aided Detection Device on the Adenoma Detection Rate and Serrated Detection Rate Among Trainee Fellows, ACG 2024 Annual Scientific Meeting Abstracts. Philadelphia, PA: American College of Gastroenterology.