colorectal neoplasia
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1) Patients with one or more colorectal neoplastic lesions (SSL, TSA, adenoma, cTis, or cT1a lesions) scheduled for endoscopic treatment. (2) Patients with one or more lesions classified as cT1b or deeper scheduled for surgical treatment. (3) Patients aged 18 years or older.
Exclusion criteria
Exclusion criteria: (1) Patients with polyposis symdrome (e.g., familial adenomatous polyposis, Lynch syndrome, or SPS [Serrated Polyposis Syndrome]). (2) Patients with inflammatory bowel disease. (3) Patients with coexisting advanced colorectal cancer. (4) Patients with inadequate bowel preparation, indicated by a BBPS (Boston Bowel Preparation Scale) score of less than 6. (5) Cases where the principal investigator or sub-investigators deem participation in the study to be inappropriate.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Study 1: Diagnostic concordance rate between CADx and expert endoscopists Study 2: Diagnostic concordance rate with expert endoscopists for both CADx and non-expert endoscopists | — |
Secondary
| Measure | Time frame |
|---|---|
| Study 1: increase in confidence level among expert endoscopists diagnostic accuracy for identifying jnet 1/2a lesions as resect-and-discard lesions (for lesions <10 mm) concordance rate with surveillance intervals recommended by japanese guidelines correlation with histopathological findings withdrawal time study 2: diagnostic concordance rate with expert endoscopists when the real-time ai-assisted colonoscopy device (cadx) and non-expert endoscopists' diagnoses are consistent increase in confidence level among non-expert endoscopists and diagnostic concordance rate with expert endoscopists for high-confidence lesions learning curve of non-expert endoscopists diagnostic accuracy for identifying jnet 1/2a lesions as resect-and-discard lesions (for lesions <10 mm) concordance rate with surveillance intervals recommended by japanese guidelines correlation with histopathological findings withdrawal time | — |
Countries
Japan
Contacts
Hiroshima University Hospital, Hiroshima, Japan Gastrointestinal Endoscopy and Medicine