Adenoma Colon, Colonic Adenoma, Colonic Polyp
Conditions
Keywords
Colonoscopy, Adenoma detection rate, Withdrawal time, Artificial Intelligence
Brief summary
PURPOSE OF PROTOCOL Objective: To evaluate if the speedometer based on the real-time image analysis can help endoscopists increase their withdrawal time, which is defined as time spent examining the colon during withdrawal of the colonoscope, during colonoscopy. Hypothesis: The trial hypothesis is that use of the speedometer during colonoscopy will increase the average withdrawal time, which is defined as time spent examining the colon during withdrawal of the colonoscope, by 1.6 minutes, possibly increasing the performance of the participating endoscopists. Our objective is to clarify the clinical benefits of this digital tool in colonoscopy. Endpoint: Withdrawal time difference between colonoscopies done without the speedometer (control period) and colonoscopies done with the speedometer (intervention period).
Interventions
We will measure and monitor the withdrawal time of colonoscopy with a speedometer.
Sponsors
Study design
Eligibility
Inclusion criteria
* Both women and men aged 18 years or older undergoing colonoscopy for any indication at Beth Israel Deaconess Medical Center (BIDMC), Boston, USA.
Exclusion criteria
* Known colorectal cancer, hereditary colorectal polyposis, inflammatory bowel disease, or past history of colectomy.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Withdrawal time | Through study completion, an average of 1 year | Withdrawal time difference between colonoscopies done without the speedometer (control period) and colonoscopies done with the speedometer (intervention period). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Adenoma detection rate (ADR) | Through study completion, an average of 1 year | Adenoma detection rate (ADR) of the participating endoscopists during the control period and the intervention period. |
| Quality of colonoscopy | Through study completion, an average of 1 year | Proportion of colonoscopies with withdrawal time ≥ 6 minutes. |