Adenoma, Adenoma Colon, Colorectal Cancer
Conditions
Brief summary
Adenoma detection rate (ADR) is a validated quality metric for colonoscopy with higher ADR correlated with improved colorectal cancer outcomes. Artificial intelligence (AI) can automatically detect polyps on the video monitor which may allow endoscopists in training to improve their ADR. Objective and Purpose of the study: Measure the effect of AI in a prospective, randomized manner to determine its impact on ADR of Gastroenterology trainees.
Detailed description
Our objective is to determine the impact of AI on the adenoma detection rate of Gastroenterology trainees. The secondary aim of this quality improvement study is to determine the impact of AI based endoscopy on the rate of recording of quality improvement metrics versus historical performance in our program. Fellows will undergo educational session prior to the start of study, describing commonly used metrics for assessing quality of colonoscopy and how to use the artificial intelligence software. Gastroenterology fellows will be consented for the study prior to initiation. The fellows will be randomized on a daily basis to perform colonoscopies in a room. Outcomes will measure the effects of AI in fellows
Interventions
DIAGNOSTIC_TESTAI use in Endoscopy Room
The use of AI versus no AI in comparing the detection of adenomas during Endoscopy procedures.
OTHERNon-AI use Standard of Care endoscopy room
Non-AI use in comparing the detection of adenomas during Endoscopy procedures.
Sponsors
University of Southern California
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* All Gastroenterology fellows at USC performing Endoscopies will be included in the study.
Exclusion criteria
* If fellows refuse informed consent they will be excluded. * Procedures performed in the intensive care unit or the operating room will not be counted toward the study metrics as the AI system will only be available in the endoscopy unit. * If procedures are performed only by faculty, in which the fellow is not the primary operator, they will not be used for study metrics.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Average adenoma detection rate | Throughout study, an average of 2 years | Adenoma detection rate with and without AI |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Average of polyps detection rate | Through out study, an average of 2 years | Polyp detection rate with and without AI |
Countries
United States
Contacts
Primary ContactJessica Serna, BS
Backup ContactAlex Rodriguez, BS
Outcome results
None listed