{"title":"Expert-AI Collaborative Training for Novice Endoscopists: A Path to Enhanced Efficiency.","authors":"Zhen Zhang, Bai-Sheng Chen, Ling Du, Quan-Lin Li, Yan Zhu, Pei-Yao Fu, Wen-Zheng Qin, Huan-Kai Shou, Ping-Ting Gao, Xin-Yang Liu, Meng-Jiang He, Zi-Han Geng, Shuo Wang, Ping-Hong Zhou","doi":"10.3390/bioengineering12060582","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Esophagogastroduodenoscopy (EGD) is essential for diagnosing upper gastrointestinal disorders. Traditional training for novice endoscopists is often inefficient and inconsistent. This study evaluates the effectiveness of an AI-assisted system (EndoAdd) in improving EGD training.</p><p><strong>Methods: </strong>In a randomized controlled trial, eight novice endoscopists were assigned to either the EndoAdd group or a control group (traditional training). The EndoAdd system provided real-time feedback on blind spots and photodocumentation. Primary outcomes were the number of blind spots, with secondary outcomes including examination time, lesion detection, and photodocumentation completeness.</p><p><strong>Results: </strong>The EndoAdd system exhibited an overall accuracy of 98.0% and a mean area under the curve (AUC) of 0.984. The EndoAdd group had significantly fewer blind spots, improved photodocumentation, and a higher lesion detection rate. Examination time was reduced without compromising diagnostic accuracy.</p><p><strong>Conclusions: </strong>The AI-assisted EndoAdd system improved novice endoscopist performance, reducing blind spots and enhancing lesion detection. AI systems like EndoAdd show potential in accelerating endoscopy training and improving procedural quality.</p>","PeriodicalId":8874,"journal":{"name":"Bioengineering","volume":"12 6","pages":""},"PeriodicalIF":3.8000,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12189645/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Bioengineering","FirstCategoryId":"5","ListUrlMain":"https://doi.org/10.3390/bioengineering12060582","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ENGINEERING, BIOMEDICAL","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Esophagogastroduodenoscopy (EGD) is essential for diagnosing upper gastrointestinal disorders. Traditional training for novice endoscopists is often inefficient and inconsistent. This study evaluates the effectiveness of an AI-assisted system (EndoAdd) in improving EGD training.
Methods: In a randomized controlled trial, eight novice endoscopists were assigned to either the EndoAdd group or a control group (traditional training). The EndoAdd system provided real-time feedback on blind spots and photodocumentation. Primary outcomes were the number of blind spots, with secondary outcomes including examination time, lesion detection, and photodocumentation completeness.
Results: The EndoAdd system exhibited an overall accuracy of 98.0% and a mean area under the curve (AUC) of 0.984. The EndoAdd group had significantly fewer blind spots, improved photodocumentation, and a higher lesion detection rate. Examination time was reduced without compromising diagnostic accuracy.
Conclusions: The AI-assisted EndoAdd system improved novice endoscopist performance, reducing blind spots and enhancing lesion detection. AI systems like EndoAdd show potential in accelerating endoscopy training and improving procedural quality.
期刊介绍：
Aims
Bioengineering (ISSN 2306-5354) provides an advanced forum for the science and technology of bioengineering. It publishes original research papers, comprehensive reviews, communications and case reports. Our aim is to encourage scientists to publish their experimental and theoretical results in as much detail as possible. All aspects of bioengineering are welcomed from theoretical concepts to education and applications. There is no restriction on the length of the papers. The full experimental details must be provided so that the results can be reproduced. There are, in addition, four key features of this Journal:
● We are introducing a new concept in scientific and technical publications “The Translational Case Report in Bioengineering”. It is a descriptive explanatory analysis of a transformative or translational event. Understanding that the goal of bioengineering scholarship is to advance towards a transformative or clinical solution to an identified transformative/clinical need, the translational case report is used to explore causation in order to find underlying principles that may guide other similar transformative/translational undertakings.
● Manuscripts regarding research proposals and research ideas will be particularly welcomed.
● Electronic files and software regarding the full details of the calculation and experimental procedure, if unable to be published in a normal way, can be deposited as supplementary material.
● We also accept manuscripts communicating to a broader audience with regard to research projects financed with public funds.
Scope
● Bionics and biological cybernetics: implantology; bio–abio interfaces
● Bioelectronics: wearable electronics; implantable electronics; “more than Moore” electronics; bioelectronics devices
● Bioprocess and biosystems engineering and applications: bioprocess design; biocatalysis; bioseparation and bioreactors; bioinformatics; bioenergy; etc.
● Biomolecular, cellular and tissue engineering and applications: tissue engineering; chromosome engineering; embryo engineering; cellular, molecular and synthetic biology; metabolic engineering; bio-nanotechnology; micro/nano technologies; genetic engineering; transgenic technology
● Biomedical engineering and applications: biomechatronics; biomedical electronics; biomechanics; biomaterials; biomimetics; biomedical diagnostics; biomedical therapy; biomedical devices; sensors and circuits; biomedical imaging and medical information systems; implants and regenerative medicine; neurotechnology; clinical engineering; rehabilitation engineering
● Biochemical engineering and applications: metabolic pathway engineering; modeling and simulation
● Translational bioengineering
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