Artificial Intelligence for Colonic Polyp and Adenoma Detection: The Way Forward

Abstract

Colorectal cancer (CRC) is one of the leading cause of cancer deaths worldwide and increasing use of screening colonoscopy has reduced the CRC related mortality. 1,2 The adenoma miss ratehas been shown to be 25% for anyadenoma and 27% for serrated polyps in a meta-analysis. 3 This may explain the occurrence of interval cancer. Adenoma detection rate (ADR) is one of the important quality indicators of colonoscopy. An improvement in the ADR is associated with lower interval CRCs and lower mortality. 4,5 New technologies have been reported in the literature to improve ADR, including en-hanced optics, endocuff attachments, extra wide angle endo-scopes and cap-assisted techniques to have a better mucosa visualization and eventually reduce the adenoma miss rate. In the