Evidence map›Paper›PMID 39043201›Full record

Trial reportEndoscopy2025

Polyp size measurement during colonoscopy using a virtual scale: variability and systematic differences.

Querijn N E van Bokhorst, Britt B S L Houwen, Yark Hazewinkel, Manon van der Vlugt, Hanneke Beaumont, Joep Grootjans, Arjan van Tilburg, Paul Fockens, Patrick M M Bossuyt, Evelien Dekker and 1 more

Abstract readVideo-Audio MediaComparative StudyClinical Trial
In one paragraph

Trial report in Endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Querijn N E van BokhorstDepartment of Gastroenterology and Hepatology, Amsterdam UMC, Location VUmc, Amsterdam, the Netherlands.
Britt B S L HouwenDepartment of Gastroenterology and Hepatology, Amsterdam UMC, Location VUmc, Amsterdam, the Netherlands.
Yark HazewinkelDepartment of Gastroenterology and Hepatology, Tergooi Medical Center, Hilversum, the Netherlands.
Manon van der VlugtDepartment of Gastroenterology and Hepatology, Amsterdam UMC, Location VUmc, Amsterdam, the Netherlands.
Hanneke BeaumontDepartment of Gastroenterology and Hepatology, Amsterdam UMC, Location VUmc, Amsterdam, the Netherlands.
Joep GrootjansDepartment of Gastroenterology and Hepatology, Amsterdam UMC, Location VUmc, Amsterdam, the Netherlands.
Arjan van TilburgDepartment of Pathology, Reinier de Graaf Gasthuis, Delft, the Netherlands.
Paul FockensDepartment of Gastroenterology and Hepatology, Amsterdam UMC, Location VUmc, Amsterdam, the Netherlands.
Patrick M M BossuytDepartment of Clinical Epidemiology, Biostatistics and Bioinformatics, Amsterdam UMC, Location AMC, Amsterdam, the Netherlands.
Evelien DekkerDepartment of Gastroenterology and Hepatology, Amsterdam UMC, Location VUmc, Amsterdam, the Netherlands.ORCID 0000-0002-4363-0745
SCALE EYE study group

Funding

Fujifilm Corporation Unrestricted research grant
6 · The paper itself

Abstract

backgroundAccurate polyp size measurement is important for polyp risk stratification and decision-making regarding polypectomy and surveillance. Recently, a virtual scale (VS) function has been developed that allows polyp size measurement through projection of an adaptive VS onto colorectal polyps during real-time endoscopy. We aimed to evaluate the VS in terms of variability and systematic differences.

methodsWe conducted a video-based study with 120 colorectal polyps, measured by eight dedicated colorectal gastroenterologists (experts) and nine gastroenterology residents following endoscopy training (trainees). Three endoscopic measurement methods were compared: (1) visual, (2) snare and (3) VS measurement. We evaluated the method-specific variance (as measure of variability) in polyp size measurements and systematic differences between these methods.

resultsVariance in polyp size measurements was significantly lower for VS measurements compared to visual and snare measurements for both experts (0.52 vs. 1.59 and 1.96, p < 0.001) and trainees (0.59 vs. 2.21 and 2.53, p < 0.001). VS measurement resulted in a higher percentage of polyps assigned to the same size category by all endoscopists compared to visual and snare measurements (experts: 69 % vs. 55 % and 59 %; trainees: 67 % vs. 51 % and 47 %) and reduced the maximum difference between individual endoscopists regarding the percentage of polyps assigned to the ≥ 10 mm size category (experts: 1.7 % vs. 10.0 % and 5.0 %; trainees: 2.5 % vs. 6.7 % and 11.7 %). Systematic differences between methods were < 0.5 mm.

conclusionsUse of the VS leads to lower polyp size measurement variability and more uniform polyp sizing by individual endoscopists compared to visual and snare measurements.

Indexed as

Colonic PolypsColonoscopyAdultAgedClinical CompetenceFemaleGastroenterologyHumansInternship and ResidencyMaleMiddle AgedObserver VariationVideo Recording

Identifiers

PMID39043201
PMCPMC11774581

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.