Evidence map›Paper›PMID 39775618›Full record

Trial reportEndoscopy2025

Comparison of adenoma detection rate between three-dimensional and standard colonoscopy: a multicenter randomized controlled trial.

Wei-Yuan Chang, Wei-Chih Liao, Li-Chun Chang, Hsuan-Ho Lin, Pin-Ya Wei, Hsing-Chien Wu, Han-Mo Chiu, Ming-Shiang Wu

Abstract readComparative StudyMulticenter StudyRandomized Controlled 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Trial
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

8 authors.

Wei-Yuan ChangDepartment of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.
Wei-Chih LiaoDepartment of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.
Li-Chun ChangDepartment of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.
Hsuan-Ho LinDepartment of Internal Medicine, National Taiwan University Hsinchu Branch, Hsinchu, Taiwan.
Pin-Ya WeiDepartment of Internal Medicine, National Taiwan University Hsinchu Branch, Hsinchu, Taiwan.
Hsing-Chien WuDepartment of Internal Medicine, National Taiwan University Cancer Center, Taipei, Taiwan.
Han-Mo ChiuDepartment of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.
Ming-Shiang WuDepartment of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Improvement in adenoma detection rates (ADRs) effectively reduces the incidence of colorectal cancer. In a simulation study, three-dimensional (3D) colonoscopy provided more anatomical details than standard two-dimensional (2D) colonoscopy and improved ADR. We compared ADRs between 2D and 3D colonoscopy. Methods: In this multicenter randomized controlled trial, participants aged ≥40 years undergoing colonoscopy for screening, surveillance, or symptoms between February 2022 and June 2023 were randomized 1:1 into 2D or 3D groups. The primary outcome was ADR. Secondary outcomes included detection rates for flat adenomas, right-sided adenomas, proximal adenomas, advanced adenomas, and sessile serrated lesions (SSLs). Results: Of 348 participants recruited, data from 158 (2D group) and 160 (3D group) were analyzed. Mucosa inspection time was comparable between the 3D (9.8 [SD 2.6] minutes) and 2D (9.4 [SD 3.1] minutes) groups (P = 0.21). Compared with the 2D group, the 3D group had a significantly higher ADR (53.1% vs. 38.6%; difference 14.5% [95%CI 3.7 to 25.4]; P = 0.009), and higher detection rates for flat adenomas (35.0% vs. 21.5%; difference 13.5% [95%CI 3.7 to 23.3]; P = 0.008), right-sided adenomas (26.3% vs. 15.2%; difference 11.1% [95%CI 2.2 to 19.9]; P = 0.02), proximal adenomas (38.1% vs. 23.4%; difference 14.7% [95%CI 4.7 to 24.7]; P = 0.005), and adenomas sized 5–9 mm (45.0% vs. 31.0%; difference 14.0% [95%CI 3.4 to 24.5]; P = 0.01). There was no difference in detection rates for SSLs or advanced adenomas. Conclusion: 3D colonoscopy improved adenoma detection without significantly increasing the mucosa inspection time.

Indexed as

AdenomaColonoscopyColorectal NeoplasmsImaging, Three-DimensionalAdultAgedEarly Detection of CancerFemaleHumansMaleMiddle Aged

Identifiers

PMID39775618
PMCPMC12507038

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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.