Evidence map›Paper›PMID 40018072›Full record

ArticleEndoscopy international open2025

Improvement in adenoma detection rate by artificial intelligence-assisted colonoscopy: Multicenter quasi-randomized controlled trial.

Ronja Maria Birgitta Lagström, Karoline Bendix Bräuner, Julia Bielik, Andreas Weinberger Rosen, Julie Gräs Crone, Ismail Gögenur, Mustafa Bulut

Abstract read
In one paragraph

Article in Endoscopy international open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Patients' experiences and attitudes toward the use of real-time artificial intelligence-assisted colonoscopy.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2026
    Article
  4. Article
  5. AI for screening in healthcare: promise and challenges.Abdominal radiology (New York) · 2026
    Review
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  7. Review
  8. Article
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  10. Article
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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

7 authors.

Ronja Maria Birgitta LagströmDepartment of Surgery, Zealand University Hospital Koge, Køge, Denmark.ORCID 0000-0002-6726-7573
Karoline Bendix BräunerDepartment of Surgery, Slagelse Hospital, Slagelse, Denmark.
Julia BielikDepartment of Surgery, Holbæk Sygehus, Holbæk, Denmark.
Andreas Weinberger RosenDepartment of Surgery, Zealand University Hospital Koge, Køge, Denmark.
Julie Gräs CroneDepartment of Surgery, Næstved Hospital, Næstved, Denmark.
Ismail GögenurDepartment of Surgery, Zealand University Hospital Koge, Køge, Denmark.
Mustafa BulutDepartment of Surgery, Zealand University Hospital Koge, Køge, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and study aims: Adenoma detection rate (ADR) is a key performance measure with variability among endoscopists. Artificial intelligence (AI) in colonoscopy could reduce this variability and has shown to improve ADR. This study assessed the impact of AI on ADR among Danish endoscopists of varying experience levels. Patients and methods: We conducted a prospective, quasi-randomized, controlled, multicenter trial involving patients aged 18 and older undergoing screening, surveillance, and diagnostic colonoscopy at four centers. Participants were assigned to AI-assisted colonoscopy (GI Genius, Medtronic) or conventional colonoscopy. Endoscopists were classified as experts (> 1000 colonoscopies) or non-experts (≤ 1000 colonoscopies). The primary outcome was ADR. We performed a subgroup analysis stratified on endoscopist experience and a subset analysis of the screening population. Results: A total of 795 patients were analyzed: 400 in the AI group and 395 in the control group. The AI group demonstrated a significantly higher ADR than the control group (59.1% vs. 46.6%, Conclusions: AI-assisted colonoscopy significantly increased ADR by 12.5% overall, with a notable 16.3% increase in the screening population. The unchanged NNRR indicates that the higher PDR was due to increased ADR, not unnecessary resections.

Indexed as

Colorectal cancerCRC screeningEndoscopic resection (polypectomy, ESD, EMRc, ...)Endoscopy Lower GI TractPolyps / adenomas / ...

Identifiers

PMID40018072
PMCPMC11866038

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Registered trials

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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.