Evidence map›Paper›PMID 40375757›Full record

SynthesisDigestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society2025

Computer-aided diagnosis for colorectal polyp in comparison with endoscopists: Systematic review and meta-analysis.

Satoshi Shinozaki, Jun Watanabe, Takeshi Kanno, Yuhong Yuan, Tomonori Yano, Hironori Yamamoto

Abstract readSystematic ReviewMeta-AnalysisComparative Study
In one paragraph

Synthesis in Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

6 authors.

Satoshi ShinozakiShinozaki Medical Clinic, Tochigi, Japan.ORCID https://orcid.org/0000-0001-6935-4470
Jun WatanabeDivision of Gastroenterological, General and Transplant Surgery, Department of Surgery, Jichi Medical University, Tochigi, Japan.ORCID https://orcid.org/0000-0003-4477-4238
Takeshi KannoR & D Division of Career Education for Medical Professionals, Medical Education Center, Jichi Medical University, Tochigi, Japan.ORCID https://orcid.org/0000-0001-7305-5924
Yuhong YuanDepartment of Medicine, London Health Science Centre, London, ON, Canada.
Tomonori YanoDivision of Gastroenterology, Department of Medicine, Jichi Medical University, Tochigi, Japan.ORCID https://orcid.org/0000-0002-0160-432X
Hironori YamamotoDivision of Gastroenterology, Department of Medicine, Jichi Medical University, Tochigi, Japan.ORCID https://orcid.org/0000-0002-3601-1153

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesComputer-aided diagnosis (CADx) is anticipated to enhance the prediction of colorectal polyp histology. This study aims to compare the diagnostic accuracy of CADx in the optical diagnosis of colorectal polyps, evaluating its performance against that of both experienced and inexperienced endoscopists.

methodsThe protocol of this study was registered in the International Prospective Register of Systematic Reviews (PROSPERO) (ID: CRD42024585097). Three electronic databases including MEDLINE, Embase, and the Cochrane Central Register of Controlled Trials (CENTRAL) were searched in September 2024. A bivariate random effects model was employed. The primary outcome was the comparison of sensitivity and specificity between CADx and experienced endoscopists; the secondary outcome was the comparison between CADx and inexperienced endoscopists.

resultsTwenty-one studies involving 5477 polyps were included. The pooled sensitivities of CADx and experienced endoscopists were 0.87 (95% confidence interval [CI] 0.82-0.91) and 0.88 (95% CI 0.83-0.91), respectively (P = 0.93). The pooled specificities of CADx and experienced endoscopists were 0.85 (95% CI 0.78-0.90) and 0.87 (95% CI 0.82-0.92), respectively (P = 0.53). In nine studies comparing CADx with inexperienced endoscopists, the pooled sensitivities were 0.88 (95% CI 0.82-0.92) for CADx and 0.85 (95% CI 0.78-0.90) for inexperienced endoscopists (P = 0.46). The pooled specificities were 0.84 (95% CI 0.78-0.88) for CADx and 0.77 (95% CI 0.70-0.83) for inexperienced endoscopists (P = 0.16).

conclusionComputer-aided diagnosis does not demonstrate superior diagnostic accuracy in optical diagnosis of colorectal polyps compared to endoscopists, regardless of their experience level.

Indexed as

Clinical CompetenceColonic PolypsColonoscopyColorectal NeoplasmsDiagnosis, Computer-AssistedHumansSensitivity and Specificityartificial intelligencecolonoscopycolorectal polypcomputer‐aided diagnosisendoscopy

Identifiers

PMID40375757
PMCPMC12427150

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.