Evidence map›Paper›PMID 41117835›Full record

SynthesisInternational journal of colorectal disease2025

Effectiveness of artificial intelligence-assisted colonoscopy in detecting and diagnosing colorectal tumors: a systematic review and network meta-analysis.

Shufa Tan, Pengfei Zeng, Shuang Liu, Yunyi Yang, Shikai Chen, Wei Zhang, Xiaoming Li, Dingbing Liu, Yuwei Li, Chen Xu

Abstract readNetwork Meta-AnalysisSystematic Review
In one paragraph

Synthesis in International journal of colorectal disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. 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

10 authors.

Shufa Tan *School of Intergrative Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin, 301617, China.
Pengfei Zeng *School of Acu-Mox and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China.
Shuang LiuSchool of Intergrative Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin, 301617, China.
Yunyi YangYueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, 200437, China.
Shikai ChenLonghua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, 200032, China.
Wei ZhangAffiliated Hospital of Shaanxi University of Chinese Medicine, Xianyang, 712000, China.
Xiaoming LiMedical and Health Materials Research Institute, Sinopec (Beijing) Chemical Research Institute Co., LTD, Beijing, 100000, China.
Dingbing LiuState Key Laboratory of Medicinal Chemical Biology, Tianjin Key Laboratory of Molecular Recognition and Biosensing, Frontiers Science Center for New Organic Matter, College of Chemistry, Nankai University, Tianjin, 300071, China.
Yuwei LiDepartment of Colorectal Surgery, Tianjin Union Medical Center The First Affiliated Hospital of Nankai University, Tianjin, 300121, China. bianyuhong_2012@163.com.
Chen XuDepartment of Colorectal Surgery, Tianjin Union Medical Center The First Affiliated Hospital of Nankai University, Tianjin, 300121, China. xc198129@163.com.

Funding

Project of National Natural Science Foundation of China, Efficient extraction of fecal exosomes and its application in early screening of colorectal cancer 22174072The SINOPEC project 223086
6 · The paper itself

Abstract

backgroundThe emergence of artificial intelligence (AI) has greatly promoted the development of the field of medical image analysis, but the potential benefits of AI-assisted colonoscopy and diagnosis (CADe/CADx) for the detection rate of colorectal adenomas and the histological diagnosis of polyps are still controversial and unknown.

methodsWe conducted a search on PubMed, Web of Science, Embase, and Cochrane, and the last search time was August 2024. We collected adenoma detection rate (ADR), polyp detection rate (PDR), and sessile serrated lesion detection rate (SSL). Paired analysis and network meta-analysis (NMA) were performed using R Studio. StataSE15.0 software was used for statistical analysis to calculate the sensitivity and specificity of CADx and conventional colonoscopy.

resultsWe included a total of 64 studies, including 52 RCT studies and 12 clinical studies, with a total of 50,834 patients undergoing colonoscopy. The results showed that different adjuvant interventions had significant differences in the detection rate of adenoma compared with routine colonoscopy ADR [RR = 1.20, 95% CI (1.14, 1.26), P < 0.001], and the results were statistically significant. Among different CADe models and advanced optical imaging techniques, ENDOANGEL model-assisted colonoscopy is the most effective method for detecting colorectal adenomas and polyps (97.8%), and Endocuff-AI model-assisted colonoscopy is the most effective method for detecting sessile serrated lesions (94.4%). In the performance study of endoscopists with or without CADX-assisted diagnosis, the optical diagnostic sensitivity of colorectal adenomas was (88% VS 86%), specificity (78% VS 77%), and AUC area (91% VS 89%), and the study results showed no significant differences.

conclusionENDOANGEL model-assisted colonoscopy shows the best efficacy on both ADR and PDR, Endocuff-AI model-assisted colonoscopy shows the best performance on SSL, and compared with optical evaluation without CADx, real-time polyp assessment using CADx did not significantly increase the diagnostic sensitivity of neoplastic polyps during colonoscopy.

Indexed as

AdenomaArtificial IntelligenceColonoscopyColorectal NeoplasmsColonic PolypsHumansAdenomaArtificial intelligenceColonoscopyDetection rateDiagnosis rateMesh meta-analysisSystematic review

Identifiers

PMID41117835
PMCPMC12540608

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.