Evidence map›Paper›PMID 41647079›Full record

ArticleiGIE : innovation, investigation and insights2024

Exploring human-artificial intelligence interactions in a negative pragmatic trial of computer-aided polyp detection.

Kate Watkins, Uri Ladabaum, Esther Olsen, Jonathan Hoogerbrug, Ajitha Mannalithara, Yingjie Weng, Blake Shaw, Roger Bohn, Sara Singer

Abstract read
In one paragraph

Article in iGIE : innovation, investigation and insights, 2024. 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. 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

9 authors.

Kate WatkinsDepartment of Health Policy, Stanford University School of Medicine, Stanford, California, USA.
Uri LadabaumDivision of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, California, USA.
Esther OlsenDepartment of Health Policy, Stanford University School of Medicine, Stanford, California, USA.
Jonathan HoogerbrugClinical Excellence Research Center, Stanford University School of Medicine, Stanford, California, USA.
Ajitha MannalitharaDivision of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, California, USA.
Yingjie WengQuantitative Sciences Unit, Stanford University School of Medicine, Stanford, California, USA.
Blake ShawQuantitative Sciences Unit, Stanford University School of Medicine, Stanford, California, USA.
Roger BohnClinical Excellence Research Center, Stanford University School of Medicine, Stanford, California, USA.
Sara SingerDepartment of Health Policy, Stanford University School of Medicine, Stanford, California, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: The progress of artificial intelligence (AI) in endoscopy is at a crossroads. The positive results of randomized controlled trials of computer-aided detection (CADe) have not been replicated in multiple pragmatic CADe trials, including ours. This gap between efficacy and effectiveness remains to be understood. We surveyed and interviewed our trial's colonoscopists to gain insight into human-AI interactions. Methods: We used a sequential, mixed-methodology design. After the trial, we administered Survey 1, focusing on attitudes and beliefs before and after trying CADe. The trial's null results were disclosed, and we then administered Survey 2 and conducted open-ended interviews, focusing on reactions to the null results. Responses were analyzed overall and by baseline adenoma detection rate (ADR) tertile. We identified key themes using thematic analysis and qualitative software. Results: Nearly all colonoscopists responded (22 and 21 of 24 [92% and 88%] for Surveys 1 and 2, respectively). Most (96%) regarded endoscopic ability as critical to their professional identity. Large majorities conveyed trust in and enthusiasm for AI before and after trying CADe (82%-87%) and desired to have CADe available (72%). Nearly two-thirds (62%) were surprised by the null results. There were few differences by ADR. No unifying explanation for the null results emerged from surveys or individual interviews. Colonoscopists expressed a range of expectations for AI in endoscopy. Conclusions: Lack of enthusiasm or mistrust of AI/CADe do not explain our pragmatic CADe trial's null results. AI may need to target dimensions beyond optical recognition to realize its promise in endoscopy.

Identifiers

PMID41647079
PMCPMC12850880

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.