查看更多>>摘要:By a News Reporter-Staff News Editor at Robotics & Machine Learning DailyNews Daily News - New research on Artificial Intelligenc e is the subject of a report. According to newsreporting originating in Toronto , Canada, by NewsRx journalists, research stated, “Randomized controlledtrials (RCTs) have reported that artificial intelligence (AI) improves endoscopic polyp detection. Differentmethodologies-namely, parallel and tandem designs-have bee n used to evaluate the efficacy of AI-assistedcolonoscopy in RCTs.”The news reporters obtained a quote from the research from University Health Net work, “Systematicreviews and meta-analyses have reported a pooled effect that i ncludes both study designs. However, itis unclear whether there are inconsisten cies in the reported results of these 2 designs. Here, we aimed todetermine whe ther study characteristics moderate between-trial differences in outcomes when e valuatingthe effectiveness of AI-assisted polyp detection. A systematic search of Ovid MEDLINE, Embase, CochraneCentral, Web of Science, and IEEE Xplore was p erformed through March 1, 2023, for RCTs comparingAI-assisted colonoscopy with routine high-definition colonoscopy in polyp detection. The primary outcomeof i nterest was the impact of study type on the adenoma detection rate (ADR). Second ary outcomesincluded the impact of the study type on adenomas per colonoscopy a nd withdrawal time, as well as theimpact of geographic location, AI system, and endoscopist experience on ADR. Pooled event analysis wasperformed using a rand om-effects model. Twenty-four RCTs involving 17,413 colonoscopies (AI assisted:8680; non-AI assisted: 8733) were included. AI-assisted colonoscopy improved ove rall ADR (risk ratio[RR], 1.24; 95% confidence interval [CI], 1.17-1.31; I = 5 3%; P<.001). Tandem studies collectively demonstrated improved ADR in AI-aided colonoscopies (RR, 1.18; 95% CI, 1.08-1.30; I = 0%; P<.001), as didparallel studies (RR, 1.26; 95% CI, 1.17-1.35; I = 62%; P<.001), with no statistical subgroup differencebetween study design. Both tande m and parallel study designs revealed improvement in adenomas percolonoscopy in AI-aided colonoscopies, but this improvement was more marked among tandem studi es (P<.001). AI assistance significantly increased withdr awal times for parallel (P = .002), but not tandem,studies. ADR improvement was more marked among studies conducted in Asia compared to Europe andNorth Americ a in a subgroup analysis (P = .007). Type of AI system used or endoscopist exper ience didnot affect overall improvement in ADR. Either parallel or tandem study design can capture the improvementin ADR resulting from the use of AI-assisted polyp detection systems.”