Michiel H. J. Maas et al. A computer-aided detection system in the everyday setting
of diagnostic, screening, and surveillance colonoscopy: an international, randomized
trial
The added value of a computer-aided detection (CADe) system for adenoma detection
was assessed in this randomized, multicenter trial performed in Europe and Canada.
Data from 497 patients undergoing diagnostic, screening, or surveillance colonoscopy
did not show any significant difference in the adenoma detection rate or adenomas
per colonoscopy between CADe-assisted colonoscopy and conventional colonoscopy. The
number of sessile serrated lesions per colonoscopy was increased with CADe compared
with conventional colonoscopy. This study raises concerns about the efficacy of a
CADe sytem in improving adenoma detection among a varied, everyday colonoscopy population.
