Benjamin Renelus, MD1, Cedric Cole, MD1, John Onyekaba, MD1, Temitope Tobun, MD1, Daniela Ortega, MD1, Chimson Agbim, MD1, Trishan Panchal, MD1, Jabez K. Beazer, MD2, Chima Amadi, MD1, Uchenna Agbim, BS1, Daniel S. Jamorabo, MD3 1Morehouse School of Medicine, Atlanta, GA; 2Morehouse, Atlanta, GA; 3Stony Brook Medicine, Stony Brook, NY
Introduction: The role of artificial intelligence in medicine has garnered significant interest over the past decade. Studies have shown that use of computer-aided detection (CADe) systems have increased adenoma detection rate (ADR) among those undergoing screening colonoscopies. We sought to determine the impact of a CADe system with ADR among patients undergoing diagnostic colonoscopy for iron deficiency anemia.
Methods: We performed a single-center retrospective study involving adult patients above the age of 20 years who underwent diagnostic colonoscopy due to iron deficiency anemia from January to December 2022. All colonoscopies were performed at a large urban tertiary teaching hospital. Chi-square test was used to compare adenoma detection percentages with and without CADe system. Logistic regression was also used to compare categorical variables.
Results: A total of 119 patients underwent diagnostic colonoscopy, 48 underwent CADe system while 71 underwent standard colonoscopy. Adenoma detection was significantly greater when utilizing a CADe system when compared to standard colonoscopy 62% vs 38% p = 0.005; OR 3.47; 95% CI, 1.53-8.12; p = 0.003.
Discussion: Our single-center study shows a potential benefit of incorporating CADe systems for diagnostic colonoscopy in addition to its' well-established role in screening colonoscopy. Larger, multi-center studies are needed to further validate our findings.
Adenoma Detected
No
Yes
CADe used
N
%
N
%
No
58
[68.2]
13
[38.2]
Yes
27
[31.8]
21
[61.8]
Table: Adenoma Detection With CADe use
Disclosures:
Benjamin Renelus indicated no relevant financial relationships.
Cedric Cole indicated no relevant financial relationships.
John Onyekaba indicated no relevant financial relationships.
Temitope Tobun indicated no relevant financial relationships.
Daniela Ortega indicated no relevant financial relationships.
Chimson Agbim indicated no relevant financial relationships.
Trishan Panchal indicated no relevant financial relationships.
Jabez Beazer indicated no relevant financial relationships.
Chima Amadi indicated no relevant financial relationships.
Uchenna Agbim indicated no relevant financial relationships.
Daniel Jamorabo indicated no relevant financial relationships.
Benjamin Renelus, MD1, Cedric Cole, MD1, John Onyekaba, MD1, Temitope Tobun, MD1, Daniela Ortega, MD1, Chimson Agbim, MD1, Trishan Panchal, MD1, Jabez K. Beazer, MD2, Chima Amadi, MD1, Uchenna Agbim, BS1, Daniel S. Jamorabo, MD3. P0344 - Computer-Aided Detection Device Increase Adenoma Detection in Anemic Patients Undergoing Diagnostic Colonoscopy, ACG 2023 Annual Scientific Meeting Abstracts. Vancouver, BC, Canada: American College of Gastroenterology.
