Observational study of change in adenoma detection rate after introduction of artificial intelligence in colonoscopy

Many trials showed that the use of artificial intelligence (AI) for polyp detection can increase the adenoma detection rate (ADR). An observational study at 4 centers in Poland evaluated the impact of exposure to artificial intelligence on the ADR of non-AI assisted coloscopy. Within 3 months after implementation of AI, the ADR of non-AI assisted colonoscopy decreased from 28.4% to 22.4% (p=0.0089). In multivariate analysis, exposure to AI was significantly associated with ADR (OR 0.69; 95% CI 0.53-0.89). The authors conclude that these data suggest that exposure to AI had a negative effect on endoscopist behavior.