Automatic Quality Control System Boosts Adenoma Detection Rates in Colonoscopy

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Automatic Quality Control System Boosts Adenoma Detection Rates in Colonoscopy
Colorectal Cancer (CRC)Bowel PreparationColonoscopy
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The assistance of an automatic quality control system improves adenoma detection rates among colonoscopists classified as medium- and low-level detectors.

An automatic quality control system significantly improves adenoma detection rates during routine colonoscopy among lower- and medium-level colonoscopists and in both academic and nonacademic settings.

An AQCS was developed to monitor colonoscopy phases, assess bowel preparation, and detect polyps during high-definition white-light procedures. Researchers aimed to evaluate the effectiveness of AQCS in improving ADRs among colonoscopists who were medium- and low-level detectors with mean basal ADRs of 25%-35% and< 25%, respectively. They conducted a randomized clinical trial at six centers in China, with participants randomly assigned to either standard colonoscopy or AQCS-assisted colonoscopy under identical endoscopic settings. The primary outcome was the ADR, defined as the proportion of individuals with one or more adenomas confirmed by histopathologic examination; secondary outcomes included advanced ADR, ADR in nonacademic and academic settings, number of adenomas per colonoscopy, and adverse events.Between August 2021 and September 2022, researchers randomized 1254 participants to standard colonoscopy or AQCS-assisted colonoscopy . The ADR was significantly higher in the AQCS-assisted colonoscopy group than in the standard colonoscopy group on the adenoma detection rate,” the authors wrote.Potential bias may exist as colonoscopists were not blinded to patient assignments. The link between adenoma findings by AQCS and long-term outcomes, including colorectal cancer and cost-effectiveness, remains unclear. The AQCS did not use blind spot recognition and reminders, and the absence of a control arm with only computer-aided detection limited conclusions about AQCS’s advantages. This study was supported by grants from the National Natural Science Foundation of China, Key R&D Program of Shandong Province, Taishan Scholars Program of Shandong Province, and National Key Research and Development Program of China. The authors did not disclose any relevant conflicts of interest. This article was created using several editorial tools, including AI, as part of the process. Human editors reviewed this content before publication.All material on this website is protected by copyright, Copyright © 1994-2025 by WebMD LLC. This website also contains material copyrighted by 3rd parties.

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