A review of water exchange and artificial intelligence in improving adenoma detection

Water exchange (WE) and artificial intelligence (AI) have made critical advances during the past decade. WE significantly increases adenoma detection and AI holds the potential to help endoscopists detect more polyps and adenomas. We performed an electronic literature search on PubMed using the foll...

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Main Authors: Chia-Pei Tang, Paul P Shao, Yu-Hsi Hsieh, Felix W Leung
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Tzu Chi Medical Journal
Subjects:
Online Access:http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2021;volume=33;issue=2;spage=108;epage=114;aulast=Tang
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author Chia-Pei Tang
Paul P Shao
Yu-Hsi Hsieh
Felix W Leung
author_facet Chia-Pei Tang
Paul P Shao
Yu-Hsi Hsieh
Felix W Leung
author_sort Chia-Pei Tang
collection DOAJ
description Water exchange (WE) and artificial intelligence (AI) have made critical advances during the past decade. WE significantly increases adenoma detection and AI holds the potential to help endoscopists detect more polyps and adenomas. We performed an electronic literature search on PubMed using the following keywords: water-assisted and water exchange colonoscopy, adenoma and polyp detection, artificial intelligence, deep learning, neural networks, and computer-aided colonoscopy. We reviewed relevant articles published in English from 2010 to May 2020. Additional articles were searched manually from the reference lists of the publications reviewed. We discussed recent advances in both WE and AI, including their advantages and limitations. AI may mitigate operator-dependent factors that limit the potential of WE. By increasing bowel cleanliness and improving visualization, WE may provide the platform to optimize the performance of AI for colonoscopies. The strengths of WE and AI may complement each other in spite of their weaknesses to maximize adenoma detection.
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spelling doaj-art-51aa6633e1b94e3fb5360b98648faac22025-08-20T02:27:56ZengWolters Kluwer Medknow PublicationsTzu Chi Medical Journal1016-31902223-89562021-01-0133210811410.4103/tcmj.tcmj_88_20A review of water exchange and artificial intelligence in improving adenoma detectionChia-Pei TangPaul P ShaoYu-Hsi HsiehFelix W LeungWater exchange (WE) and artificial intelligence (AI) have made critical advances during the past decade. WE significantly increases adenoma detection and AI holds the potential to help endoscopists detect more polyps and adenomas. We performed an electronic literature search on PubMed using the following keywords: water-assisted and water exchange colonoscopy, adenoma and polyp detection, artificial intelligence, deep learning, neural networks, and computer-aided colonoscopy. We reviewed relevant articles published in English from 2010 to May 2020. Additional articles were searched manually from the reference lists of the publications reviewed. We discussed recent advances in both WE and AI, including their advantages and limitations. AI may mitigate operator-dependent factors that limit the potential of WE. By increasing bowel cleanliness and improving visualization, WE may provide the platform to optimize the performance of AI for colonoscopies. The strengths of WE and AI may complement each other in spite of their weaknesses to maximize adenoma detection.http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2021;volume=33;issue=2;spage=108;epage=114;aulast=Tangadenoma detection rateadenoma miss rateartificial intelligencecomputer-aided colonoscopywater exchange
spellingShingle Chia-Pei Tang
Paul P Shao
Yu-Hsi Hsieh
Felix W Leung
A review of water exchange and artificial intelligence in improving adenoma detection
Tzu Chi Medical Journal
adenoma detection rate
adenoma miss rate
artificial intelligence
computer-aided colonoscopy
water exchange
title A review of water exchange and artificial intelligence in improving adenoma detection
title_full A review of water exchange and artificial intelligence in improving adenoma detection
title_fullStr A review of water exchange and artificial intelligence in improving adenoma detection
title_full_unstemmed A review of water exchange and artificial intelligence in improving adenoma detection
title_short A review of water exchange and artificial intelligence in improving adenoma detection
title_sort review of water exchange and artificial intelligence in improving adenoma detection
topic adenoma detection rate
adenoma miss rate
artificial intelligence
computer-aided colonoscopy
water exchange
url http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2021;volume=33;issue=2;spage=108;epage=114;aulast=Tang
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