Expert-AI Collaborative Training for Novice Endoscopists: A Path to Enhanced Efficiency

Background: Esophagogastroduodenoscopy (EGD) is essential for diagnosing upper gastrointestinal disorders. Traditional training for novice endoscopists is often inefficient and inconsistent. This study evaluates the effectiveness of an AI-assisted system (EndoAdd) in improving EGD training. Methods:...

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Main Authors: Zhen Zhang, Bai-Sheng Chen, Ling Du, Quan-Lin Li, Yan Zhu, Pei-Yao Fu, Wen-Zheng Qin, Huan-Kai Shou, Ping-Ting Gao, Xin-Yang Liu, Meng-Jiang He, Zi-Han Geng, Shuo Wang, Ping-Hong Zhou
Format: Article
Language:English
Published: MDPI AG 2025-05-01
Series:Bioengineering
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Online Access:https://www.mdpi.com/2306-5354/12/6/582
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Summary:Background: Esophagogastroduodenoscopy (EGD) is essential for diagnosing upper gastrointestinal disorders. Traditional training for novice endoscopists is often inefficient and inconsistent. This study evaluates the effectiveness of an AI-assisted system (EndoAdd) in improving EGD training. Methods: In a randomized controlled trial, eight novice endoscopists were assigned to either the EndoAdd group or a control group (traditional training). The EndoAdd system provided real-time feedback on blind spots and photodocumentation. Primary outcomes were the number of blind spots, with secondary outcomes including examination time, lesion detection, and photodocumentation completeness. Results: The EndoAdd system exhibited an overall accuracy of 98.0% and a mean area under the curve (AUC) of 0.984. The EndoAdd group had significantly fewer blind spots, improved photodocumentation, and a higher lesion detection rate. Examination time was reduced without compromising diagnostic accuracy. Conclusions: The AI-assisted EndoAdd system improved novice endoscopist performance, reducing blind spots and enhancing lesion detection. AI systems like EndoAdd show potential in accelerating endoscopy training and improving procedural quality.
ISSN:2306-5354