Department of Internal Medicine, NYU Langone Health, New York, NY, USA.
Division of Gastroenterology, NYU Langone Health, New York, NY, USA.
Expert Rev Med Devices. 2023 Jul-Dec;20(12):1087-1103. doi: 10.1080/17434440.2023.2280773. Epub 2023 Nov 24.
Colorectal cancer (CRC) is the third most common malignancy and second leading cause of cancer-related mortality in the world. Adenoma detection rate (ADR), a quality indicator for colonoscopy, has gained prominence as it is inversely related to CRC incidence and mortality. As such, recent efforts have focused on developing novel colonoscopy devices and technologies to improve ADR.
The main objective of this paper is to provide an overview of advancements in the fields of colonoscopy mechanical attachments, artificial intelligence-assisted colonoscopy, and colonoscopy optical enhancements with respect to ADR. We accomplished this by performing a comprehensive search of multiple electronic databases from inception to September 2023. This review is intended to be an introduction to colonoscopy devices and technologies.
Numerous mechanical attachments and optical enhancements have been developed that have the potential to improve ADR and AI has gone from being an inaccessible concept to a feasible means for improving ADR. While these advances are exciting and portend a change in what will be considered standard colonoscopy, they continue to require refinement. Future studies should focus on combining modalities to further improve ADR and exploring the use of these technologies in other facets of colonoscopy.
结直肠癌（CRC）是全球第三大常见恶性肿瘤，也是癌症相关死亡的第二大主要原因。腺瘤检出率（ADR）是结肠镜检查的质量指标，因为它与 CRC 的发病率和死亡率呈负相关，所以它越来越受到重视。因此，最近的研究重点是开发新型结肠镜检查设备和技术以提高 ADR。
本文的主要目的是概述在提高 ADR 方面的结肠镜机械附件、人工智能辅助结肠镜检查和结肠镜光学增强领域的进展。我们通过对从开始到 2023 年 9 月的多个电子数据库进行全面搜索来实现这一目标。本综述旨在介绍结肠镜检查设备和技术。
已经开发出许多机械附件和光学增强技术，这些技术有可能提高 ADR，而人工智能也从一个遥不可及的概念发展成为提高 ADR 的可行手段。虽然这些进展令人兴奋，并预示着标准结肠镜检查将发生变化，但它们仍需要进一步改进。未来的研究应集中于结合多种模式以进一步提高 ADR，并探索这些技术在结肠镜检查其他方面的应用。
