AccScience Publishing / ITPS / Online First / DOI: 10.36922/itps.5143
PERSPECTIVE ARTICLE

The transformative role of artificial intelligence in endoscopy

Usama Khan*
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1 Department of Internal Medicine, Nowshera Medical College, Nowshera, Khyber Pakhtunkhwa, Pakistan
INNOSC Theranostics and Pharmacological Sciences, 5143 https://doi.org/10.36922/itps.5143
Submitted: 14 October 2024 | Revised: 2 November 2024 | Accepted: 18 November 2024 | Published: 30 December 2024
© 2024 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
Abstract

Artificial intelligence (AI) is transforming healthcare, with endoscopy emerging as a key area for its application. AI-driven tools are advancing gastrointestinal diagnostics by significantly improving the accuracy and efficiency of detecting conditions such as colorectal cancer, inflammatory bowel disease, and gastrointestinal bleeding. Notably, real-time AI-powered polyp detection has shown significant promise in reducing missed diagnoses, particularly for flat or subtle lesions. Furthermore, AI algorithms excel in lesion characterization, aiding in clinical decision-making and reducing the need for unnecessary biopsies. A major advantage of AI lies in its ability to mitigate variability in diagnostic performance, supporting less experienced endoscopists and contributing to standardized care across diverse clinical settings. Despite these advancements, challenges persist, including the need for large-scale validation of AI models, ensuring their generalizability across populations, addressing ethical and privacy concerns, and mitigating the risk of over-reliance on AI at the expense of human expertise. This perspective explores the transformative potential of AI in endoscopy, emphasizing the importance of thoughtful implementation, ethical considerations, and continued innovation to optimize its integration into clinical practice.

Keywords
Artificial intelligence
Endoscopy
Gastrointestinal diagnostics
Polyp detection
Colorectal cancer
Lesion characterization
Health-care technology
Funding
None.
Conflict of interest
The author declares no competing interests in this paper.
References
  1. Byrne MF. Real-time differentiation of adenomatous and hyperplastic diminutive colorectal polyps during colonoscopy using a computer vision system. Gastroenterology. 2017;153(3):798-807. doi: 10.1053/j.gastro.2017.05.051

 

  1. Urban G, Tripathi P, Alkayali T, et al. Deep learning localizes and identifies polyps in real time with 96% accuracy in screening colonoscopy. Gastroenterology. 2018;155(4):1069-1078.e8. doi: 10.1053/j.gastro.2018.06.037

 

  1. Wang P, Berzin TM, Glissen Brown JR, et al. Real-time automatic detection system increases colonoscopic polyp and adenoma detection rates: A prospective randomised controlled study. Gut. 2019;68(10):1813-1819. doi: 10.1136/gutjnl-2018-317500

 

  1. Klare P, Sander C, Prinzen M, et al. Automated polyp detection in the colorectum: A prospective study (with videos). Gastrointest Endosc. 2019;89(3):576-582.e1. doi: 10.1016/j.gie.2018.09.042

 

  1. Mori Y, Kudo SE, Misawa M, et al. Real-time use of artificial intelligence in identification of diminutive polyps during colonoscopy: A prospective study. Ann Intern Med. 2018;169(6):357-366. doi: 10.7326/M18-0249

 

  1. Misawa M, Kudo SE, Mori Y, et al. Artificial intelligence-assisted polyp detection for colonoscopy: Initial experience. Gastroenterology. 2018;154(8):2027-2029.e3. doi: 10.1053/j.gastro.2018.04.003

 

  1. Thomaidis T. AI applications in lower GI endoscopy: A new frontier. World J Gastroenterol. 2020;26(12): 1334-1342. doi: 10.3748/wjg.v26.i12.1334

 

  1. Repici A, Badalamenti M, Maselli R, et al. Efficacy of real-time computer-aided detection of colorectal neoplasia in a randomized trial. Gastroenterology. 2020;159(2):512-520.e7. doi: 10.1053/j.gastro.2020.04.062

 

  1. Sanchez A, Ramaswamy A, Ghosh S, et al. Colorectal cancer screening and artificial intelligence. A narrative review. Cancer Med. 2021;10(7):2084-2091.

 

  1. Smith J, Anderson B, Patel A, et al. Impact of AI on endoscopic skill variability: A global analysis. Endoscopy Int Open. 2021;9(5):345-352. doi: 10.1055/a-1388-8884

 

  1. Angermann Q, Staib L, Schmid M, et al. Development of AI in endoscopic imaging. Endoscopy. 2020;52(9):745-752. doi: 10.1055/a-1141-1952

 

  1. Horiuchi A, Nakajima T, Suzuki H, et al. Regional variation in AI performance for lesion detection. World J Gastrointest Endosc. 2020;12(9):215-225. doi: 10.4253/wjge.v12.i9.215

 

  1. Domenech P, Garcia J, Lopez L, et al. Ethical concerns in AI-assisted diagnostics: Gastroenterology focus. Ann Gastroenterol. 2021;34(1):67-74. doi: 10.20524/aog.2021.0590

 

  1. Müller H, Schneider S, Braun A, et al. AI validation challenges in gastrointestinal endoscopy: A systematic review. BMC Gastroenterol. 2022;22(1):105. doi: 10.1186/s12876-022-02237-x
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INNOSC Theranostics and Pharmacological Sciences, Electronic ISSN: 2705-0823 Print ISSN: 2705-0734, Published by AccScience Publishing