Rationalizing polyp matching criteria in colon capsule endoscopy : an international expert consensus through RAND (modified DELPHI) process
(2024) In Therapeutic Advances in Gastroenterology 17.- Abstract
Background: Colon capsule endoscopy (CCE) has gained momentum as an alternative modality for the investigation of the lower gastrointestinal tract. Of the few challenges that remain, the comparison and – eventually – matching of polyps at different timestamps leads to the potential for double reporting and can contribute to false-positive findings and inaccuracies. With the impending artificial intelligence integration, the risk of double reporting the same polyp due to the lack of information on spatial orientation underscores the necessity for establishing criteria for polyp matching. Objectives: This RAND/University of California, Los Angeles (modified Delphi) process aims to identify the key factors or components used to match... (More)
Background: Colon capsule endoscopy (CCE) has gained momentum as an alternative modality for the investigation of the lower gastrointestinal tract. Of the few challenges that remain, the comparison and – eventually – matching of polyps at different timestamps leads to the potential for double reporting and can contribute to false-positive findings and inaccuracies. With the impending artificial intelligence integration, the risk of double reporting the same polyp due to the lack of information on spatial orientation underscores the necessity for establishing criteria for polyp matching. Objectives: This RAND/University of California, Los Angeles (modified Delphi) process aims to identify the key factors or components used to match polyps within a CCE video. This involves exploring the attributes of each factor to create comprehensive polyp-matching criteria based on international expert consensus. Design: A systematic qualitative study using surveys. Methods: A panel of 11 international CCE experts convened to assess a survey comprised of 60 statements. Participants anonymously rated statement appropriateness on a 1–9 scale (1–3: inappropriate, 4–6: uncertain and 7–9: appropriate). Following a virtual group discussion of the Round 1 results, a Round 2 survey was developed and completed before the final analysis. Results: The factors that were agreed to be essential for polyp matching include (1) timestamp, (2) polyp localization, (3) polyp vascular pattern, (4) polyp size, (5) time interval of the polyp appearance between the green and yellow camera, (6) surrounding tissue, (7) polyp morphology and (8) polyp surface and contour. When five or more factors are satisfied, it was agreed that the comparing polyps are likely the same polyp. Conclusion: This study has established the first complete criteria for polyp matching in CCE. While it might not provide a definitive solution for matching difficult, small and common polyps, these criteria serve as a framework to guide and facilitate the process of polyp-matching.
(Less)
- author
- author collaboration
- organization
- publishing date
- 2024-01-01
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- capsule endoscopy, CCE, colon capsule endoscopy, colorectal cancer, colorectal polyp, polyp, polyp matching
- in
- Therapeutic Advances in Gastroenterology
- volume
- 17
- publisher
- SAGE Publications
- external identifiers
-
- pmid:38883159
- scopus:85196143091
- ISSN
- 1756-283X
- DOI
- 10.1177/17562848241242681
- language
- English
- LU publication?
- yes
- id
- 6116c7a7-6c9e-4769-953e-637207bccdc5
- date added to LUP
- 2024-09-09 16:07:08
- date last changed
- 2024-09-10 03:00:05
@article{6116c7a7-6c9e-4769-953e-637207bccdc5,
abstract = {{<p>Background: Colon capsule endoscopy (CCE) has gained momentum as an alternative modality for the investigation of the lower gastrointestinal tract. Of the few challenges that remain, the comparison and – eventually – matching of polyps at different timestamps leads to the potential for double reporting and can contribute to false-positive findings and inaccuracies. With the impending artificial intelligence integration, the risk of double reporting the same polyp due to the lack of information on spatial orientation underscores the necessity for establishing criteria for polyp matching. Objectives: This RAND/University of California, Los Angeles (modified Delphi) process aims to identify the key factors or components used to match polyps within a CCE video. This involves exploring the attributes of each factor to create comprehensive polyp-matching criteria based on international expert consensus. Design: A systematic qualitative study using surveys. Methods: A panel of 11 international CCE experts convened to assess a survey comprised of 60 statements. Participants anonymously rated statement appropriateness on a 1–9 scale (1–3: inappropriate, 4–6: uncertain and 7–9: appropriate). Following a virtual group discussion of the Round 1 results, a Round 2 survey was developed and completed before the final analysis. Results: The factors that were agreed to be essential for polyp matching include (1) timestamp, (2) polyp localization, (3) polyp vascular pattern, (4) polyp size, (5) time interval of the polyp appearance between the green and yellow camera, (6) surrounding tissue, (7) polyp morphology and (8) polyp surface and contour. When five or more factors are satisfied, it was agreed that the comparing polyps are likely the same polyp. Conclusion: This study has established the first complete criteria for polyp matching in CCE. While it might not provide a definitive solution for matching difficult, small and common polyps, these criteria serve as a framework to guide and facilitate the process of polyp-matching.</p>}},
author = {{Lei, Ian Io and Koulaouzidis, Anastasios and Baatrup, Gunnar and Samaan, Mark and Parisi, Ioanna and McAlindon, Mark and Toth, Ervin and Shaukat, Aasma and Valentiner, Ursula and Dabos, Konstantinos John and Fernandez, Ignacio and Robertson, Alexander and Schelde-Olesen, Benedicte and Parsons, Nicholas and Arasaradnam, Ramesh P.}},
issn = {{1756-283X}},
keywords = {{capsule endoscopy; CCE; colon capsule endoscopy; colorectal cancer; colorectal polyp; polyp; polyp matching}},
language = {{eng}},
month = {{01}},
publisher = {{SAGE Publications}},
series = {{Therapeutic Advances in Gastroenterology}},
title = {{Rationalizing polyp matching criteria in colon capsule endoscopy : an international expert consensus through RAND (modified DELPHI) process}},
url = {{http://dx.doi.org/10.1177/17562848241242681}},
doi = {{10.1177/17562848241242681}},
volume = {{17}},
year = {{2024}},
}