Colonoscopy training with or without artificial intelligence for endoscopy residents

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a randomized controlled, crossover study comparing conventional colonoscopy training to training assisted by AI polyp-detection software among endoscopy trainees who have at least one year of training remaining and no prior structured CADe exposure. Trainees are randomized to one approach, with primary outcome measured as adenoma miss rate (AMR) at the end of the first year and again after crossover. Secondary outcomes include polyp detection rate (PDR), adenoma detection rate (ADR), advanced ADR, polyp miss rate (PMR), withdrawal time, cecal intubation rate (CIR), and adverse events. Adult patients undergoing diagnostic, screening, or surveillance colonoscopy at the General University Hospital of Larissa are enrolled and, when possible, followed for interval cancer until their next colonoscopy or diagnosis.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Trial participants: Endoscopy trainees at any time of their training, with at least one year of training ahead without previous structured exposure to CADe during their training.

Recruited patient population: Adult patients undergoing diagnostic, screening, or surveillance colonoscopy will be included.

1. Provision of signed and dated informed consent form understand the risks and benefits of the study
2. Aged ≥18 years old
3. Able to read and write in the provided language.
4. Participants capable to provide written informed consent and comply with the trial protocol.

Exclusion Criteria:

* Trial participants: Endoscopy trainees after their basic training, during the last year of training or with systematic exposure to CADe.

Recruited patient population:

1. Patients with a known contraindication for biopsy, bowel obstruction or perforation,
2. Pregnant or lactating females
3. Known polyposis syndromes, or who had a history of inflammatory bowel disease (IBD), CRC, or colorectal surgery.
4. Any patient whose cecum is not reached and who were highly suspected of having polyposis syndromes, IBD, intestinal tuberculosis, or CRC.
5. Incomplete bowel preparation (segmental Boston Bowel Preparation Score \<2, or total \<6)

Where it's running

• General University Hospital of Larissa
  Larissa, Greece Recruiting

Study contacts

• Study coordinator: Apostolis Papaefthymiou
• Email: appapaefthymiou@uth.gr
• Phone: 00306973853042

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.