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1. Expected value of artificial intelligence in gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement

Author

Messmann, Helmut, primary, Bisschops, Raf, primary, Antonelli, Giulio, additional, Libânio, Diogo, additional, Sinonquel, Pieter, additional, Abdelrahim, Mohamed, additional, Ahmad, Omer F., additional, Areia, Miguel, additional, Bergman, Jacques J. G. H. M., additional, Bhandari, Pradeep, additional, Boskoski, Ivo, additional, Dekker, Evelien, additional, Domagk, Dirk, additional, Ebigbo, Alanna, additional, Eelbode, Tom, additional, Eliakim, Rami, additional, Häfner, Michael, additional, Haidry, Rehan J., additional, Jover, Rodrigo, additional, Kaminski, Michal F., additional, Kuvaev, Roman, additional, Mori, Yuichi, additional, Palazzo, Maxime, additional, Repici, Alessandro, additional, Rondonotti, Emanuele, additional, Rutter, Matthew D., additional, Saito, Yutaka, additional, Sharma, Prateek, additional, Spada, Cristiano, additional, Spadaccini, Marco, additional, Veitch, Andrew, additional, Gralnek, Ian M., additional, Hassan, Cesare, additional, and Dinis-Ribeiro, Mario, additional

Published
2022
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2. Expected value of artificial intelligence in gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement

Author

Messmann, Helmut, Bisschops, Raf, Antonelli, Giulio, Libânio, Diogo, Sinonquel, Pieter, Abdelrahim, Mohamed, Ahmad, Omer F, Areia, Miguel, Bergman, Jacques J G H M, Bhandari, Pradeep, Boskoski, Ivo, Dekker, Evelien, Domagk, Dirk, Ebigbo, Alanna, Eelbode, Tom, Eliakim, Rami, Häfner, Michael, Haidry, Rehan J, Jover, Rodrigo, Kaminski, Michal F, Kuvaev, Roman, Mori, Yuichi, Palazzo, Maxime, Repici, Alessandro, Rondonotti, Emanuele, Rutter, Matthew D, Saito, Yutaka, Sharma, Prateek, Spada, Cristiano, Spadaccini, Marco, Veitch, Andrew, Gralnek, Ian M, Hassan, Cesare, Dinis-Ribeiro, Mario, Boskoski, Ivo (ORCID:0000-0001-8194-2670), Spada, Cristiano (ORCID:0000-0002-5692-0960), Messmann, Helmut, Bisschops, Raf, Antonelli, Giulio, Libânio, Diogo, Sinonquel, Pieter, Abdelrahim, Mohamed, Ahmad, Omer F, Areia, Miguel, Bergman, Jacques J G H M, Bhandari, Pradeep, Boskoski, Ivo, Dekker, Evelien, Domagk, Dirk, Ebigbo, Alanna, Eelbode, Tom, Eliakim, Rami, Häfner, Michael, Haidry, Rehan J, Jover, Rodrigo, Kaminski, Michal F, Kuvaev, Roman, Mori, Yuichi, Palazzo, Maxime, Repici, Alessandro, Rondonotti, Emanuele, Rutter, Matthew D, Saito, Yutaka, Sharma, Prateek, Spada, Cristiano, Spadaccini, Marco, Veitch, Andrew, Gralnek, Ian M, Hassan, Cesare, Dinis-Ribeiro, Mario, Boskoski, Ivo (ORCID:0000-0001-8194-2670), and Spada, Cristiano (ORCID:0000-0002-5692-0960)

Abstract

This ESGE Position Statement defines the expected value of artificial intelligence (AI) for the diagnosis and management of gastrointestinal neoplasia within the framework of the performance measures already defined by ESGE. This is based on the clinical relevance of the expected task and the preliminary evidence regarding artificial intelligence in artificial or clinical settings. Main recommendations: (1) For acceptance of AI in assessment of completeness of upper GI endoscopy, the adequate level of mucosal inspection with AI should be comparable to that assessed by experienced endoscopists. (2) For acceptance of AI in assessment of completeness of upper GI endoscopy, automated recognition and photodocumentation of relevant anatomical landmarks should be obtained in >= 90% of the procedures. (3) For acceptance of AI in the detection of Barrett's high grade intraepithelial neoplasia or cancer, the AI-assisted detection rate for suspicious lesions for targeted biopsies should be comparable to that of experienced endoscopists with or without advanced imaging techniques. (4) For acceptance of AI in the management of Barrett's neoplasia, AI-assisted selection of lesions amenable to endoscopic resection should be comparable to that of experienced endoscopists. (5) For acceptance of AI in the diagnosis of gastric precancerous conditions, AI-assisted diagnosis of atrophy and intestinal metaplasia should be comparable to that provided by the established biopsy protocol, including the estimation of extent, and consequent allocation to the correct endoscopic surveillance interval. (6) For acceptance of artificial intelligence for automated lesion detection in small-bowel capsule endoscopy (SBCE), the performance of AI-assisted reading should be comparable to that of experienced endoscopists for lesion detection, without increasing but possibly reducing the reading time of the operator. (7) For acceptance of AI in the detection of colorectal polyps, the AI-assisted adenoma

Published
2022

3. Performance measures for the SACRED team-centered approach to advanced gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative

Author

Ching, Hey-Long, additional, Lau, Michelle S., additional, Azmy, Iman A., additional, Hopper, Andrew D., additional, Keuchel, Martin, additional, Gyökeres, Tibor, additional, Kuvaev, Roman, additional, Macken, Elisabeth J., additional, Bhandari, Pradeep, additional, Thoufeeq, Mo, additional, Leclercq, Philippe, additional, Rutter, Matthew D., additional, Veitch, Andrew M., additional, Bisschops, Raf, additional, and Sanders, David S., additional

Published
2022
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4. THE GASTROSCOPY RATE OF CLEANLINESS EVALUATION (GRACE) SCALE: TIME TO ESTABLISH A GRADING SCALE FOR UPPER GASTROINTESTINAL ENDOSCOPY; A RELIABILITY AND VALIDATION STUDY.

Author

Esposito, Gianluca, Dilaghi, Emanuele, Ligato, Irene, Libânio, Diogo, Arantes, Vitor, Weusten, Bas, Elvas, Luis, Bergman, Jacques, Bisschops, Raf, Andrisani, Gianluca, Di Matteo, Francesco Maria, Ebigbo, Alanna, Ferlitsch, Monika, Giljaca, Vanja, Hassan, Cesare, Capogreco, Antonio, Hucl, Tomas, De Jonge, P.J.F., Kuvaev, Roman, and Leclercq, Philippe

Published
2024
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5. Definition of competence standards for optical diagnosis of diminutive colorectal polyps: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement

Author

Houwen, Britt B. S. L., additional, Hassan, Cesare, additional, Coupé, Veerle M. H., additional, Greuter, Marjolein J. E., additional, Hazewinkel, Yark, additional, Vleugels, Jasper L. A., additional, Antonelli, Giulio, additional, Bustamante-Balén, Marco, additional, Coron, Emmanuel, additional, Cortas, George A., additional, Dinis-Ribeiro, Mario, additional, Dobru, Daniela E., additional, East, James E., additional, Iacucci, Marietta, additional, Jover, Rodrigo, additional, Kuvaev, Roman, additional, Neumann, Helmut, additional, Pellisé, Maria, additional, Puig, Ignasi, additional, Rutter, Matthew D., additional, Saunders, Brian, additional, Tate, David J., additional, Mori, Yuichi, additional, Longcroft-Wheaton, Gaius, additional, Bisschops, Raf, additional, and Dekker, Evelien, additional

Published
2021
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6. Erratum: Curriculum for optical diagnosis training in Europe: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement (Endoscopy (2020) 52 (899-923) DOI: 10.1055/a-1231-5123)

Author

Dekker, Evelien, Houwen, Britt B. S. L., Puig, Ignasi, Bustamante-Balén, Marco, Coron, Emmanuel, Dobru, Daniela E., Kuvaev, Roman, Neumann, Helmut, Johnson, Gavin, Pimentel-Nunes, Pedro, Sanders, David S., Dinis-Ribeiro, Mario, Arvanitakis, Marianna, Ponchon, Thierry, East, James E., Bisschops, Raf, Gastroenterology and Hepatology, CCA - Imaging and biomarkers, Amsterdam Gastroenterology Endocrinology Metabolism, and APH - Quality of Care

Abstract

In the above-mentioned article, one sentence on page 912 (Optical diagnosis training for early gastric cancer, Part B) has been corrected. Correct is: The curriculum committee suggests, based on personal experience, that assessment of at least 20 gastric lesions prospectively in patients at high risk of gastric dysplasia/EGC is needed before competence should be assessed. This was corrected in the online version on September 23, 2020.

Published
2020

7. Curriculum for optical diagnosis training in Europe: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement

Author

Dekker, Evelien, primary, Houwen, Britt B. S. L., primary, Puig, Ignasi, additional, Bustamante-Balén, Marco, additional, Coron, Emmanuel, additional, Dobru, Daniela E., additional, Kuvaev, Roman, additional, Neumann, Helmut, additional, Johnson, Gavin, additional, Pimentel-Nunes, Pedro, additional, Sanders, David S., additional, Dinis-Ribeiro, Mario, additional, Arvanitakis, Marianna, additional, Ponchon, Thierry, additional, East, James E., additional, and Bisschops, Raf, additional

Published
2020
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9. Definition of competence standards for optical diagnosis of diminutive colorectal polyps: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement.

Author

Houwen, Britt B. S. L., Hassan, Cesare, Coupé, Veerle M. H., Greuter, Marjolein J. E., Hazewinkel, Yark, Vleugels, Jasper L. A., Antonelli, Giulio, Bustamante-Balén, Marco, Coron, Emmanuel, Cortas, George A., Dinis-Ribeiro, Mario, Dobru, Daniela E., East, James E., Iacucci, Marietta, Jover, Rodrigo, Kuvaev, Roman, Neumann, Helmut, Pellisé, Maria, Puig, Ignasi, and Rutter, Matthew D.

Subjects
COLON polyps, COLONOSCOPY, ARTIFICIAL intelligence, COLORECTAL cancer, ENDOSCOPIC gastrointestinal surgery
Abstract

BACKGROUND : The European Society of Gastrointestinal Endoscopy (ESGE) has developed a core curriculum for high quality optical diagnosis training for practice across Europe. The development of easy-to-measure competence standards for optical diagnosis can optimize clinical decision-making in endoscopy. This manuscript represents an official Position Statement of the ESGE aiming to define simple, safe, and easy-to-measure competence standards for endoscopists and artificial intelligence systems performing optical diagnosis of diminutive colorectal polyps (1 - 5 mm). METHODS : A panel of European experts in optical diagnosis participated in a modified Delphi process to reach consensus on Simple Optical Diagnosis Accuracy (SODA) competence standards for implementation of the optical diagnosis strategy for diminutive colorectal polyps. In order to assess the clinical benefits and harms of implementing optical diagnosis with different competence standards, a systematic literature search was performed. This was complemented with the results from a recently performed simulation study that provides guidance for setting alternative competence standards for optical diagnosis. Proposed competence standards were based on literature search and simulation study results. Competence standards were accepted if at least 80 % agreement was reached after a maximum of three voting rounds. RECOMMENDATION 1:  In order to implement the leave-in-situ strategy for diminutive colorectal lesions (1-5 mm), it is clinically acceptable if, during real-time colonoscopy, at least 90 % sensitivity and 80 % specificity is achieved for high confidence endoscopic characterization of colorectal neoplasia of 1-5 mm in the rectosigmoid. Histopathology is used as the gold standard.Level of agreement 95 %. RECOMMENDATION 2:  In order to implement the resect-and-discard strategy for diminutive colorectal lesions (1-5 mm), it is clinically acceptable if, during real-time colonoscopy, at least 80 % sensitivity and 80 % specificity is achieved for high confidence endoscopic characterization of colorectal neoplasia of 1-5 mm. Histopathology is used as the gold standard.Level of agreement 100 %. CONCLUSION : The developed SODA competence standards define diagnostic performance thresholds in relation to clinical consequences, for training and for use when auditing the optical diagnosis of diminutive colorectal polyps. [ABSTRACT FROM AUTHOR]

Published
2022
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13. Performance measures for upper gastrointestinal endoscopy: A European Society of Gastrointestinal Endoscopy quality improvement initiative

Author

Bisschops, Raf, primary, Areia, Miguel, additional, Coron, Emmanuel, additional, Dobru, Daniela, additional, Kaskas, Bernd, additional, Kuvaev, Roman, additional, Pech, Oliver, additional, Ragunath, Krish, additional, Weusten, Bas, additional, Familiari, Pietro, additional, Domagk, Dirk, additional, Valori, Roland, additional, Kaminski, Michal F, additional, Spada, Cristiano, additional, Bretthauer, Michael, additional, Bennett, Cathy, additional, Senore, Carlo, additional, Dinis‐Ribeiro, Mário, additional, and Rutter, Matthew D, additional

Published
2016
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14. Performance measures for upper gastrointestinal endoscopy: a European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative

Author

Bisschops, Raf, additional, Areia, Miguel, additional, Coron, Emmanuel, additional, Dobru, Daniela, additional, Kaskas, Bernd, additional, Kuvaev, Roman, additional, Pech, Oliver, additional, Ragunath, Krish, additional, Weusten, Bas, additional, Familiari, Pietro, additional, Domagk, Dirk, additional, Valori, Roland, additional, Kaminski, Michal, additional, Spada, Cristiano, additional, Bretthauer, Michael, additional, Bennett, Cathy, additional, Senore, Carlo, additional, Dinis-Ribeiro, Mário, additional, and Rutter, Matthew, additional

Published
2016
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