Artificial intelligence for reducing missed detection of adenomas and polyps in colonoscopy: A systematic review and meta-analysis

Figure 1 Study flow chart. CENTRAL: Cochrane Central Register of Controlled Trials; CADe: Computer-aided detection.

Figure 2 Study quality and assessment chart.

Figure 3 Forrest plots and funnel plot. A: Forrest plot showing adenoma miss rate for colonoscopy with vs without computer-aided detection (CADe) assistance for the included studies; B: Funnel plot showing associated publication bias; C: Sensitivity analysis of adenoma miss rate for colonoscopy with vs without CADe assistance for the included studies. CADe: Computer-aided detection; OR: Odds ratio.

Figure 4 Forrest plots showing adenoma miss rate for colonoscopy with vs without computer-aided detection assistance. A: Sessile serrated lesions for the included studies; B: Advanced adenomas for the included studies; C: Size for the included studies; D: Location for the included studies. CADe: Computer-aided detection.

Figure 5 Forrest plot showing polyps miss rate for colonoscopy with vs without computer-aided detection assistance for the included studies. CADe: Computer-aided detection.

Figure 6 Forrest plots showing adenoma detection rate for colonoscopy with vs without computer-aided detection assistance. A: The included studies; B: The first pass for the included studies. CADe: Computer-aided detection.

Figure 7 Forrest plot showing adenomas per colonoscopy for colonoscopy with vs without computer-aided detection assistance for the included studies. CADe: Computer-aided detection.

Figure 8 Withdrawal time for colonoscopy with vs without computer-aided detection assistance on first pass for the included studies. A: Forrest plot; B: Sensitivity analysis. CADe: Computer-aided detection.

Figure 9 Forrest plot showing withdrawal time for colonoscopy with vs without computer-aided detection assistance on second pass for the included studies. CADe: Computer-aided detection.