Challenges for the crosstalk between endoscopists and pathologists

Neurath, Markus F.

doi:10.1055/a-0832-8381

Cited by 2 publications

(1 citation statement)

References 8 publications

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“…On the other hand, there is a lot of understanding why there are clinical situations where this is not feasible. But those situations should be discussed further between clinical and pathology colleagues [18].…”

Section: Discussionmentioning

confidence: 99%

Histopathological Assessment of the Endoscopic Resection Specimen

Sterlacci,

Vieth

2024

Visc Med

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Background: Endoscopic resection for early neoplastic lesions of the gastrointestinal tract is nowadays the accepted and feasible method also in non-tertiary reference centers. The main clinical advantage is the preserved quality of life compared to larger surgical procedures. Summary: Clinical colleagues need to have basic knowledge of factors that may influence the outcome of histopathology. This article discusses issues connected to the histopathological work-up of endoscopic resection specimens within in the gastrointestinal tract. Key Messages: Besides the clinical technical prerequisites, standardized histopathology is the key element of the pathology laboratory work-up of endoscopic resection specimens. Overdiagnoses of reactive lesions as low-grade neoplasia lead to incomparable study data and although criteria to overcome this situation exist, they are not accepted worldwide, calling for further efforts in harmonization.

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Section: Discussionmentioning

confidence: 99%

Histopathological Assessment of the Endoscopic Resection Specimen

Sterlacci,

Vieth

2024

Visc Med

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A novel AI device for real-time optical characterization of colorectal polyps

Biffi¹,

Salvagnini²,

Dinh³

et al. 2022

npj Digit. Med.

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Accurate in-vivo optical characterization of colorectal polyps is key to select the optimal treatment regimen during colonoscopy. However, reported accuracies vary widely among endoscopists. We developed a novel intelligent medical device able to seamlessly operate in real-time using conventional white light (WL) endoscopy video stream without virtual chromoendoscopy (blue light, BL). In this work, we evaluated the standalone performance of this computer-aided diagnosis device (CADx) on a prospectively acquired dataset of unaltered colonoscopy videos. An international group of endoscopists performed optical characterization of each polyp acquired in a prospective study, blinded to both histology and CADx result, by means of an online platform enabling careful video assessment. Colorectal polyps were categorized by reviewers, subdivided into 10 experts and 11 non-experts endoscopists, and by the CADx as either “adenoma” or “non-adenoma”. A total of 513 polyps from 165 patients were assessed. CADx accuracy in WL was found comparable to the accuracy of expert endoscopists (CADxWL/Exp; OR 1.211 [0.766–1.915]) using histopathology as the reference standard. Moreover, CADx accuracy in WL was found superior to the accuracy of non-expert endoscopists (CADxWL/NonExp; OR 1.875 [1.191–2.953]), and CADx accuracy in BL was found comparable to it (CADxBL/CADxWL; OR 0.886 [0.612–1.282]). The proposed intelligent device shows the potential to support non-expert endoscopists in systematically reaching the performances of expert endoscopists in optical characterization.

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Challenges for the crosstalk between endoscopists and pathologists

Cited by 2 publications

References 8 publications

Histopathological Assessment of the Endoscopic Resection Specimen

Histopathological Assessment of the Endoscopic Resection Specimen

A novel AI device for real-time optical characterization of colorectal polyps

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