THE NEW GENERATION OF EXPRESS VIEW IS HIGHLY ACCURATE AND IS EFFECTIVE TO REDUCE CAPSULE ENDOSCOPY READING TIME

Artificial intelligence (AI) has shown promising results in digestive endoscopy, especially in capsule endoscopy (CE). However, some physicians still have some difficulties and fear the advent of this technology. We aimed to evaluate the perceptions and current sentiments toward the use of AI in CE. An online survey questionnaire was sent to an audience of gastroenterologists. In addition, several European national leaders of the International CApsule endoscopy REsearch (I CARE) Group were asked to disseminate an online survey among their national communities of CE readers (CER). The survey included 32 questions regarding general information, perceptions of AI, and its use in daily life, medicine, endoscopy, and CE. Among 380 European gastroenterologists who answered this survey, 333 (88%) were CERs. The mean average time length of experience in CE reading was 9.9 years (0.5–22). A majority of CERs agreed that AI would positively impact CE, shorten CE reading time, and help standardize reporting in CE and characterize lesions seen in CE. Nevertheless, in the foreseeable future, a majority of CERs disagreed with the complete replacement all CE reading by AI. Most CERs believed in the high potential of AI for becoming a valuable tool for automated diagnosis and for shortening the reading time. Currently, the perception is that AI will not replace CE reading.

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A Critical Analysis of the Effect of View Mode and Frame Rate on Reading Time and Lesion Detection During Capsule Endoscopy

Digestive Diseases and Sciences ◽

10.1007/s10620-014-3496-5 ◽

2015 ◽

Vol 60 (6) ◽

pp. 1743-1747 ◽

Cited By ~ 8

Author(s):

Masanao Nakamura ◽

Alberto Murino ◽

Aine O’Rourke ◽

Chris Fraser

Keyword(s):

Capsule Endoscopy ◽

Critical Analysis ◽

Reading Time ◽

Lesion Detection ◽

Frame Rate

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Lavage, Simethicone, and Prokinetics—What to Swallow with a Video Capsule

Diagnostics ◽

10.3390/diagnostics11091711 ◽

2021 ◽

Vol 11 (9) ◽

pp. 1711

Author(s):

Martin Keuchel ◽

Niehls Kurniawan ◽

Marc Bota ◽

Peter Baltes

Keyword(s):

Small Bowel ◽

Capsule Endoscopy ◽

First Generation ◽

Diagnostic Yield ◽

Future Research ◽

Battery Lifetime ◽

Battery Capacity ◽

Colon Capsule ◽

Low Volume ◽

New Generation

The development of new capsules now allows endoscopic diagnosis in all segments of the gastrointestinal tract and comes with new needs for differentiated preparation regimens. Although the literature is steadily increasing, the results of the conducted trials on preparation are sometimes conflicting. The ingestion of simethicone before gastric and small bowel capsule endoscopy for prevention of air bubbles is established. The value of a lavage before small bowel capsule endoscopy (SBCE) is recommended, although not supported by all studies. Ingestion in the morning before the procedure seems useful for the improvement of mucosa visualization. Lavage after swallowing of the capsule seems to improve image quality, and in some studies also diagnostic yield. Prokinetics has been used with first generation capsules to shorten gastric transit time and increase the rate of complete small bowel visualization. With the massively prolonged battery capacity of the new generation small bowel capsules, prokinetics are only necessary in significantly delayed gastric emptying as documented by a real-time viewer. Lavage is crucial for an effective colon capsule or pan-intestinal capsule endoscopy. Mainly high or low volume polyethylene glycol (PEG) is used. Apart from achieving optimal cleanliness, propulsion of the capsule by ingested boosts is required to obtain a complete passage through the colon within the battery lifetime. Boosts with low volume sodium picosulfate (NaP) or diatrizoate (gastrografin) seem most effective, but potentially have more side effects than PEG. Future research is needed for more patient friendly but effective preparations, especially for colon capsule and pan-intestinal capsule endoscopy.

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Applicability of colon capsule endoscopy as pan-endoscopy: From bowel preparation, transit, and rating times to completion rate and patient acceptance

Endoscopy International Open ◽

10.1055/a-1578-1800 ◽

2021 ◽

Vol 09 (12) ◽

pp. E1852-E1859 ◽

Cited By ~ 1

Author(s):

Fanny E.R. Vuik ◽

Sarah Moen ◽

Stella A.V. Nieuwenburg ◽

Eline H. Schreuders ◽

Ernst J. Kuipers ◽

...

Keyword(s):

Gastrointestinal Tract ◽

Capsule Endoscopy ◽

Bowel Preparation ◽

Reading Time ◽

Completion Rate ◽

Patient Acceptance ◽

Safe Procedure ◽

Serious Adverse Events ◽

Colon Capsule Endoscopy ◽

Colon Capsule

Abstract Background and study aims Colon capsule endoscopy (CCE) has the potential to explore the entire gastrointestinal tract. The aim of this study was to assess the applicability of CCE as pan-endoscopy. Patients and methods Healthy participants received CCE with bowel preparation (bisacodyl, polyethylene electrolyte glycol (PEG) + ascorbic acid) and booster regimen (metoclopramide, oral sulfate solution (OSS)). For each segment of the gastrointestinal tract, the following quality parameters were assessed: cleanliness, transit times, reading times, patient acceptance and safety of the procedure. When all gastrointestinal segments had cleansing score good or excellent, cleanliness of the whole gastrointestinal tract was assessed as good. Participants’ expected and perceived burden was assessed by questionnaires and participants were asked to grade the procedure (scale 0–10). All serious adverse events (SAEs) were documented. Results A total of 451 CCE procedures were analyzed. A good cleansing score was achieved in the stomach in 69.6%, in the SB in 99.1 % and in the colon in 76.6 %. Cleanliness of the whole gastrointestinal tract was good in 52.8 % of the participants. CCE median transit time of the whole gastrointestinal tract was 583 minutes IQR 303–659). The capsule reached the descending colon in 94.7 %. Median reading time per procedure was 70 minutes (IQR 57–83). Participants graded the procedure with a 7.8. There were no procedure-related SAEs. Conclusions CCE as pan-endoscopy has shown to be a safe procedure with good patient acceptance. When cleanliness of all gastrointestinal segments per patient, completion rate and reading time will be improved, CCE can be applied as a good non-invasive alternative to evaluate the gastrointestinal tract.

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Brand 2.0: what could this mean for Adidas, Nike, Puma and Levi’s?

Strategic Direction ◽

10.1108/sd-05-2015-0083 ◽

2015 ◽

Vol 31 (7) ◽

pp. 5-7 ◽

Cited By ~ 1

Keyword(s):

Design Methodology ◽

Reading Time ◽

Second World War ◽

Purchasing Decisions ◽

World War ◽

Content Type ◽

Pertinent Information ◽

New Generation ◽

Second World ◽

Practical Implications

Purpose – Reviews the latest management developments across the globe and pinpoints practical implications from cutting-edge research and case studies. Design/methodology/approach – This briefing is prepared by an independent writer who adds their own impartial comments and places the articles in context. Findings – A brand is a brand, right? Everything we have been taught about brands and the value of brands has been pretty constant for decades. Ever since the first business schools and marketing thought leaders started studying the phenomenon after the Second World War, the idea of what a brand is, how people regard them and what part they play in purchasing decisions has changed little. But what if either some assumptions were wrong in the first place, or things have changed for a new generation of consumers today? Practical implications – Provides strategic insights and practical thinking that have influenced some of the world’s leading organizations. Originality/value – The briefing saves busy executives and researchers hours of reading time by selecting only the very best, most pertinent information and presenting it in a condensed and easy-to-digest format.

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