Utilizing AI image recognition technology during colonoscopies significantly increases adenoma detection rates (ADR), with a reported 12.5 percent rise that can save lives. A study found that when doctors no longer have AI support, their detection rates fall below previous levels. Data from four Polish endoscopy centers indicated a drop in ADR from 28.4 to 22.4 percent after exposure to AI. Concerns raised include potential deskilling among endoscopists and over-reliance on AI, warranting further investigation into AI's role in healthcare outcomes.
Continuous exposure to AI might reduce the ADR of standard non-AI assisted colonoscopy, suggesting a negative effect on endoscopist behaviour.
The ADR of standard colonoscopy decreased significantly from 28.4 percent (226 of 795) before to 22.4 percent (145 of 648) after exposure to AI, corresponding with an absolute difference of minus 6.0 percent.
Possible significant risks with implementation, specifically endoscopist deskilling and over-reliance on artificial intelligence, unrepresentative training datasets, and hacking, need to be considered.
The authors say they believe their study is the first to look at the effect of continuous AI exposure on clinical outcomes and they hope the findings prompt further research into the impact of AI on healthcare.
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