Guide-linked quiz · Medium Level

AI in Colonoscopy Polyp Detection Quiz

Tests adenoma detection rate and its link to interval cancer, how real-time CADe filters false alarms, and the deskilling concern raised in 2025.

Question 1 of 8

How is the adenoma detection rate defined?

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  1. How is the adenoma detection rate defined?
    • The share of screening colonoscopies in which at least one adenoma is found
    • The number of polyps removed per hour
    • The percentage of polyps that are cancerous
    • The time taken to withdraw the scope
  2. What did the 2014 New England Journal of Medicine study link higher endoscopist ADR to?
    • Longer procedure times
    • More patient complaints
    • Lower risk of cancers appearing between screenings
    • Higher rates of bowel perforation
  3. Which device became the first CADe system authorized by the FDA, in 2021?
    • Fujifilm CAD EYE
    • Medtronic GI Genius
    • Olympus ENDO-AID
    • Wision EndoScreener
  4. Which kind of polyps account for most of the extra detections from CADe in trials?
    • Large advanced cancers
    • Polyps outside the colon
    • Only inflamed tissue
    • Small and diminutive adenomas under about 5 mm
  5. Why do CADe systems require a detection to persist across several frames before alerting?
    • To reduce flicker and false alarms from bubbles, reflections and folds
    • To save battery power
    • To wait for the pathologist
    • To record the video
  6. What did the 2025 observational study from Poland suggest?
    • CADe doubled detection of advanced cancers
    • Endoscopists' ADR on non-AI procedures fell after routine AI use
    • CADe had no false alarms
    • Patients preferred procedures without AI
  7. What is the difference between CADe and CADx?
    • CADe is for the stomach, CADx for the colon
    • CADx is used only after surgery
    • CADe locates polyps, while CADx classifies what type a polyp likely is
    • They are two names for the same system
  8. Why can't CADe make up for poor bowel preparation or rushed withdrawal?
    • It only works on the stomach
    • It turns off when stool is present
    • It needs a pathologist present
    • It can only analyze mucosa the camera actually shows

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