Objective:

To investigate whether the combination of CADe with TXI can enhance adenoma detection rates (ADR) in colonoscopy beyond the benefits of TXI alone.

Approach:

• Procedure: Colonoscopy was performed using WLI, followed by activation of TXI and CADe during withdrawal, with documentation of polyp detection and classification.

Key Findings:

• No significant increase in adenoma detection rates when combining CADe with TXI compared to TXI alone.
• The study did not find additional gains in adenoma detection rates.

Interpretation:

The combination of CADe and TXI does not provide a substantial benefit in adenoma detection rates, suggesting that further enhancements may be limited as detection rates improve.

Limitations:

• The study relied on historical controls, which may introduce bias.
• The sample size may not have been sufficient to detect small differences.

Conclusion:

The addition of CADe to TXI does not enhance adenoma detection rates in colonoscopy.