ASGE-PIVI supports a “resect and discard” strategy for diminutive colon polyps, provided
that any technology for optical biopsy depicts 90% agreement in assignment of post-polypectomy
surveillance intervals and provides 90% negative predictive value for adenomatous
histology. Such standards with optical biopsy are very difficult to achieve in general
GI practice. Several groups have looked at supporting the process of optical biopsy
in this field using traditional machine learning, but there are significant limitations
in terms of (1) using still images only, and non-realtime computer support, and (2)
involving very high magnification endoscopy.
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© 2017 Published by Elsevier Inc.
