aceImpact of AI-Assisted Endoscopy on Secondary Review and Referral Decisions in Gastric Cancer Screening: A Multicenter Real-World Study
Objectives Artificial intelligence (AI)-assisted endoscopy may support gastric cancer screening, but its impact on structured secondary human review remains unclear. We evaluated secondary review modifications and referral decisions before and after AI implementation. Methods This retrospective multicenter study included 5013 screening esophagogastroduodenoscopy examinations performed before (n = 2021) and after (n = 2992) AI implementation. The primary outcome was secondary review modifications. Secondary outco…
AI-assisted endoscopy was associated with lower referral rates for further diagnostic evaluation in gastric cancer screening.
Secondary review modifications rose from 1.2% before AI to 3.7% after AI and persisted, particularly among nonexpert endoscopists, with no reference standard to verify them.
No external reference standard was available to verify secondary-review modifications or referral decisions, so the clinical validity of the changes and the appropriateness of referrals are not established.
Evidence
- Peer-reviewedJournal of Gastroenterology and Hepatology2026-10-15
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Truvace Impact Record TRV-2026-1986, v1: “Impact of AI-Assisted Endoscopy on Secondary Review and Referral Decisions in Gastric Cancer Screening: A Multicenter Real-World Study.” Truvace, 2026-10-20. /record/TRV-2026-1986 (accessed at citation time). sha256 536ef1cb981831c4…
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