title: Can Technology Improve the Quality of Colonoscopy?
abstract: In order for screening colonoscopy to be an effective tool in reducing colon cancer incidence, exams must be performed in a high-quality manner. Quality metrics have been presented by gastroenterology societies and now include higher adenoma detection rate targets than in the past. In many cases, the quality of colonoscopy can often be improved with simple low-cost interventions such as improved procedure technique, implementing split-dose bowel prep, and monitoring individuals' performances. Emerging technology has expanded our field of view and image quality during colonoscopy. We will critically review several technological advances in the context of quality metrics and discuss if technology can really improve the quality of colonoscopy.
authors.affiliation: Department of Gastroenterology, Hepatology & Nutrition, University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., Houston, TX, 77030, USA. sthirumurthi@mdanderson.org.
authors.forename: Selvi
authors.initials: S
authors.lastname: Thirumurthi
authors.affiliation: Department of Gastroenterology, Hepatology & Nutrition, University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., Houston, TX, 77030, USA.
authors.forename: William A
authors.initials: WA
authors.lastname: Ross
authors.affiliation: Department of Gastroenterology, Hepatology & Nutrition, University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., Houston, TX, 77030, USA.
authors.forename: Gottumukkala S
authors.initials: GS
authors.lastname: Raju
mesh_terms: D020685:Colonoscopes; D003113:Colonoscopy / Q000379:methods / Q000592:standards*; D015179:Colorectal Neoplasms / Q000175:diagnosis*; D055088:Early Detection of Cancer / Q000379:methods / Q000592:standards; D006801:Humans; D058996:Quality Improvement; D013673:Technology Assessment, Biomedical
keywords: Adenoma detection rate; Endoscope accessories; Endoscope design; Quality metrics; Screening colonoscopy; Technique; Technology