Recent Publications by CFE Educators
Recent Published articles, books, and other scholarship by Academy members, CFE Education Scientists, and CFE Faculty.
How Reliable are Single-Question Workplace-Based Assessments in Surgery?
2024
Authors: Gates RS, Krumm AE, Cate OT, Chen X, Marcotte K, Thelen AE, Deal SB, Alseidi A, Swanson D, George BC
Vascular Anastomoses and Dissection: A Six-Part Simulation Curriculum for Surgical Residents.
2024
Authors: Brian R, Rodriguez N, Rapp J, Chern H, O'Sullivan P, Gomez-Sanchez C
The road to tailored adjuvant chemotherapy for all four non-pancreatic periampullary cancers: An international multimethod cohort study.
2024
Authors: Uijterwijk BA, Lemmers DH, Ghidini M, Wilmink JW, Zaniboni A, Fusai GK, Zerbi A, Koerkamp BG, Luyer M, Ghorbani P, Salvia R, White S, Ielpo B, Goh BKP, Boggi U, Kazemier G, House MG, Mavroeidis VK, Björnsson B, Mazzola M, Serradilla M, Korkolis D, Alseidi A, Roberts KJ, Soonawalla Z, Pessaux P, Fisher WE, Koek S, Kent TS, Vladimirov M, Bolm L, Jamieson N, Dalla Valle R, Kleeff J, Mazzotta A, Suarez Muñoz MA, Cabús SS, Ball CG, Berger AC, Ferarri C, Besselink MG, Hilal MA, International Study Group on non-pancreatic periampullary Cancer (ISGACA)
An At-Home Laparoscopic Curriculum for Junior Residents in Surgery, Obstetrics/Gynecology, and Urology.
2024
Authors: Brian R, Bayne D, Ito T, Lager J, Edwards A, Kumar S, Soriano I, O'Sullivan P, Varas J, Chern H
National practice patterns in the use of endoscopic ultrasound biopsy for resectable Pancreatic Neuroendocrine Tumors: Insights into the role of DOTATATE PET/CT in diagnosis.
2024
Authors: Casey M, Brown A, Romero-Hernandez F, Wang JJ, Ganjouei AA, Tozzi F, Rashidian N, Kirkwood K, Corvera C, Nakakura E, Alseidi A, Adam M
Incorporating low haemoglobin into a risk prediction model for conversion in minimally invasive gynaecologic oncology surgeries.
2024
Authors: Nguyen KH, Joo H, Manuel S, Chen LM, Chen LL
The influence of risk factors, biomarkers and care settings on SUDEP counseling.
2024
Authors: Valdrighi A, Laze J, Farooque P, Friedman D, Devinsky O, Singhal N, Hegde M
2023 Society for Academic Emergency Medicine Consensus Conference on Precision Emergency Medicine: Development of a policy-relevant, patient-centered research agenda.
2024
Authors: Strehlow M, Gisondi MA, Caretta-Weyer H, Ankel F, Brackett A, Brar P, Chan TM, Garabedian A, Gunn B, Isaacs E, von Isenburg M, Jarman A, Kuehl D, Limkakeng AT, Lydston M, McGregor A, Pierce A, Raven MC, Salhi RA, Stave C, Tan J, Taylor RA, Wong HN, Yiadom MYAB, Zachrison KS, Vogel J
The Neoadjuvant Approach to Treatment of Breast Cancer: Multidisciplinary Management to Improve Outcomes.
2024
Authors: Baskin AS, Huppert LA, Kelil T, Singer L, Mukhtar RA
Artificial Intelligence for Real-Time Prediction of the Histology of Colorectal Polyps by General Endoscopists.
2024
Authors: Rex DK, Bhavsar-Burke I, Buckles D, Burton J, Cartee A, Comar K, Edwards A, Fennimore B, Fischer M, Gerich M, Gilmore A, Hamdeh S, Hoffman J, Ibach M, Jackson M, James-Stevenson T, Kaltenbach T, Kaplan J, Kapur S, Kohm D, Kriss M, Kundumadam S, Kyanam Kabir Baig KR, Menard-Katcher P, Kraft C, Langworthy J, Misra B, Molloy E, Munoz JC, Norvell J, Nowak T, Obaitan I, Patel S, Patel M, Peter S, Reid BM, Rogers N, Ross J, Ryan J, Sagi S, Saito A, Samo S, Sarkis F, Scott FI, Siwiec R, Sullivan S, Wieland A, Zhang J, Repici A, Hassan C, Byrne MF, Rastogi A
BACKGROUND
Real-time prediction of histologic features of small colorectal polyps may prevent resection and/or pathologic evaluation and therefore decrease colonoscopy costs. Previous studies showed that computer-aided diagnosis (CADx) was highly accurate, though it did not outperform expert endoscopists.
OBJECTIVE
To assess the diagnostic performance of histologic predictions by general endoscopists before and after assistance from CADx in a real-life setting.
DESIGN
Prospective, multicenter, single-group study. (ClinicalTrials.gov: NCT04437615).
SETTING
6 centers across the United States.
PARTICIPANTS
1252 consecutive patients undergoing colonoscopy and 49 general endoscopists with variable experience in real-time prediction of polyp histologic features.
INTERVENTION
Real-time use of CADx during routine colonoscopy.
MEASUREMENTS
The primary end points were the sensitivity and specificity of CADx-unassisted and CADx-assisted histologic predictions for adenomas measuring 5 mm or less. For clinical purposes, additional estimates according to location and confidence level were provided.
RESULTS
The CADx device made a diagnosis for 2695 polyps measuring 5 mm or less (96%) in 1252 patients. There was no difference in sensitivity between the unassisted and assisted groups (90.7% vs. 90.8%; = 0.52). Specificity was higher in the CADx-assisted group (59.5% vs. 64.7%; 0.001). Among all 2695 polyps measuring 5 mm or less, 88.2% and 86.1% ( 0.001) in the CADx-assisted and unassisted groups, respectively, could be resected and discarded without pathologic evaluation. Among 743 rectosigmoid polyps measuring 5 mm or less, 49.5% and 47.9% ( 0.001) in the CADx-assisted and unassisted groups, respectively, could be left in situ without resection.
LIMITATION
Decision making based on CADx might differ outside a clinical trial.
CONCLUSION
CADx assistance did not result in increased sensitivity of optical diagnosis. Despite a slight increase, the specificity of CADx-assisted diagnosis remained suboptimal.
PRIMARY FUNDING SOURCE
Olympus America Corporation served as the clinical study sponsor.
View on PubMed