Table 1. Diagnostic performance of both the computer-aided diagnosis system and endoscopists for differentiating neoplastic from non-neoplastic diminutive lesions. 1 .
Overall | Proximal to rectosigmoid | Rectosigmoid | ||||
CADx | Endoscopists | CADx | Endoscopists | CADx | Endoscopists | |
All predictions, n | 423 | 423 | 301 | 301 | 122 | 122 |
All predictions, % (95 %CI) | ||||||
|
79.4 (75.2–83.2) | 83.0 (79.1–86.4) | 81.4 (76.5–85.6) | 82.4 (77.6–86.5) | 74.6 (65.9–82.0) | 84.4 (76.8–90.4) |
|
89.4 (86.2–92.7) | 92.4 (89.6–95.2) | 88.7 (84.9–92.3) | 92.6 (89.4–95.8) | 91.4 (85.4–97.5) | 91.7 (85.8–97.6) |
|
37.8 (27.3–48.3) | 43.9 (33.2–54.6) | 38.6 (24.3–53.0) | 22.7 (10.3–35.1) | 38.8 (22.9–54.8) | 68.4 (53.6–83.2) |
|
85.7 (82.0–89.3) | 87.3 (83.8–90.7) | 89.4 (85.6–93.2) | 87.5 (83.6–91.4) | 77.3 (69.0–85.7) | 86.5 (79.4–93.6) |
|
46.3 (34.3–58.2) | 58.1 (45.8–70.4) | 34.5 (23.0–50.9) | 34.5 (17.2–51.8) | 66.7 (46.5–86.8) | 78.8 (64.8–92.7) |
Only high-confidence predictions, n | 422 | 367 | 301 | 263 | 121 | 101 |
Only high-confidence predictions, % (95 %CI) | ||||||
|
79.6 (75.5–83.3) | 85.8 (81.8–89.2) | 81.4 (76.5–85.6) | 85.6 (80.7–89.6) | 75.2 (66.5–82.6) | 86.9 (79.0–93.7) |
|
89.4 (86.2–92.7) | 94.7 (92.1–97.2) | 88.7 (84.9–92.6) | 95.6 (92.9–98.3) | 91.7 (85.8–97.6) | 91.9 (85.7–98.1) |
|
38.3 (27.7–48.9) | 47.1 (35.2–58.9) | 38.6 (24.3–53.0) | 26.3 (12.3–40.3) | 37.8 (22.2–53.5) | 73.3 (57.5–89.2) |
|
85.9 (82.3–89.5) | 88.7 (85.2–92.2) | 89.4 (85.6–93.2) | 88.5 (84.4–92.5) | 77.0 (68.7–85.3) | 89.5 (82.6–96.4) |
|
46.3 (34.3–58.2) | 66.7 (53.3–80.0) | 37.0 (23.0–50.9) | 50.0 (28.1–71.9) | 66.7 (46.5–86.8) | 78.6 (63.4–93.8) |
CADx, computer-aided diagnosis; PPV, positive predictive value; NPV, negative predictive value.
For the calculation of the diagnostic accuracies (neoplastic vs. non-neoplastic), adenomas and sessile serrated lesions (SSL) were considered neoplastic polyps, while hyperplastic polyps were considered non-neoplastic. Note that when an SSL was assessed as an adenoma or vice versa, this was also considered