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. 2023 Mar 2;55(8):756–765. doi: 10.1055/a-2009-3990

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)
  • Accuracy

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)
  • Sensitivity

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)
  • Specificity

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)
  • PPV

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)
  • NPV

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)
  • Accuracy

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)
  • Sensitivity

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)
  • Specificity

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)
  • PPV

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)
  • NPV

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.

1

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