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. 2017 Nov 16;9(4):300–308. doi: 10.1136/flgastro-2017-100878

Table 3.

A summary of the time-saving software in the interpretation of SBCE

Study Country System Study design Summary of results
Hosoe
et al 52
Japan
(multicentre)
EndoCapsule: Omni mode
  • 40 preselected cases (based on the presence of lesions)

  • Each case was read twice in the Omni mode and twice in the normal mode

  • Reduction in average reading time from 75 to 27 min

  • 65% reduction in displayed images

  • Sensitivity of 87%

Subramanian
et al 51
UK
(single centre)
EndoCapsule: express selected/auto adjust
  • 70 capsule cases

  • Read in three modes: normal (15 fps), express selected+overview, adjusted mode+overview

  • Each case read by two independent endoscopists

  • Normal: sensitivity of 100%, taking an average of 45 mins

  • Express selected: sensitivity of 97.5%, an average 19 mins

  • Auto adjust sensitivity of 97.5%, an average 34 mins

Kyriakos
et al 49
Greece
(single centre)
Pill Cam: QuickView
  • 100 capsule studies pre-selected cases (based on the presence of lesions)

  • Cases read in five different modes: normal at 10 fps, normal at 20 fps, normal mode with two images at 20 fps, automatic mode 10 fps and QuickView at 3 fps

  • All time-saving modes were faster than reading in normal mode at 10 fps

  • Best compromise between speed and accuracy is normal mode at 20 fps, with either a single or dual image

Halling
et al 47
Denmark
(single centre)
Pill Cam: QuickView
  • Analysis of 12 video clips with findings

  • 40 capsules of patients with suspected Crohn’s disease

  • Quickview missed 40% of ulcers seen in the normal viewing mode

  • This effect is pronounced for terminal ileal lesions

Saurin
et al 24
French
(multi centre)
Pill Cam: QuickView
  • 106 patients recruited across 12 centres

  • Quickview vs normal mode reading

  • 94% of significant lesions were identified

  • Mean reading time of 11.6 mins using QuickView

Koulaouzidis
et al 45
UK
(single centre)
Pill Cam: QuickView
  • Retrospective review of 106 cases

  • Normal mode vs Quickview vs Quickview with BM

  • Over 50% of ulcers missed in cases of suspect Crohn’s using QuickView

  • 64% of potential/bleeding lesions were detected in the context of overt/occult bleeding

Shiotani
et al 67
Japan
(single centre)
Pill Cam: QuickView
  • 100 capsule studies read in QuickView vs normal reading

  • One nurse, two trainees and one experienced reader

  • Unacceptable miss rate

  • Miss rate was greatest in the physicians with limited experience

Hosoe
et al
Japan
(single centre)
Pill Cam: QuickView
  • 45 capsule studies

  • Gold-standard reading established by two experienced readers

  • Three trainees with no prior capsule experience read in normal mode, automatic mode and QuickView

  • Reduced reading time in automatic and QuickView compared with normal mode

  • 179 missed lesions when using QuickView

Westerhof
et al 50
Netherlands (single centre) Pill Cam: QuickView
  • 200 cases included

  • First 100 read in the normal mode and then only alternate images

  • Second 100 read in the normal mode then with QuickView

  • Normal mode average reading time of 17 mins

  • Miss rate of 4% when viewing alternate images Avreage reading time of 10 mins

  • Miss rate of 13% with QuickView Average reading time of 4.4 mins

Xu
et al 68
China
(single centre)
OMOM: similar picture elimination
  • Retrospective study of 148 capsule studies

  • Read in five modes: normal, level I, level II, level III and level IV

  • Each case read by four independent endoscopists

  • Reading time reduction of 25.1%–55.0% compared with normal mode

  • Normal: sensitivity of 93.8%

  • Mode I: sensitivity of 87.7%

  • Mode II: sensitivity of 77.8%

  • Mode III: sensitivity of 70%

SBCE, small bowel capsule endoscopy.