Aigo Training

Digestive endoscopy: how AI detects lesions impossible to see with the naked eye

The development of huge anonymous databases on examination and treatment outcomes will enable large-scale comparative analyses, but the role of the physician remains central

by Francesco Ferrara*

2' min read

Translated by AI
Versione italiana

2' min read

Translated by AI
Versione italiana

A revolution is underway in every area of society, and healthcare is no exception. Always a breeding ground for innovation, medicine is now at the centre of a technological transformation that is redefining its tools and methods.

The tumultuous evolution of technologies based on artificial intelligence requires specialists to keep abreast of the state of the art, but also not to lose sight of the other pillar of medicine, the human relationship. This is why Aigo (Italian Association of Hospital Gastroenterologists and Digestive Endoscopists) is organising a national course in Bologna entitled 'Gastroenterology and digestive endoscopy, between natural and artificial intelligence'.

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Artificial intelligence can be a valuable ally

On the research front, AI is already a valuable ally. It allows scientific texts to be written in precise language, targeted bibliographic sources to be selected quickly, and the linguistic correctness of scientific English to be reviewed in real time. But the real potential lies in the processing of huge anonymous databases on the outcomes of examinations and therapies, which enable large-scale comparative analyses. Reanalysing data means better understanding of the effectiveness of treatments, improving the quality of care and increasing the overall efficiency of the healthcare system.

At the same time, it will be essential to strengthen the capacity to recognise AI-generated errors and to detect possible distortions or falsifications of data, a new front for scientific and professional responsibility.

The development of personalised and more effective therapies

In chronic inflammatory bowel diseases, such as ulcerative rectocolitis and Crohn's disease, artificial intelligence tools make it possible to define the patient's individual profile, leading to more effective personalised therapies.

Digestive endoscopy is probably the field that first benefited from AI applications. Specialists already have systems capable of detecting and characterising lesions with a precision impossible with the naked eye, estimating the degree of inflammation and classifying the level of severity of the disease. In parallel, databases of histological slides feed automatic recognition models that facilitate the identification of lesions and molecular alterations, paving the way for increasingly personalised medicine.

AI will also be used in ambulatories

Outpatient activity is also changing as a result of these innovative solutions: AI tools will be commonly used by the doctor already in the pre-consultation phase, to verify the appropriateness of the visit, optimising evaluation times and contributing to the containment of waiting lists. Finally, the automation of the report will improve the clarity and completeness of communication with the patient.

What is underway is a revolution that arouses enthusiasm but also legitimate concerns. Ethical, legal and privacy considerations are unavoidable. Because innovation, to be truly at the service of medicine, must continue to put man at the centre: the doctor and the patient.

*Aigo national advisor, medical director U.O.C. of Gastroenterology and Interventional Endoscopy, Ausl Bologna

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