Publication Name	World Journal of Gastroenterology
Manuscript ID	112698
Country	Australia

Category	Gastroenterology & Hepatology
Manuscript Type	Retrospective Cohort Study
Article Title	Availability and use of computer-aided detection during colonoscopy: A real-world observational study at an Australian tertiary center
Manuscript Source	Invited Manuscript
All Author List	Vikram Rao, Nirbaanjot Walia, Nikita Parkash, Teagan Wanigaratne, Suzannah Henshaw, Gordon Chen, Sheng Wei Lo, Kim Hay Be, Marcus Robertson and Leonardo Zorron Cheng Tao Pu
Funding Agency and Grant Number
Corresponding Author	Vikram Rao, Department of Gastroenterology, Peninsula Health, 2 Hastings Road, Frankston, Melbourne 3199, Victoria, Australia. vikram.rao@monashhealth.org
Key Words	Computer-aided detection; Adenoma detection rate; Colonoscopy; Artificial intelligence; Endoscopy; Screening, surveillance; Colorectal neoplasm; Polyp; Adenoma
Core Tip	This study evaluates the real-world impact of varying computer-aided detection (CADe) usage frequency on colonoscopy quality metrics in a tertiary Australian endoscopy center. Endoscopists were stratified by CADe usage, revealing that even partial use (50%-99% of procedures) significantly improved adenoma detection rate (ADR). High-frequency users maintained high ADR, but total adenomas per procedure increased, highlighting additional quality benefits. The findings emphasize that CADe effectiveness depends not only on technology availability but also on endoscopist level of usage, offering insights into optimizing implementation and improving patient outcomes through enhanced polyp detection and risk stratification.
Citation	Rao V, Walia N, Parkash N, Wanigaratne T, Henshaw S, Chen G, Lo SW, Be KH, Robertson M, Cheng Tao Pu LZ. Availability and use of computer-aided detection during colonoscopy: A real-world observational study at an Australian tertiary center. World J Gastroenterol 2025; In press

Received	2025-08-04 12:08
Peer-Review Started	2025-08-04 12:08
First Decision by Editorial Office Director	2025-11-10 07:14
Return for Revision	2025-11-10 07:14
Revised	2025-11-22 00:31
Publication Fee Transferred
Second Decision by Editor	2025-12-29 02:38
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2025-12-29 07:11
Articles in Press	2025-12-29 07:11
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1007-9327 (print) and 2219-2840 (online)
Open Access	This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
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