Publication Name	World Journal of Gastroenterology
Manuscript ID	118617
Country	China

Category	Gastroenterology & Hepatology
Manuscript Type	Editorial
Article Title	From availability to adoption: Why endoscopist-level use determines the real-world impact of computer-aided detection in colonoscopy
Manuscript Source	Invited Manuscript
All Author List	Di Kong, Yan Jiao and Ya-Hui Liu
Funding Agency and Grant Number
Corresponding Author	Ya-Hui Liu, Department of Hepatobiliary and Pancreatic Surgery, General Surgery Center, The First Hospital of Jilin University, No. 1 Xinmin Street, Changchun 130021, Jilin Province, China. yahui@jlu.edu.cn
Key Words	Computer-aided detection; Colonoscopy; Adenoma detection rate; Endoscopist behavior; Human-artificial intelligence interaction; Real-world implementation
Core Tip	Computer-aided detection (CADe) systems have proven efficacy in improving adenoma detection rate during colonoscopy, yet their real-world impact remains heterogeneous. Emerging evidence suggests that CADe effectiveness is not determined by mere availability but by endoscopist-level adoption and integration into routine practice. Stratifying endoscopists by CADe usage frequency reveals a dose-response relationship between use intensity and adenoma yield. These findings underscore the need to shift implementation strategies from passive deployment toward active training, adherence, and behavioral optimization to fully realize the clinical value of CADe, highlighting endoscopist-level adoption as a key translational determinant beyond mere technological availability.
Citation	Kong D, Jiao Y, Liu YH. From availability to adoption: Why endoscopist-level use determines the real-world impact of computer-aided detection in colonoscopy. World J Gastroenterol 2026; In press

Received	2026-01-07 03:30
Peer-Review Started	2026-01-07 03:31
First Decision by Editorial Office Director	2026-02-26 07:35
Return for Revision	2026-02-26 07:35
Revised	2026-02-26 15:37
Publication Fee Transferred
Second Decision by Editor	2026-03-10 02:50
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-03-10 06:59
Articles in Press	2026-03-10 06:59
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1007-9327 (print) and 2219-2840 (online)
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