Medical needs related to the endoscopic technology and colonoscopy for colorectal cancer diagnosis

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Abstract
Background. The high incidence and mortality rate of colorectal cancer require new technologies to improve its early diagnosis. This study aims at extracting the medical needs related to the endoscopic technology and the colonoscopy procedure currently used for colorectal cancer diagnosis, essential for designing these demanded technologies. Methods. Semi-structured interviews and an online survey were used. Results. Six endoscopists were interviewed and 103 were surveyed, obtaining the demanded needs that can be divided into: a) clinical needs, for better polyp detection and classification (especially flat polyps), location, size, margins and penetration depth; b) computer-aided diagnosis (CAD) system needs, for additional visual information supporting polyp characterization and diagnosis; and c) operational/physical needs, related to limitations of image quality, colon lighting, flexibility of the endoscope tip, and even poor bowel preparation.
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Publisher Copyright: © 2021, The Author(s).
Keywords
Medical needs , Endoscopy , Colorectal cancer , Detection , Classification , CAD software , Medical needs , Endoscopy , Colorectal cancer , Detection , Classification , CAD software , Oncology , Genetics , Cancer Research , SDG 3 - Good Health and Well-being , Project ID , info:eu-repo/grantAgreement/EC/H2020/732111/EU/Multimodal highly-sensitive PhotonICs endoscope for improved in-vivo COLOn Cancer diagnosis and clinical decision Support/PICCOLO , info:eu-repo/grantAgreement/EC/H2020/732111/EU/Multimodal highly-sensitive PhotonICs endoscope for improved in-vivo COLOn Cancer diagnosis and clinical decision Support/PICCOLO , Funding Info , This work is part of the PICCOLO project, which has received funding from the European Union’s Horizon 2020 research and innovation Programme under grant agreement No. 732111. GR18199, funded by “Consejería de Economía, Ciencia y Agenda Digital, Junta de Extremadura” and co-funded by European Union (ERDF “A way to make Europe”). The funding bodies did not play any roles in the design of the study and collection, analysis, and interpretation of data and in writing the manuscript. , This work is part of the PICCOLO project, which has received funding from the European Union’s Horizon 2020 research and innovation Programme under grant agreement No. 732111. GR18199, funded by “Consejería de Economía, Ciencia y Agenda Digital, Junta de Extremadura” and co-funded by European Union (ERDF “A way to make Europe”). The funding bodies did not play any roles in the design of the study and collection, analysis, and interpretation of data and in writing the manuscript.
Citation
Ortega-Morán , J F , Azpeitia , Á , Sánchez-Peralta , L F , Bote-Curiel , L , Pagador , B , Cabezón , V , Saratxaga , C L & Sánchez-Margallo , F M 2021 , ' Medical needs related to the endoscopic technology and colonoscopy for colorectal cancer diagnosis ' , BMC Cancer , vol. 21 , no. 1 , 467 . https://doi.org/10.1186/s12885-021-08190-z