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CCE Accuracy

New meta study reconfirms accuracy of colon capsule endoscopy

In their article “Diagnostic Accuracy for Per-Patient Polyp Detection of Second-Generation Capsule Endoscopy Compared to Colonoscopy: A Meta-Analysis of Multicenter Studies”, Hassam Ali, Rahul Pamarthy, Shiza Sarfraz, and Eslam Ali compare the outcomes of 5 multicenter studies that analyzed the accuracy of CCE vs colonoscopy.

While the usual challenges continue to be reported, especially the ability to achieve well prepped, complete passage procedures, the ability to accurately detect relevant polyps is not questioned anymore, with specificity being well with typical interobserver variance in colonoscopies. What remains are the questions on how to deal with the information generated by the procedures, specifically:

What to do with diminutive polyps?

The answer to that question might be more driven by policies and economics than by clinical insights. However, they should be answered soon to see the outcomes everybody is aspiring too: More capacity for digestive disease diagnostics with higher patient satisfaction at lower prices.

Ali, Hassam, Rahul Pamarthy, Shiza Sarfraz, and Eslam Ali. “Diagnostic Accuracy for Per-Patient Polyp Detection of Second-Generation Capsule Endoscopy Compared to Colonoscopy: A Meta-Analysis of Multicenter Studies.” Cureus 13, no. 8 (August 30, 2021). https://doi.org/10.7759/cureus.17560.

CHI at first Colon Capsule Endoscopy Forum

On September 24th, CorporateHealth had the privilege to participate in the very first Colon Capsule Endoscopy UK Forum in Coventry – and online.

Hosted by NHS University Hospitals Coventry and Warwickshire trust at their innovation center and moderated by Professor Ramesh Arasaradnam OBE, Research Committee Chair at the British Society of Gastroenterology and Consultant Gastroenterologist at University Hospitals Coventry and Warwickshire NHS Trust and Adrian Smith, Head of Digital Transformation at NHS AGEM CSU, a group of experts discussed the evidence, experience, pitfalls, and road forward for Colon Capsule Endoscopy.

6th healthboard live in Scotland

On September 21st, in Forth Valley the sixth NHS Scotland healthboard went live with Scotcap, the Scottish Colon Capsule Endoscopy (CCE) service. CorporateHealth International nurses welcomed the first patients to the Forth Valley hospital who then received their CCE kit and capsules. After returning their kit, the CHI team swiftly analyzed the videos and returned a full report to the NHS for each patient.

SCOTCAP June 2021 bulletin published

The ScotCap press team published the latest version of the news bulletin.

Highlights are:

  • Back in May, CHI provided the 1,000s patient with a ScotCap CCE procedure.
  • We have a >80% “Very Good” rating from patients when asked about their ScotCap experience, or >97% at least “Good”
  • The bowel prep and booster regimens are being changed to increase success rates as supply chain limitations and pharma requirements have been cleared
  • Wave 2 is being rolled out, covering more and more healthboards in Scotland

CorporateHealth and Partners win government funding for Capsule Endoscopy delivery at SCale through enhanced AI anaLysis (CESCAIL)

How can AI reduce the time it takes to analyse the images from a capsule endoscopy?

Our project is one of the 38 winners in Round 2 of the Artificial Intelligence in Health and Care Award to answer that question by building the system and testing it clinically.

The AI Award is making £140 million available over four years to accelerate the testing and evaluation of artificial intelligence technologies which meet the aims set out in the NHS Long Term Plan, something we are very much aligned with.

We will be using the award to make our current prototypes production ready, creating a Software-as-a-Medical Device which we will then clinically validate:

  • World-class experts from NHS University Hospital Coventry & Warwickshire with support from the University of Warwick lead the clinical trial and analysis
  • Renowned scientists from the University of Barcelona continue to develop machine learning algorithms with critical clinical advice from NHS Highland
  • NHS Arden and Greater East Midlands Commissioning Support Unit assists the pathway adaptation
  • CorporateHealth has the overall lead and rapidly makes the innovation accessible to patients in the NHS and across the northern hemisphere through its managed service, ultimately reducing the time it takes clinicians to analyse capsule endoscopy videos by up to 80%

This is an incredibly exciting project, following up from the Innovate UK funded project ‘AID-GI’. which brings capsule endoscopy one step closer to widespread integration in the NHS, and we look forward to sharing more information with you in the coming weeks.

The SCOTCAP clinical team is looking at how CCE can overcome capacity constraints during the pandemic while being safe and patient friendly.

MacLeod, C., P. Wilson, and A. J. M. Watson. “Colon Capsule Endoscopy: An Innovative Method for Detecting Colorectal Pathology during the COVID-19 Pandemic?” Colorectal Disease 22, no. 6 (2020): 621–24. https://doi.org/10.1111/codi.15134.