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Designing Visual Markers for Continuous Artificial Intelligence Support: A Colonoscopy Case Study

Published: 30 December 2020 Publication History

Abstract

Colonoscopy, the visual inspection of the large bowel using an endoscope, offers protection against colorectal cancer by allowing for the detection and removal of pre-cancerous polyps. The literature on polyp detection shows widely varying miss rates among clinicians, with averages ranging around 22%--27%. While recent work has considered the use of AI support systems for polyp detection, how to visualise and integrate these systems into clinical practice is an open question. In this work, we explore the design of visual markers as used in an AI support system for colonoscopy. Supported by the gastroenterologists in our team, we designed seven unique visual markers and rendered them on real-life patient video footage. Through an online survey targeting relevant clinical staff (N = 36), we evaluated these designs and obtained initial insights and understanding into the way in which clinical staff envision AI to integrate in their daily work-environment. Our results provide concrete recommendations for the future deployment of AI support systems in continuous, adaptive scenarios.

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        cover image ACM Transactions on Computing for Healthcare
        ACM Transactions on Computing for Healthcare  Volume 2, Issue 1
        Special Issue on Wearable Technologies for Smart Health: Part 2 and Regular Papers
        January 2021
        204 pages
        EISSN:2637-8051
        DOI:10.1145/3446563
        Issue’s Table of Contents
        Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than the author(s) must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected].

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        Publication History

        Published: 30 December 2020
        Accepted: 01 July 2020
        Revised: 01 April 2020
        Received: 01 January 2020
        Published in HEALTH Volume 2, Issue 1

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        Author Tags

        1. AI
        2. Human-centered AI
        3. ML
        4. annotation
        5. artificial intelligence
        6. colonoscopy
        7. continuous AI
        8. endoscopy
        9. machine learning
        10. markers
        11. medical imaging
        12. support system
        13. video
        14. visualisation

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