AI measures bowel cleanliness to boost polyp detection

NCT ID NCT07795788

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First seen Aug 31, 2026 · Last updated Sep 01, 2026 · Updated 1 time

Summary

Researchers at Fudan University are testing whether an artificial intelligence tool can score bowel preparation quality by measuring fecal coverage during colonoscopy. The study enrolls 560 adults aged 45 to 75 who have not had a colonoscopy in the past three years. The goal is to see if this AI-based score correlates with the adenoma detection rate, which is the proportion of patients in whom precancerous polyps are found. If the score works well, it could help doctors assess bowel cleanliness more consistently and potentially improve the detection of polyps during screening.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

What this could lead to
If the AI score reliably predicts adenoma detection, it could help doctors assess bowel preparation quality more objectively and improve colonoscopy outcomes.
What could go wrong
This is an observational study, so it cannot prove cause and effect. The AI score may not correlate strongly with adenoma detection in all patients.

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Study facts

What this study's own registry entry says, in plain language.

Participants

About 560 people

The number the study aims to enrol. It can still change while the study runs.

Expected to start

Oct 2026

An estimate. Start dates often move.

Expected to finish

Dec 2027

An estimate. End dates often move.

Lead sponsor

Other sponsor

The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Who is studied

Patients undergoing screening/surveillance colonoscopy

Ages

45 to 75 years

Sex

Anyone

Healthy volunteers

Not accepted

This study is not open to healthy volunteers. The entry requirements below say who it is open to.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * aged 45-75 years * No colonoscopy within the past 3 years Exclusion Criteria: * Patients scheduled for therapeutic colonoscopy, postoperative surveillance after colorectal surgery, or treatment of histologically confirmed polyps * Patients with highly suspected or pathologically confirmed colorectal cancer * Patients presenting with alarm symptoms or signs (hematochezia, melena, unexplained anemia or weight loss, palpable abdominal mass, or a positive digital rectal examination) * Pregnant or breastfeeding women * Patients with gastrointestinal obstruction * Patients with inflammatory bowel disease, familial adenomatous polyposis, or serrated polyposis syndrome * Patients who have taken anticoagulants (e.g., aspirin, warfarin) within 7 days before colonoscopy or who have coagulation disorders * Failed cecal intubation due to any cause other than excessive feces preventing intubation (e.g., obstructive lesions preventing scope passage, or patient intolerance to the procedure). * Use of non-guideline-recommended bowel preparation agents * Patients undergoing emergency colonoscopy

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

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How to take part

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  1. The places running it

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Contacts and locations

Locations

  • Huadong hospital, Fudan university

    Shanghai, Shanghai Municipality, 200040, China

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