AI measures bowel cleanliness to boost polyp detection
NCT ID NCT07795788
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
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About 560 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Oct 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2027
An estimate. End dates often move.
- Lead sponsor
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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
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45 to 75 years
- Sex
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Anyone
- Healthy volunteers
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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 Hide 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
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Huadong hospital, Fudan university
Shanghai, Shanghai Municipality, 200040, China
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Other studies related to the condition(s) this trial covers.
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