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Updated: Sep 21, 2025

Introduction of an Integrated Pathology Image Management, Artificial Intelligence, and Reporting System
Published on: July 11, 2025
Current Status and Future Perspectives of Artificial Intelligence in Colonoscopy
Yu Kamitani1, Kouichi Nonaka1, Hajime Isomoto2
1Department of Digestive Endoscopy, Tokyo Women's Medical University Hospital, 8-1 Kawada-cho, Shinjuku-ku, Tokyo 162-8666, Japan.
Artificial intelligence (AI) is enhancing colonoscopy for early detection and treatment of colorectal cancer. AI tools promise improved diagnostic accuracy, benefiting patient outcomes regardless of endoscopist skill.
Area of Science:
- Gastroenterology and Medical Imaging
- Artificial Intelligence in Medicine
Background:
- Early detection and treatment of precancerous adenomas and early-stage colorectal cancer significantly reduce cancer prevalence and mortality.
- Advances in endoscopic devices and imaging technology have improved the detection and pathological diagnosis of colorectal lesions.
- Artificial intelligence (AI) is rapidly advancing in diagnostic imaging, particularly for colonoscopy.
Purpose of the Study:
- To review current AI research in colonoscopy.
- To discuss AI medical devices already approved for clinical practice.
- To explore the future prospects of AI in colonoscopy for improved colorectal cancer diagnosis and management.
Main Methods:
- Review of colonoscopy-related AI research.
- Analysis of approved AI medical devices in gastroenterology.
- Discussion of AI's role in enhancing diagnostic performance in colonoscopy.
Main Results:
- AI technology is increasingly integrated into clinical practice for colonoscopy.
- Approved AI devices are demonstrating potential for high-level diagnostic performance.
- AI is expected to improve diagnostic accuracy irrespective of endoscopist skill level.
Conclusions:
- AI holds significant promise for improving early detection and diagnosis of colorectal cancer via colonoscopy.
- The integration of AI into clinical practice is expected to enhance patient outcomes and reduce colorectal cancer mortality.
- Continued research and development in AI for colonoscopy are crucial for realizing its full potential.
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