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Colorectal Polyp Size Measurement Faces Infinite Possibilities: Artificial Intelligence Is the Key
Cheng-Long Wang1,2,3, Xiang-Yu Sui1, Yi Zeng2
1Department of Gastroenterology, National Clinical Research Center for Digestive Diseases, Changhai Hospital, Naval Medical University, Shanghai, China.
Digestion
|July 21, 2025
Summary
Accurately measuring colorectal polyp size is crucial for patient care. Artificial intelligence (AI)-assisted endoscopy shows promise for precise, real-time polyp size measurement, though more research is needed.
Area of Science:
- Gastroenterology
- Medical Imaging
- Artificial Intelligence
Background:
- Colorectal neoplasia presents a significant global health challenge.
- Accurate colorectal polyp size measurement is vital for risk stratification, treatment selection, and surveillance planning.
Purpose of the Study:
- To review advancements in colorectal polyp size measurement.
- To explore the potential of artificial intelligence (AI)-assisted measurements in endoscopy.
Main Methods:
- Review of current methods for polyp size measurement (ex vivo, visual estimation, endoscopic instruments).
- Exploration of AI integration with endoscopy for polyp size assessment.
- Discussion of limitations in current AI systems for real-time measurement.
Main Results:
- Existing methods for polyp size measurement have inherent limitations.
- AI-assisted endoscopy offers a promising approach for accurate polyp size determination.
- Current AI applications are restricted to non-real-time or reference media measurements.
Conclusions:
- AI-assisted endoscopy for precise, real-time automatic measurement of colorectal polyp size is a promising future direction.
- Further extensive studies are required to validate and implement AI-assisted measurement techniques.
- The integration of AI in endoscopy holds significant potential for improving colorectal cancer management.

