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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
Artif Intell Gastroenterol. Aug 8, 2026; 7(2): 120803
Published online Aug 8, 2026. doi: 10.35712/aig.120803
Advances in artificial intelligence-based colonoscopic tools and modalities: Transforming colorectal cancer detection and management
Philippe Attieh, Antonio Al Hazzouri, Rim Moubayed, Tya Youssef, Karam Karam, Said G Farhat
Philippe Attieh, Department of General Surgery, University of Balamand, Beirut 1100, Beyrouth, Lebanon
Antonio Al Hazzouri, Rim Moubayed, Tya Youssef, Department of Internal Medicine, University of Balamand, Beirut 1003, Beyrouth, Lebanon
Karam Karam, Department of Gastroenterology, University of Balamand, Beirut 1003, Beyrouth, Lebanon
Said G Farhat, Department of Internal Medicine, Division of Gastroenterology, Saint Georges Hospital University Medical Center, Beirut 3187, Beyrouth, Lebanon
Author contributions: Farhat SG contributed to the conceptualization; Attieh P, Al Hazzouri A, Moubayed R, Youssef T, Karam K, and Farhat SG contributed to writing the original draft preparation, review and editing; Farhat SG contributed to supervision and project administration; and all authors have read and agreed to the published version of the manuscript.
AI contribution statement: We confirm that no artificial intelligence technology was used in the process of writing this manuscript.
Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.
Corresponding author: Said G Farhat, Associate Professor, Department of Internal Medicine, Division of Gastroenterology, Saint Georges Hospital University Medical Center, Rmeil Street, Ashrafieh, Beirut 3187, Beyrouth, Lebanon. saidfarhat@hotmail.com
Received: March 9, 2026
Revised: March 29, 2026
Accepted: May 20, 2026
Published online: August 8, 2026
Processing time: 151 Days and 13.7 Hours
Core Tip

Core Tip: Artificial intelligence (AI)-assisted colonoscopy has emerged as a promising tool for improving the quality of colorectal cancer (CRC) screening. Evidence from randomized controlled trials and meta-analyses consistently shows that computer-aided detection systems significantly increase adenoma detection rate and polyp detection rate, particularly for small and flat lesions that are commonly missed during conventional colonoscopy. However, improvements in detecting advanced adenomas and CRC remain limited. Additionally, AI may increase the removal of non-neoplastic polyps. Overall, AI technologies serve as valuable decision-support tools that enhance lesion detection, reduce operator variability, and may contribute to more effective CRC prevention strategies in clinical practice.

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