Adenoma Detection Rate in Artificial Intelligence-assisted Colonoscopy

The goal of this cluster randomized multicenter controlled clinical trial (RCT) is to investigate whether a combined real time computer-aided polyp detection (CADe) and computer-aided polyp characterization (CADx) system (GI Genius, Medtronic) can increase the adenoma detection rate (ADR) and reduce the performance variability among endoscopists.Participants will be randomized (1:1) to either receive an AI-assisted colonoscopy (AIC) or a conventional colonoscopy (CC).If there is a comparison group: Researchers will compare the AIC-group and the CC-group to see if AIC can increase the ADR significantly.

Inclusion Criteria:Referred for screening colonoscopy due to a positive faecal immunochemical test (FIT) or forDiagnostic colonoscopy due to symptoms/signs orPost-polypectomy surveillance colonoscopy (only patients who had all detected polyps removed in the previous colonoscopy)Exclusion Criteria:Referral for removal of previous detected polypsEmergency colonoscopyControl colonoscopy due to inflammatory bowel disease (IBD)