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Does AI-assisted colonoscopy help find more colorectal adenomas in adults?

high confidence  ·  Last reviewed September 14, 2026

Artificial intelligence (AI) is being integrated into colonoscopy to help doctors find and remove colorectal adenomas, which are growths that can develop into cancer. Research suggests that these AI systems can help improve the detection rate of these polyps, especially in certain settings or for specific types of practitioners.

What the research says

A meta-analysis of 48 randomized controlled trials involving over 34,000 participants found that AI-assisted colonoscopy significantly improved the adenoma detection rate (ADR) compared to standard colonoscopy 3. Different AI systems showed varying levels of effectiveness, with some systems showing higher odds of detection than others 3.

In specific clinical settings, adding computer-aided detection (CADe) to enhanced imaging technology significantly improved the detection rate for standard-detector endoscopists, raising the rate from 44% to 63% 1. Additionally, a study involving gastroenterology fellows found that AI assistance led to a higher rate of detecting adenomas on the right side of the colon compared to conventional methods 4.

What to ask your doctor

  • Does your facility use AI-assisted tools to help identify polyps during colonoscopies?
  • How does the use of AI-assisted technology affect the accuracy of finding adenomas on the right side of the colon?
  • What specific AI systems or imaging technologies are currently available to improve detection rates?
  • How does the combination of enhanced imaging and computer-aided detection compare to standard methods in your practice?

This question is drawn from common patient questions about Gastroenterology and answered using cited medical research. We do not provide individualized advice.