AI colonoscopy flags a polyp; stage I cancer removed in Chiayi

After a positive fecal occult blood test, Fujifilm AI endoscopy at St. Martin De Porres Hospital, Chiayi, marked a 1 to 1.5 cm adenoma; pathology: stage I colorectal cancer, removed endoscopically.

AI system

System

Fujifilm AI endoscopy system on a Fujifilm 7000-series gastrointestinal endoscope (product name not given in the sources)

Model

Not assessed

Release

Not assessed

Application developer

Fujifilm

Role

Not assessed

Configuration

Not assessed

Inputs and outputs

Not assessed

Autonomy

Not assessed

Workflow

A positive fecal occult blood test in a free screening program, followed by colonoscopy. A Fujifilm AI system that marks suspicious polyps with a colored frame and a sound during the examination. Endoscopic removal and pathology at the same hospital.

Human oversight

Not assessed

Relation to AI

Taiwan Good News and Guan Chuan Media state that the AI system marked the suspicious polyp with a colored frame and sound during the examination. The physician then diagnosed and removed it. No source says the physician would have missed a 1 to 1.5 cm polyp in a patient already referred for a positive stool test. So the AI's share of this detection cannot be separated from the colonoscopy itself. All three reports relay the hospital's account. No clinical study of the system at this hospital was cited.

AI contribution

Taiwan Good News and Guan Chuan Media state that the AI system marked the suspicious polyp with a colored frame and sound during the examination. The physician then diagnosed and removed it. No source says the physician would have missed a 1 to 1.5 cm polyp in a patient already referred for a positive stool test. So the AI's share of this detection cannot be separated from the colonoscopy itself. All three reports relay the hospital's account. No clinical study of the system at this hospital was cited.

Benefits

Outcome identifiers

Not assessed

Benefit

a 1 to 1.5 cm adenoma that biopsy confirmed as stage I colorectal cancer

Category

Improved Physical Health

Status

Not assessed

Beneficiary groups

People.

Beneficiaries

Not assessed

Reach

Not assessed

Distribution and access

Not assessed

Duration

Not assessed

Expected?

Yes

Costs and harms

Not assessed

Measurement

Studies

Not assessed

Study design

Not assessed

Measurement

Not assessed

Setting and sample

Not assessed

Measures

a 1 to 1.5 cm adenoma that biopsy confirmed as stage I colorectal cancer

Comparison

Not assessed

Results

a 1 to 1.5 cm adenoma that biopsy confirmed as stage I colorectal cancer

Additional value from AI

Not assessed

Limitations

Not assessed

Denominators

Not assessed

Materials for replication

Not assessed

Money

Kind of value

Not assessed

Amount

Not assessed

Currency and prices

Not assessed

Period and unit

Not assessed

Realization

Not assessed

Recipients and payers

Not assessed

Gross or net

Not assessed

Included costs

Not assessed

Comparison

Not assessed

Method

Not assessed

Return and payback

Not assessed

People and places

Participants

Developer: Fujifilm. Operator: St. Martin De Porres Hospital (天主教聖馬爾定醫院), Chiayi.

Jurisdictions

Benefit: Chiayi, Taiwan. Developer: Japan. Operator: Taiwan.

Ownership and control

Not assessed

Dependencies

Not assessed

Cross-border connections

Not assessed

Geopolitical implications

Not assessed

Follow-up

Conditions for replication

Patients attend screening and follow a positive stool test with colonoscopy. The endoscopist inspects and acts on the AI's marks. Bowel preparation adequate for the camera to see the mucosa.

Replication attempts

Not assessed

Later findings

Not assessed

Availability

Not assessed

Institutional decision

Not assessed

Grounds

Not assessed

Action and result

Not assessed

Success criterion

Not assessed

Evidence

Source numbers

AIBD-0370-source-0001–0004

Citations

Numbered references below.

Language

Not assessed

Source relationships

Independent

Original evidence

Not assessed

Access and versions

Not assessed

Supported findings

Not assessed

Evidence strength

Not assessed

Missing evidence

Not assessed

Grades

Assessed benefits

People.

Depth

People: 3.

Reasons

People: A stage I colorectal cancer inside a 1 to 1.5 cm adenoma was removed through the endoscope without surgery, per all three reports. A survival benefit is plausible for an early-stage cancer but is not demonstrated in the sources.

Observed or intended

Not assessed

Rubric

Not assessed

Assessor and date

Not assessed

Alternative assessments

Not assessed

Fill

Independently reported

Entry details

Kind

Not assessed

Field

Healthcare - colorectal cancer screening. AI-assisted colonoscopy in hospital screening.

Purpose

The Fujifilm AI system is built to mark suspicious polyps on the endoscopic image with a colored frame and sound. The physician then inspects and removes them. Flagging this adenoma was that function.

Dates

Date basis unassessed: 2024 (precision unassessed). Updated: 21 October 2026.

Stage

Not assessed

Version

SHA-256: 68e1b533424b…

References

Other identifiers

oecd_aim: 2024-04-19-de89.

Category mappings

Not assessed

Brief

Not assessed

Revisions

4 revisions. Latest: 21 October 2026.

Sources

  1. News report Independent author

    丁偉杰 (2024). AI輔助醫師判讀瘜肉 大腸癌無所遁形. 自由健康網 (Liberty Times Net), 19 April 2024.

  2. News report Independent author

    劉芳妃 (2024). 聖馬爾定醫院運用AI內視鏡檢查 大腸癌無所遁形. 台灣好報 via Yahoo奇摩新聞, 19 April 2024.

  3. News report Independent author

    吳東林 (2024). AI內視鏡檢查 大腸癌無所遁形. 觀傳媒 via Yahoo奇摩新聞, 19 April 2024.

  4. Registry label Independent author

    OECD AI Incidents and Hazards Monitor (2024). AI-Assisted Endoscopy Enables Early Detection and Removal of Colorectal Cancer. OECD.AI, 19 April 2024.