{ "id": "AIBD-0370", "title": "Fujifilm AI endoscopy at St. Martin De Porres Hospital, Chiayi, marks a 1 to 1.5 cm adenoma in a man in his 50s; pathology shows stage I colorectal cancer, removed endoscopically", "summary": "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.", "date_observed": "2024-04-19", "date_basis": "unassessed", "date_precision": "unassessed", "benefit_status": null, "source_collection": null, "source_entry": null, "account": "Three Taiwanese outlets reported on 19 April 2024 on a man in his 50s. He attended free colorectal cancer screening at St. Martin De Porres Hospital in Chiayi City. He tested positive for fecal occult blood and was scheduled for an AI-assisted endoscopy (Liberty Times Net health). Gastroenterologist Zheng Xu-sheng said the hospital introduced a Fujifilm 7000-series endoscope in 2023. It installed what it calls the nation's first Fujifilm AI system (Liberty Times Net; Taiwan Good News). During the examination the AI system marked a suspicious polyp with a colored frame and sounded an alert. It was diagnosed as a 1 to 1.5 cm adenoma that biopsy confirmed as stage I colorectal cancer. It was removed immediately through the endoscope (Taiwan Good News; Guan Chuan Media). Zheng said polyps over 1 cm risk malignant change and advised free screening every two years after 50 (Guan Chuan Media). The procedure date is not given.", "category": "benefit created", "unexpected": false, "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.", "system": "Fujifilm AI endoscopy system on a Fujifilm 7000-series gastrointestinal endoscope (product name not given in the sources)", "model_version": null, "developer": "Fujifilm", "deployer": "St. Martin De Porres Hospital (天主教聖馬爾定醫院), Chiayi", "location": "Chiayi, Taiwan", "domain": "Healthcare - colorectal cancer screening", "segment": "AI-assisted colonoscopy in hospital screening", "benefit_type": "Improved Physical Health", "taxonomy_note": null, "registry_ids": { "oecd_aim": "2024-04-19-de89" }, "ratings": [ { "group": "personal", "depth": 3, "reason": "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." } ], "ai_role": { "status": "assessed", "statement": "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." }, "evidence": [ { "kind": "news report", "citation": "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.", "title": "AI輔助醫師判讀瘜肉 大腸癌無所遁形", "url": "https://health.ltn.com.tw/article/breakingnews/4646402", "date": "2024-04-19", "written_by": "independent", "quote": "發現可疑瘜肉，經切片檢查證實為第一期大腸癌" }, { "kind": "news report", "citation": "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.", "title": "聖馬爾定醫院運用AI內視鏡檢查 大腸癌無所遁形", "url": "https://tw.news.yahoo.com/%E8%81%96%E9%A6%AC%E7%88%BE%E5%AE%9A%E9%86%AB%E9%99%A2%E9%81%8B%E7%94%A8ai%E5%85%A7%E8%A6%96%E9%8F%A1%E6%AA%A2%E6%9F%A5-%E5%A4%A7%E8%85%B8%E7%99%8C%E7%84%A1%E6%89%80%E9%81%81%E5%BD%A2-052431696.html", "date": "2024-04-19", "written_by": "independent", "quote": "AI系統以色框標註並發出聲響，提示醫師可疑瘜肉" }, { "kind": "news report", "citation": "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.", "title": "AI內視鏡檢查 大腸癌無所遁形", "url": "https://tw.news.yahoo.com/ai%E5%85%A7%E8%A6%96%E9%8F%A1%E6%AA%A2%E6%9F%A5-%E5%A4%A7%E8%85%B8%E7%99%8C%E7%84%A1%E6%89%80%E9%81%81%E5%BD%A2-113000020.html", "date": "2024-04-19", "written_by": "independent", "quote": "診斷為1~1.5公分的腺瘤，經切片檢查證實為第一期大腸癌" }, { "kind": "registry label", "citation": "OECD AI Incidents and Hazards Monitor (2024). AI-Assisted Endoscopy Enables Early Detection and Removal of Colorectal Cancer. OECD.AI, 19 April 2024.", "title": "AI-Assisted Endoscopy Enables Early Detection and Removal of Colorectal Cancer", "url": "https://oecd.ai/en/incidents/2024-04-19-de89", "date": "2024-04-19", "written_by": "independent", "quote": "The AI system enabled early identification and removal of a cancerous polyp in a patient" } ], "replication": { "produced_by": [ "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" ], "must_hold": [ "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" ], "echoes": [] }, "paired_incident": null, "headline": "AI colonoscopy flags a polyp; stage I cancer removed in Chiayi", "metric": "a 1 to 1.5 cm adenoma that biopsy confirmed as stage I colorectal cancer", "comparator": null, "later": null, "value": null, "developer_country": "Japan", "deployer_country": "Taiwan", "unrated_because": null, "brief_notes": null, "brief": null, "revisions": [ { "date": "2026-10-21", "change": "Record drafted from the OECD Monitor entry and the cited sources.", "source": "https://oecd.ai/en/incidents/2024-04-19-de89", "editor": "AIBD" }, { "date": "2026-10-21", "change": "Benefit type set to Improved Physical Health under Trustible's full taxonomy of 23 types; it was Improved Knowledge Discovery among the six first used.", "source": "https://trustible.ai/post/a-framework-for-measuring-the-benefits-of-ai/", "editor": "AIBD" }, { "date": "2026-10-21", "change": "Country of the developer and the deployer added from the organization's own site or a registry.", "source": "https://en.wikipedia.org/wiki/Fujifilm; https://www.stm.org.tw/stm_en/about_02.asp", "editor": "AIBD" }, { "date": "2026-10-21", "change": "Prose pass: a rating reason, account, purpose, the system's part rewritten in shorter sentences with abbreviations expanded; facts, figures and quotations unchanged.", "source": null, "editor": "AIBD" } ], "confidence": "reported", "shade": "medium", "claim_status": "Independently reported", "claim_basis": "Sources: three independent news reports and a registry entry. The cited evidence includes no independent study or report and no finding by a regulator or court.", "profile": { "case_id": "AIBD-0370", "catalog_version": "1.0.0", "source_fingerprint": "68e1b533424bebb2ff296a14d808d315223bbe0898c71651f0655159ed5886ed", "collection_refs": [ { "collection_id": "aibd", "version": "snapshot-8bf7cfec9cb185aa" }, { "collection_id": "aibd", "version": "2026-10-25" }, { "collection_id": "viator", "version": "2026-10-25" } ], "source_ids": [ "AIBD-0370-source-0001", "AIBD-0370-source-0002", "AIBD-0370-source-0003", "AIBD-0370-source-0004" ], "families": { "strategic assessments": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "record_ids": [] }, "evaluations": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "record_ids": [] }, "monetary observations": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "record_ids": [] }, "institutional decisions": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "record_ids": [] } }, "fields": { "actors[]": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "developer": "Fujifilm", "deployer": "St. Martin De Porres Hospital (天主教聖馬爾定醫院), Chiayi" } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "developer", "deployer" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "actors[].ownership_control": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "ai_contribution": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "ai_role": { "status": "assessed", "statement": "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." } } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "ai_role" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "ai_relationship": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "category": "benefit created", "ai_role": { "status": "assessed", "statement": "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." } } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "ai_role", "category" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "assessments[].alternatives": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "assessments[].assessor_date": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "assessments[].depth": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "ratings": [ { "group": "personal", "depth": 3, "reason": "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." } ] } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "ratings" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "assessments[].display_confidence": { "state": "value_present", "value": { "kind": "structured", "data": { "confidence": "medium", "evidence_word": "reported", "claim_status": "Independently reported", "basis": "Sources: three independent news reports and a registry entry. The cited evidence includes no independent study or report and no finding by a regulator or court.", "interpretation": "Existing display rule preserved; the richer outcome-specific confidence question still needs review." } }, "provenance": { "kind": "curatorial", "basis": "Derived from the existing case display properties; not a new evidentiary judgment.", "record_fields": [], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "assessments[].rationale": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "ratings": [ { "group": "personal", "depth": 3, "reason": "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." } ] } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "ratings" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "assessments[].rubric_version": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "assessments[].status_basis": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "assessments[].target": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "ratings": [ { "group": "personal", "depth": 3, "reason": "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." } ] } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "ratings" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "availability": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "brief": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "case_kind": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "case_links[]": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "claims[].evidence_links": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "claims[].evidence_strength": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "claims[].missingness": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "claims[].proposition": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "cross_border_flows[]": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "decisions[].action_outcome": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "family": "institutional decisions" }, "decisions[].grounds": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "family": "institutional decisions" }, "decisions[].institution_task": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "family": "institutional decisions" }, "decisions[].success_criterion": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "family": "institutional decisions" }, "deployment_stage": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "economics[].amount": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "family": "monetary observations" }, "economics[].costs[]": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "family": "monetary observations" }, "economics[].counterfactual": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "family": "monetary observations" }, "economics[].currency_price_basis": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "family": "monetary observations" }, "economics[].gross_net": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "family": "monetary observations" }, "economics[].measure_type": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "family": "monetary observations" }, "economics[].period_unit": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "family": "monetary observations" }, "economics[].realization": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "family": "monetary observations" }, "economics[].recipient_payer": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "family": "monetary observations" }, "economics[].return_payback": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "family": "monetary observations" }, "economics[].valuation_method": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "family": "monetary observations" }, "evaluations[].ai_uplift": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "family": "evaluations" }, "evaluations[].comparator": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "family": "evaluations" }, "evaluations[].design": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "family": "evaluations" }, "evaluations[].effect": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "family": "evaluations" }, "evaluations[].exposure": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "family": "evaluations" }, "evaluations[].id": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "family": "evaluations" }, "evaluations[].measurement_method": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "family": "evaluations" }, "evaluations[].metric": { "state": "not_assessed", "provenance": { "kind": "legacy_record", "basis": "Mapped from the existing case description without a new external source review.", "record_fields": [ "metric" ], "source_refs": [] }, "review_state": "not_assessed", "coverage": "partial", "family": "evaluations", "display": { "answer": "a 1 to 1.5 cm adenoma that biopsy confirmed as stage I colorectal cancer", "editor_note": "" } }, "evaluations[].reproduction_materials": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "family": "evaluations" }, "evaluations[].setting_sample": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "family": "evaluations" }, "evaluations[].uncertainty_limitations": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "family": "evaluations" }, "external_references[]": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "registry_ids": { "oecd_aim": "2024-04-19-de89" } } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "registry_ids" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "follow_up[]": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "human_oversight": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "id": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "id": "AIBD-0370" } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "id" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "infrastructure_dependencies[]": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "outcomes[].beneficiaries": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "outcomes[].beneficiary_count": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "outcomes[].benefit_type": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "benefit_type": "Improved Physical Health" } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "benefit_type" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "outcomes[].claim": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "account": "Three Taiwanese outlets reported on 19 April 2024 on a man in his 50s. He attended free colorectal cancer screening at St. Martin De Porres Hospital in Chiayi City. He tested positive for fecal occult blood and was scheduled for an AI-assisted endoscopy (Liberty Times Net health). Gastroenterologist Zheng Xu-sheng said the hospital introduced a Fujifilm 7000-series endoscope in 2023. It installed what it calls the nation's first Fujifilm AI system (Liberty Times Net; Taiwan Good News). During the examination the AI system marked a suspicious polyp with a colored frame and sounded an alert. It was diagnosed as a 1 to 1.5 cm adenoma that biopsy confirmed as stage I colorectal cancer. It was removed immediately through the endoscope (Taiwan Good News; Guan Chuan Media). Zheng said polyps over 1 cm risk malignant change and advised free screening every two years after 50 (Guan Chuan Media). The procedure date is not given.", "benefit_type": "Improved Physical Health" } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "account", "benefit_type" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "outcomes[].distribution": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "outcomes[].duration": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "outcomes[].id": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "outcomes[].stakeholder_group": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "ratings": [ { "group": "personal", "depth": 3, "reason": "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." } ] } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "ratings" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "outcomes[].status": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "outcomes[].tradeoffs": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "outcomes[].unexpected": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "unexpected": false, "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." } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "unexpected", "purpose" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "places[]": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "location": "Chiayi, Taiwan", "developer_country": "Japan", "deployer_country": "Taiwan" } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "location", "developer_country", "deployer_country" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "purpose": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "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." } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "purpose" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "record_dates": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "date_observed": "2024-04-19", "revisions": [ { "date": "2026-10-21", "change": "Record drafted from the OECD Monitor entry and the cited sources.", "source": "https://oecd.ai/en/incidents/2024-04-19-de89", "editor": "AIBD" }, { "date": "2026-10-21", "change": "Benefit type set to Improved Physical Health under Trustible's full taxonomy of 23 types; it was Improved Knowledge Discovery among the six first used.", "source": "https://trustible.ai/post/a-framework-for-measuring-the-benefits-of-ai/", "editor": "AIBD" }, { "date": "2026-10-21", "change": "Country of the developer and the deployer added from the organization's own site or a registry.", "source": "https://en.wikipedia.org/wiki/Fujifilm; https://www.stm.org.tw/stm_en/about_02.asp", "editor": "AIBD" }, { "date": "2026-10-21", "change": "Prose pass: a rating reason, account, purpose, the system's part rewritten in shorter sentences with abbreviations expanded; facts, figures and quotations unchanged.", "editor": "AIBD" } ] } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "date_observed", "revisions" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "replication.attempts[]": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "replication.conditions": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "replication": { "produced_by": [ "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" ], "must_hold": [ "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" ], "echoes": [] } } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "replication" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "revision_history[]": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "revisions": [ { "date": "2026-10-21", "change": "Record drafted from the OECD Monitor entry and the cited sources.", "source": "https://oecd.ai/en/incidents/2024-04-19-de89", "editor": "AIBD" }, { "date": "2026-10-21", "change": "Benefit type set to Improved Physical Health under Trustible's full taxonomy of 23 types; it was Improved Knowledge Discovery among the six first used.", "source": "https://trustible.ai/post/a-framework-for-measuring-the-benefits-of-ai/", "editor": "AIBD" }, { "date": "2026-10-21", "change": "Country of the developer and the deployer added from the organization's own site or a registry.", "source": "https://en.wikipedia.org/wiki/Fujifilm; https://www.stm.org.tw/stm_en/about_02.asp", "editor": "AIBD" }, { "date": "2026-10-21", "change": "Prose pass: a rating reason, account, purpose, the system's part rewritten in shorter sentences with abbreviations expanded; facts, figures and quotations unchanged.", "editor": "AIBD" } ] } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "revisions" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "sector": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "domain": "Healthcare - colorectal cancer screening", "segment": "AI-assisted colonoscopy in hospital screening" } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "domain", "segment" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "sources[].access_version": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "sources[].citation_locator": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "evidence": [ { "kind": "news report", "citation": "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.", "title": "AI輔助醫師判讀瘜肉 大腸癌無所遁形", "url": "https://health.ltn.com.tw/article/breakingnews/4646402", "date": "2024-04-19", "written_by": "independent", "quote": "發現可疑瘜肉，經切片檢查證實為第一期大腸癌" }, { "kind": "news report", "citation": "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.", "title": "聖馬爾定醫院運用AI內視鏡檢查 大腸癌無所遁形", "url": "https://tw.news.yahoo.com/%E8%81%96%E9%A6%AC%E7%88%BE%E5%AE%9A%E9%86%AB%E9%99%A2%E9%81%8B%E7%94%A8ai%E5%85%A7%E8%A6%96%E9%8F%A1%E6%AA%A2%E6%9F%A5-%E5%A4%A7%E8%85%B8%E7%99%8C%E7%84%A1%E6%89%80%E9%81%81%E5%BD%A2-052431696.html", "date": "2024-04-19", "written_by": "independent", "quote": "AI系統以色框標註並發出聲響，提示醫師可疑瘜肉" }, { "kind": "news report", "citation": "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.", "title": "AI內視鏡檢查 大腸癌無所遁形", "url": "https://tw.news.yahoo.com/ai%E5%85%A7%E8%A6%96%E9%8F%A1%E6%AA%A2%E6%9F%A5-%E5%A4%A7%E8%85%B8%E7%99%8C%E7%84%A1%E6%89%80%E9%81%81%E5%BD%A2-113000020.html", "date": "2024-04-19", "written_by": "independent", "quote": "診斷為1~1.5公分的腺瘤，經切片檢查證實為第一期大腸癌" }, { "kind": "registry label", "citation": "OECD AI Incidents and Hazards Monitor (2024). AI-Assisted Endoscopy Enables Early Detection and Removal of Colorectal Cancer. OECD.AI, 19 April 2024.", "title": "AI-Assisted Endoscopy Enables Early Detection and Removal of Colorectal Cancer", "url": "https://oecd.ai/en/incidents/2024-04-19-de89", "date": "2024-04-19", "written_by": "independent", "quote": "The AI system enabled early identification and removal of a cancerous polyp in a patient" } ] } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "evidence" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "sources[].id": { "state": "value_present", "value": { "kind": "identifiers", "identifiers": [ "AIBD-0370-source-0001", "AIBD-0370-source-0002", "AIBD-0370-source-0003", "AIBD-0370-source-0004" ], "role": "Existing evidence items, in their original order" }, "provenance": { "kind": "curatorial", "basis": "Stable within the fingerprinted record version; no source content or source review has been added.", "record_fields": [], "source_refs": [] }, "review_state": "record_mapped", "coverage": "complete" }, "sources[].language": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "sources[].relationship": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "evidence": [ { "kind": "news report", "citation": "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.", "title": "AI輔助醫師判讀瘜肉 大腸癌無所遁形", "url": "https://health.ltn.com.tw/article/breakingnews/4646402", "date": "2024-04-19", "written_by": "independent", "quote": "發現可疑瘜肉，經切片檢查證實為第一期大腸癌" }, { "kind": "news report", "citation": "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.", "title": "聖馬爾定醫院運用AI內視鏡檢查 大腸癌無所遁形", "url": "https://tw.news.yahoo.com/%E8%81%96%E9%A6%AC%E7%88%BE%E5%AE%9A%E9%86%AB%E9%99%A2%E9%81%8B%E7%94%A8ai%E5%85%A7%E8%A6%96%E9%8F%A1%E6%AA%A2%E6%9F%A5-%E5%A4%A7%E8%85%B8%E7%99%8C%E7%84%A1%E6%89%80%E9%81%81%E5%BD%A2-052431696.html", "date": "2024-04-19", "written_by": "independent", "quote": "AI系統以色框標註並發出聲響，提示醫師可疑瘜肉" }, { "kind": "news report", "citation": "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.", "title": "AI內視鏡檢查 大腸癌無所遁形", "url": "https://tw.news.yahoo.com/ai%E5%85%A7%E8%A6%96%E9%8F%A1%E6%AA%A2%E6%9F%A5-%E5%A4%A7%E8%85%B8%E7%99%8C%E7%84%A1%E6%89%80%E9%81%81%E5%BD%A2-113000020.html", "date": "2024-04-19", "written_by": "independent", "quote": "診斷為1~1.5公分的腺瘤，經切片檢查證實為第一期大腸癌" }, { "kind": "registry label", "citation": "OECD AI Incidents and Hazards Monitor (2024). AI-Assisted Endoscopy Enables Early Detection and Removal of Colorectal Cancer. OECD.AI, 19 April 2024.", "title": "AI-Assisted Endoscopy Enables Early Detection and Removal of Colorectal Cancer", "url": "https://oecd.ai/en/incidents/2024-04-19-de89", "date": "2024-04-19", "written_by": "independent", "quote": "The AI system enabled early identification and removal of a cancerous polyp in a patient" } ] } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "evidence" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "sources[].upstream_sources": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "strategic_assessments[]": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "family": "strategic assessments" }, "summary": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "summary": "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.", "account": "Three Taiwanese outlets reported on 19 April 2024 on a man in his 50s. He attended free colorectal cancer screening at St. Martin De Porres Hospital in Chiayi City. He tested positive for fecal occult blood and was scheduled for an AI-assisted endoscopy (Liberty Times Net health). Gastroenterologist Zheng Xu-sheng said the hospital introduced a Fujifilm 7000-series endoscope in 2023. It installed what it calls the nation's first Fujifilm AI system (Liberty Times Net; Taiwan Good News). During the examination the AI system marked a suspicious polyp with a colored frame and sounded an alert. It was diagnosed as a 1 to 1.5 cm adenoma that biopsy confirmed as stage I colorectal cancer. It was removed immediately through the endoscope (Taiwan Good News; Guan Chuan Media). Zheng said polyps over 1 cm risk malignant change and advised free screening every two years after 50 (Guan Chuan Media). The procedure date is not given." } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "summary", "account" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "systems[].autonomy_permissions": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "systems[].component_role": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "systems[].deployment_configuration": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "systems[].inputs_outputs": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "systems[].model_name": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "systems[].model_version": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "systems[].product_name": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "system": "Fujifilm AI endoscopy system on a Fujifilm 7000-series gastrointestinal endoscope (product name not given in the sources)" } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "system" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "systems[].provider": { "state": "value_present", "value": { "kind": "structured", "data": { "application_developer": "Fujifilm" } }, "provenance": { "kind": "legacy_record", "basis": "Mapped from the existing case description without a new external source review.", "record_fields": [ "developer" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "taxonomy_crosswalks[]": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "title": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "title": "Fujifilm AI endoscopy at St. Martin De Porres Hospital, Chiayi, marks a 1 to 1.5 cm adenoma in a man in his 50s; pathology shows stage I colorectal cancer, removed endoscopically", "headline": "AI colonoscopy flags a polyp; stage I cancer removed in Chiayi" } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "title", "headline" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "version": { "state": "value_present", "value": { "kind": "identifiers", "identifiers": [ "68e1b533424bebb2ff296a14d808d315223bbe0898c71651f0655159ed5886ed" ], "role": "SHA-256 of normalized original case data" }, "provenance": { "kind": "curatorial", "basis": "Deterministic content version assigned by the local migration.", "record_fields": [], "source_refs": [] }, "review_state": "record_mapped", "coverage": "complete" }, "workflow": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "account": "Three Taiwanese outlets reported on 19 April 2024 on a man in his 50s. He attended free colorectal cancer screening at St. Martin De Porres Hospital in Chiayi City. He tested positive for fecal occult blood and was scheduled for an AI-assisted endoscopy (Liberty Times Net health). Gastroenterologist Zheng Xu-sheng said the hospital introduced a Fujifilm 7000-series endoscope in 2023. It installed what it calls the nation's first Fujifilm AI system (Liberty Times Net; Taiwan Good News). During the examination the AI system marked a suspicious polyp with a colored frame and sounded an alert. It was diagnosed as a 1 to 1.5 cm adenoma that biopsy confirmed as stage I colorectal cancer. It was removed immediately through the endoscope (Taiwan Good News; Guan Chuan Media). Zheng said polyps over 1 cm risk malignant change and advised free screening every two years after 50 (Guan Chuan Media). The procedure date is not given.", "replication": { "produced_by": [ "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" ], "must_hold": [ "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" ], "echoes": [] } } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "account", "replication" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" } }, "summary": { "total": 91, "addressed": 91, "known": 28, "reviewed": 0, "record_mapped": 28, "not_assessed": 63, "complete": false, "by_state": { "value_present": 28, "not_reported": 0, "unresolved": 0, "not_assessed": 63, "not_applicable": 0, "withheld": 0, "source_unavailable": 0 } } } }