Brenner, Todd A, Chris Labaki, Joseph D Feuerstein, and Tyler M Berzin. 2025. “Prospective Validation of the First FDA-Approved Computer-Aided Quality (CAQ) Assessment Tool for Colonoscopy: An Initial Clinical Experience.”. The American Journal of Gastroenterology.
Abstract
OBJECTIVES: We report a prospective pilot of GI Genius ColonPro 4.0 (Medtronic, Minneapolis, MN), the first FDA-approved computer-aided quality (CAQ) platform for colonoscopy.
METHODS: ColonPro measurements of withdrawal time, cecal intubation, and Boston Bowel Preparation Score (BBPS) were compared with independent video review in 110 outpatient colonoscopies.
RESULTS: Agreement between the CAQ and physicians was poor for BBPS (ICC=0.40, p<0.001) but strong for withdrawal time (ICC=0.89, p<0.001) and cecal intubation (κ=0.79, p<0.001).
CONCLUSIONS: CAQ reliably measures withdrawal time and cecal intubation, but AI-based BBPS scoring requires further validation before integration into current paradigms of colonoscopy quality.