Prospective validation of the first FDA-approved computer-aided quality (CAQ) assessment tool for colonoscopy: An initial clinical experience.

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.