Impact of a Digital Training Program (Colo-ID) on Optical Histologic Prediction and Management of Colorectal Polyps: A Prospective Study

What this Trial Is About

Researchers are evaluating the impact of a structured digital training program called Colo-ID on the accuracy of optical histology prediction for colorectal polyps detected during colonoscopy. The study focuses on improving the identification of polyp types using enhanced imaging, which may help optimize management strategies such as resect-and-discard for small polyps. This prospective, single-center observational study aims to assess how this training affects optical diagnosis performance in real-life clinical practice. Adults undergoing colonoscopy with at least one detected colorectal polyp will be included. During each procedure, endoscopists will record their optical prediction of the polyp's histology. All polyps will be removed and sent for standard histopathological analysis. The digital training program involves a structured educational intervention to improve endoscopists' skills in polyp characterization through image-based training and performance assessment. No patient management changes will occur due to the study. Participants will undergo routine colonoscopy with additional recording of optical diagnosis data before and after the training program. Researchers will compare optical prediction accuracy with histopathology results to measure concordance. Secondary assessments include diagnostic performance based on polyp size and location, inter-operator variability, and potential cost and environmental benefits. The study runs from February to June 2026 and maintains current patient care throughout.

COLO-PREDICT: Digital Training and Optical Diagnosis of Colorectal Polyps