Innovative approaches in colorectal cancer screening: advances in detection methods and the role of artificial intelligence

Colorectal cancer (CRC) is the third most prevalent cancer globally and poses a significant health threat, making early detection crucial. This review paper explored emerging detection methods for early screening of CRC, including gut microbiota, metabolites, genetic markers, and artificial intellig...

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Main Authors: Changwei Duan, Jianqiu Sheng, Xianzong Ma
Format: Article
Language:English
Published: SAGE Publishing 2025-01-01
Series:Therapeutic Advances in Gastroenterology
Online Access:https://doi.org/10.1177/17562848251314829
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author Changwei Duan
Jianqiu Sheng
Xianzong Ma
author_facet Changwei Duan
Jianqiu Sheng
Xianzong Ma
author_sort Changwei Duan
collection DOAJ
description Colorectal cancer (CRC) is the third most prevalent cancer globally and poses a significant health threat, making early detection crucial. This review paper explored emerging detection methods for early screening of CRC, including gut microbiota, metabolites, genetic markers, and artificial intelligence (AI)-based technologies. Current screening methods have their respective advantages and limitations, particularly in detecting precursors. First, the importance of the gut microbiome in CRC progression is discussed, highlighting how specific microbial alterations can serve as biomarkers for early detection, potentially enhancing diagnostic accuracy when combined with traditional screening methods. Next, research on metabolic reprogramming illustrates the relationship between metabolic changes and CRC, with studies developing metabolite-based detection models that show good sensitivity for early diagnosis. In terms of genetic markers, methylated DNA markers like SEPTIN9 have demonstrated high sensitivity, although further validation across diverse populations is necessary. Lastly, AI technology has shown immense potential in improving adenoma detection rates, significantly enhancing the quality of colonoscopic examinations through image recognition techniques. This review aims to provide a comprehensive perspective on new strategies for CRC screening, emphasizing the potential of noninvasive detection technologies and the prospects of AI and genomics in clinical applications. Despite several challenges, this review advocates for future large-scale prospective studies to validate the effectiveness and cost-effectiveness of these new screening methods while promoting the implementation of screening protocols tailored to individual characteristics.
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spelling doaj-art-6a33119e25b14e6bb07931f3264865322025-01-31T12:04:39ZengSAGE PublishingTherapeutic Advances in Gastroenterology1756-28482025-01-011810.1177/17562848251314829Innovative approaches in colorectal cancer screening: advances in detection methods and the role of artificial intelligenceChangwei DuanJianqiu ShengXianzong MaColorectal cancer (CRC) is the third most prevalent cancer globally and poses a significant health threat, making early detection crucial. This review paper explored emerging detection methods for early screening of CRC, including gut microbiota, metabolites, genetic markers, and artificial intelligence (AI)-based technologies. Current screening methods have their respective advantages and limitations, particularly in detecting precursors. First, the importance of the gut microbiome in CRC progression is discussed, highlighting how specific microbial alterations can serve as biomarkers for early detection, potentially enhancing diagnostic accuracy when combined with traditional screening methods. Next, research on metabolic reprogramming illustrates the relationship between metabolic changes and CRC, with studies developing metabolite-based detection models that show good sensitivity for early diagnosis. In terms of genetic markers, methylated DNA markers like SEPTIN9 have demonstrated high sensitivity, although further validation across diverse populations is necessary. Lastly, AI technology has shown immense potential in improving adenoma detection rates, significantly enhancing the quality of colonoscopic examinations through image recognition techniques. This review aims to provide a comprehensive perspective on new strategies for CRC screening, emphasizing the potential of noninvasive detection technologies and the prospects of AI and genomics in clinical applications. Despite several challenges, this review advocates for future large-scale prospective studies to validate the effectiveness and cost-effectiveness of these new screening methods while promoting the implementation of screening protocols tailored to individual characteristics.https://doi.org/10.1177/17562848251314829
spellingShingle Changwei Duan
Jianqiu Sheng
Xianzong Ma
Innovative approaches in colorectal cancer screening: advances in detection methods and the role of artificial intelligence
Therapeutic Advances in Gastroenterology
title Innovative approaches in colorectal cancer screening: advances in detection methods and the role of artificial intelligence
title_full Innovative approaches in colorectal cancer screening: advances in detection methods and the role of artificial intelligence
title_fullStr Innovative approaches in colorectal cancer screening: advances in detection methods and the role of artificial intelligence
title_full_unstemmed Innovative approaches in colorectal cancer screening: advances in detection methods and the role of artificial intelligence
title_short Innovative approaches in colorectal cancer screening: advances in detection methods and the role of artificial intelligence
title_sort innovative approaches in colorectal cancer screening advances in detection methods and the role of artificial intelligence
url https://doi.org/10.1177/17562848251314829
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AT jianqiusheng innovativeapproachesincolorectalcancerscreeningadvancesindetectionmethodsandtheroleofartificialintelligence
AT xianzongma innovativeapproachesincolorectalcancerscreeningadvancesindetectionmethodsandtheroleofartificialintelligence