Health authority explores next-generation software to improve precision and reduce unnecessary procedures
Fraser Health is expanding its use of artificial intelligence in colonoscopy procedures as part of a broader effort to improve early detection of colorectal cancer and enhance patient outcomes across British Columbia’s largest health region.
The health authority confirmed that its AI-assisted colonoscopy tool, GI Genius, is now in use at 12 sites, while officials are also evaluating new software designed to help physicians better assess small polyps during procedures. The move comes during Colorectal Cancer Awareness Month, a period aimed at increasing public understanding of screening and early detection.
Colorectal cancer remains a significant public health concern in Canada. It is the second leading cause of cancer death among men and the third among women. While rates have declined among older Canadians, incidence is rising in younger adults. According to Colorectal Cancer Canada, the average 45-year-old today carries a similar risk level to a 50-year-old in 1979.
AI tool supports real-time detection during procedures
Fraser Health first introduced the GI Genius system in 2023 at Langley Memorial Hospital as part of efforts to strengthen colon cancer screening. The technology uses artificial intelligence to assist endoscopy teams by identifying and highlighting potential polyps in real time during colonoscopy procedures.
The system has since been deployed across the region, expanding access to enhanced screening capabilities for patients undergoing colonoscopies.
“We’re using this technology to support better detection, more consistent quality, and smarter decision-making during colonoscopy,” says Dr. Scott Cowie, surgeon at Langley Memorial Hospital, who helped lead the regional implementation of the system.
Health officials say the tool is intended to improve the identification of precancerous lesions, enabling earlier intervention and potentially reducing the progression of the disease.
Next phase focuses on precision and cost efficiency
Building on the current rollout, Fraser Health is now exploring advanced software that could further refine how physicians evaluate very small polyps detected during colonoscopies.
The technology under review aims to help clinicians distinguish between benign and potentially harmful growths more accurately. Over time, this could reduce the need to remove certain non-threatening polyps, lowering both procedural risks and pathology costs.
“This is an encouraging development because it may help us avoid removing certain benign polyps that do not require excision, while still maintaining a strong focus on safety and quality,” adds Dr. Cowie.
The initiative reflects a broader trend in Canadian healthcare toward integrating AI tools to improve efficiency and clinical decision-making while managing system costs.
Screening and early detection remain critical
Health experts emphasize that despite advances in technology, routine screening remains the most effective strategy for preventing colorectal cancer or detecting it at an early, more treatable stage.
When identified early, the survival rate for colon cancer exceeds 90 per cent.
In British Columbia, average-risk individuals between the ages of 50 and 74 are eligible for screening through the Fecal Immunochemical Test (FIT), a non-invasive test used to detect hidden blood in stool. Those with a family history or other risk factors may be referred directly for colonoscopy.
Symptoms of colorectal cancer can include blood in the stool, persistent abdominal pain, changes in bowel habits and unexplained weight loss. However, the disease can develop without noticeable symptoms in its early stages, reinforcing the importance of routine screening.
Expanded access across Fraser Health region
The GI Genius system is currently operational at 12 Fraser Health facilities, including major hospitals and outpatient centres:
- Abbotsford Regional Hospital and Cancer Centre
- Burnaby Hospital
- Chilliwack General Hospital
- Delta Hospital
- Eagle Ridge Hospital
- Langley Memorial Hospital
- Peach Arch Hospital
- Royal Columbian Hospital
- Ridge Meadows Hospital
- Surrey Memorial Hospital
- Mission Memorial Hospital
- Jim Pattison Outpatient Care and Surgical Centre
The expansion positions Fraser Health as one of the leading adopters of AI-assisted colonoscopy technology in Canada, with a focus on improving diagnostic accuracy and patient care.
As the health authority continues to evaluate emerging tools, officials say the goal remains clear: earlier detection, better outcomes and a more efficient healthcare system.