AI-assisted microendoscopy to find esophageal cancer early

AI-Assisted Microendoscopy for the Early Detection of Esophageal Cancer

NIH-funded research Baylor College of Medicine · NIH-11397210

This project uses a small, high-resolution endoscope plus AI to help doctors spot early esophageal cancer in people at risk, especially where screening is limited.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionBaylor College of Medicine NIH-funded
Lab location1 site (Houston, United States)
Project IDNIH-11397210 on NIH RePORTER

What this research studies

If you join, a tiny, high-resolution microendoscope (mHRME) is used during endoscopy to take close-up images of the esophagus while AI software highlights areas that look abnormal. The team has developed deep-learning algorithms and tested them alongside expert and novice readers. They completed a randomized trial (about 918 people in the U.S. and China) and a small pilot using the AI-assisted device in Brazil to compare image interpretation and biopsy decisions. The goal is to reduce unnecessary biopsies and improve early detection of esophageal squamous cell neoplasia in underserved regions.

Who could benefit from this research

Good fit: Ideal candidates are adults undergoing endoscopic screening or surveillance for esophageal squamous cell neoplasia or those at higher risk due to geography, symptoms, or prior findings.

Not a fit: People with advanced, already-diagnosed esophageal cancer, those unable to undergo endoscopy, or those with non-squamous esophageal conditions may not benefit from this specific screening approach.

Why it matters

Potential benefit: If successful, this approach could catch precancerous or early esophageal lesions sooner and reduce unneeded biopsies, lowering risk and cost for patients.

How similar studies have performed: Related work shows high sensitivity for chromoendoscopy but poor specificity, and this project has already reported a randomized trial and a pilot suggesting the AI-assisted microendoscope can improve diagnostic performance in some settings.

Where this research is happening

Houston, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.