Improving the detection rate of difficult to discover lesions has been one of the major challenges within the field of endoscopy in recent years. Fujifilm has continuously worked on the development of image processing technologies such as Linked Color Imaging (LCI) and Blue Light Imaging (BLI) utilising specific wavelengths of light to support early cancer detection and characterisation.

Recently Fujifilm has developed a new technology known as “CAD EYE” to support colonic polyp detection and characterisation during colonoscopy, utilising Fujifilm’s medical AI technology named REiLI. CAD EYE is a customised detection and characterisation support compatible with the ELUXEO and ELUXEO Lite system.


CAD EYE has been developed utilising AI deep learning technology and is compatible with Fujifilm’s ELUXEO™ endoscopy series to support endoscopic lesion detection and characterisation in the colon.

CAD EYE has been trained with a powerful supercomputer located in Fujifilm’s global AI technology centre in Tokyo, utilising an immense amount of clinical images using Fujifilm endoscopy systems. As a result, CAD EYE is a customised detection and characterisation support compatible with the ELUXEO™ system.

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CAD EYE is aimed to improve the real time polyp detection rate to expert level, helping to recognise flat lesions, multiple polyps simultaneously as well as any lesions at the corner of the image. CAD EYE Detection is possible with White Light and LCI (Linked Color Imaging) mode.

White Light Mode

White Light Mode

LCI Mode

LCI Mode


Once a suspected polyp is detected by CAD EYE Detection (WLI or LCI), CAD EYE Characterisation - in combination with BLI – can support endoscopists in the diagnosis of the polyp. This function analyses in real-time and without freezing or zooming if a polyp is hyperplastic or neoplastic, which is visually indicated by the use of different colour codes in the Position Map. CAD EYE Characterisation is aimed to make procedures more efficient by increasing the accuracy of diagnosis to expert-level.*


BLI Mode – Neoplastic


BLI Mode – Hyperplastic

*According to the validation study, the accuracy of non experts with the assistance of CAD EYE Characterisation was equivalent to that of an expert.


The development of the interface has been designed to enable comfortable procedures. It does not interfere with clinical images and minimises required eye movement. Its display is designed to be simple and intuitive for excellent support during long hours in the examination room.

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Detection Box

Displays the area where the suspicious polyp is detected.

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Visual Assist Circle

Lights up in the direction where the suspicious polyp is detected.

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Detection Sound

Sound signal when a suspicious polyp is detected. Volume can be defined for each user.

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Status Bar

Indicates status of characterisation analysis regarding to area suspected.

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Visual Assist Circle

Green: Characterisation HYPERPLASTIC
Yellow: Characterisation NEOPLASTIC

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Position Map

Indicates the position of the suspicious area, this software is characterising.

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Characterisation Result

HYPERPLASTIC: hyperplastic polyps & SSL
NEOPLASTIC: adenoma and cancer


CAD EYE works with the expansion unit EX-1 and the CAD EYE software EW10-EC02. With software EW10-SC01 up to 30 hours of movie and still image material can be stored in the internal memory of EX-1. It can easily be controlled with the scope switch or directly at the processor.

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Expansion Unit EX-1

Compatible processors: VP-7000, EP-6000

Dimensions (W x H x D): 370.0 x 99.0 x 465.6 mm

Software EW10-EC02

Compatible endoscopes: 700 series colonoscopes

Package Content:USB flash drive for CAD EYE installation for colon polyp detection and characterisation support

Software EW10-SC01

Compatible endoscopes: 700/600/500 series endoscopes excl. ultrasonic endoscopes

Package Content: USB flash drive for basic functions:

  • Movie and still image recording with CAD EYE overlay
  • Network function: Still image transfer via FTP/FTPS/Dicom storage and for video recording transfer via Samba network protocol
  • Automatic copy to external USB memory


Additional information on CAD EYE


CAD EYE Brochure


Experience with CAD EYE by Emanuele Rondonotti


Experience with CAD EYE by Dr. Karagiannis


Experience with CAD EYE by Rolando Pinho


CAD EYE Fact Sheet


Endoscopy on Air - The Future is Now


Dr. Emanuele Rondonotti presents how CAD EYE works.


ESGE Webinar „New Technologies in Endoscopy“


Prof. Helmut Neumann answered our questions regarding Artificial Intelligence and CAD EYE.


Prof. Cesare Hassan on how to maximize ADR with CAD EYE, UEG Week 2019