SKOUT® system
Overview
The SKOUT® system by Iterative Scopes (also known as Iterative Health) is an advanced artificial intelligence (AI) and computer-aided detection (CADe) system designed to assist gastroenterologists in the real-time detection of potential colorectal polyps during colonoscopy examinations. Utilizing sophisticated computer vision technology, SKOUT® processes high-definition endoscopic video feeds and provides an informational visual aid, typically a blue bounding box, around suspicious tissues on the endoscopic monitor. The system is engineered to integrate seamlessly into existing clinical workflows without increasing total procedure or withdrawal time. Beyond polyp detection, Iterative Scopes also applies its AI capabilities to standardize disease severity characterization for inflammatory bowel disease (IBD) and to accelerate patient identification and enrollment for gastrointestinal clinical trials.
Reviewed by Pouyan Golshani, MD — Interventional Radiologist
Key Features
- Real-time AI-powered polyp detection during colonoscopy
- Advanced computer vision technology for suspicious tissue recognition
- Visual aid (blue bounding box) on endoscopic monitor for polyp localization
- Seamless integration into existing clinical workflows
- Does not impact total procedure or withdrawal time
- Smart detection of endoscopic tools to keep visual field clear during resection
- Demonstrated improvement in adenoma detection rates (e.g., 27% relative increase in APC)
- Enhanced sensitivity for clinically significant polyps and doubled detection speed (latest version)
- Aids in standardizing disease severity characterization for IBD
Use Cases
- Colorectal cancer screening and surveillance colonoscopies
- Assisting gastroenterologists with real-time polyp detection
- Improving adenoma detection rates to enhance patient outcomes
- Standardizing endoscopic interpretation for inflammatory bowel disease (IBD)
- Accelerating patient identification and enrollment for GI clinical trials
- Reducing physician fatigue during high-volume colonoscopy procedures
What Physicians Need to Know
Physicians should view SKOUT as a valuable 'second set of eyes' to augment their perception during colonoscopies, particularly for difficult-to-detect or flat lesions. Remember that it is an assistive tool and does not replace your clinical judgment for diagnosis or treatment decisions. Utilize its real-time feedback to enhance detection while maintaining your established workflow, as it is designed not to impact procedure time. Be aware that the system does not differentiate between adenomatous or neoplastic polyps, so your medical expertise is crucial for subsequent clinical decisions.
SKOUT is designed for seamless integration with existing colonoscopy equipment and video feeds. Iterative Scopes has partnered with Provation, a provider of clinical productivity and workflow automation solutions, for exclusive distribution, suggesting potential integration pathways with Provation's broader suite of healthcare software for academic centers, health systems, and gastroenterology-focused practices.
Details
| Category | Gastroenterology AI |
| Pricing | Contact for details — Enterprise pricing; contact sales for a quote. |
| Deployment | Software-based system integrated with endoscopy equipment |
| Compliance | |
| BAA Available | Unknown AI-estimated |
| HIPAA Compliant | Unknown AI-estimated |
| FDA Status |
1 AI-estimated The SKOUT® system has received FDA 510(k) clearance (K241508 on July 3, 2024, for a modified version, and earlier clearance in September 2022 for SKOUT™) as a computer-aided detection tool to assist qualified and trained gastroenterologists in identifying potential colorectal polyps during colonoscopy examinations in adult patients undergoing colorectal cancer screening or surveillance. |
| Integrations | |
| EHR | Not specified |
| Specialties | Gastroenterology |
What the Web Says
SKOUTu00ae system by Iterative Health is an AI-powered computer-aided detection (CADe) tool designed to assist gastroenterologists in identifying potential colorectal polyps during colonoscopy examinations. It provides real-time feedback by highlighting suspicious areas with a bounding box, aiming to improve adenoma detection rates (ADR) and ultimately reduce the incidence of colorectal cancer. The system is intended to augment, not replace, physician judgment and existing clinical workflows.
Overall: PositiveStrengths
- Increased adenoma detection rate (ADR), with studies showing a 27% relative increase in adenomas per colonoscopy.
- Particularly effective at detecting difficult-to-see, flat, and sessile polyps, especially in the proximal colon.
- Seamlessly integrates with existing clinical workflows and does not increase total procedure or withdrawal time.
- Low rate of false positives, minimizing distraction for physicians.
- Can help maintain high-quality procedures throughout the day, potentially reducing physician fatigue.
- FDA-cleared for use in adult patients undergoing colorectal cancer screening or surveillance.
Limitations
- Some physicians report that while helpful, it may not significantly change practice for those with already high adenoma detection rates.
- Potential for over-reliance on the software notification rather than clinical judgment, which could lead to false positives or negatives.
- One physician on Reddit mentioned that while the data supports these systems, they are mixed on how much it changes their personal practice.
- The system is an assistive tool and not intended to replace a full patient evaluation, primary interpretation of endoscopic procedures, medical diagnosis, or treatment recommendations.
- Only indicated for white light colonoscopy.
Based on reviews from: Iterative Health (Official Website), FDA (U.S. Food and Drug Administration), BioSpace, AiThority, Obvious Ventures, Reddit (r/Gastroenterology)
Last updated: 2026-07-18
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Investors who backed SKOUT® system
Funded through the company that built this tool.
