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Paper · arXiv

TRUE-Colon: Exposing a Consistent Transfer Asymmetry in Real-Time Polyp Detection

Computer-aided detection (CADe) systems for colonoscopy promise to reduce clinical miss rates, yet reliable real-world deployment remains elusive. This translational gap stems in part from a structural flaw in model development: the reliance on curated datasets that under-represent the long negative stretches and procedure-related artifacts characteristic of routine examinations. Training and evaluating architectures strictly on these lesion-centric benchmarks creates an illusion of success, since such benchmarks cannot capture clinically crucial metrics. To expose this gap, we establish TRUE-Colon, a standardized benchmarking protocol that measures key deployment characteristics alongsid...

AuthorsSebastian Doerrich, Andreas Franz Schwab, Francesco Di Salvo et al.
Primary categoryeess.IV
Published13 August 2026
Last updated at source13 August 2026
eess.IVcs.CVcs.LG
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