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Peer-Reviewed Publication
Cancers (Basel)2026;18(6)March 11, 2026Journal Article

Defining a Multi-Omic, AI-Enabled Stool Screening Paradigm for Colorectal Cancer: A Consensus Framework for Clinical Translation.

Arturo Loaiza-Bonilla1,2, Yan Leyfman3, Viviana Cortiana4, Rhys Crawford5, Shivani Modi6
1Division of Hematology and Oncology, Department of Medicine, St. Luke's Cancer Center, St. Luke's University Health Network, Bethlehem, PA 18015, USA.
2Massive Bio, Boca Raton, FL 33487, USA.
3Meyer Cancer Center, New York Presbyterian Hospital, New York, NY 10021, USA.
4University of Bologna, 40126 Bologna, Italy.
5Tulane University of Louisiana, New Orleans, LA 70118, USA.
6Thomas Jefferson University, Philadelphia, PA 19107, USA.

Abstract

Colorectal cancer (CRC) develops through both conventional adenoma-carcinoma and serrated neoplasia pathways, yet noninvasive screening still under-detects the advanced precursor lesions that enable true cancer prevention. Stool-based screening reduces CRC mortality, but its preventive impact remains constrained by limited detection of advanced precancerous lesions (APLs), including advanced adeno…

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