Enchasing Polyp Detection: The Effect of Adding Polyp Detection Attachment Device to Computer Aid Detection System.

Inclusion Criteria: * Age \> 18 * Patients scheduled for an outpatient screening or surveillance colonoscopy. Exclusion Criteria: * Patients who require diagnostic colonoscopy (e.g.; anemia or GI bleeding). * Patients requiring deep ileal intubation. * Patients with inflammatory bowel disease. * Patients with radiotherapy-induced colitis or other severe colitis. * Patients with colonic strictures. * Patients with acute diverticulitis. * Patients with large bowel obstruction. * Patients scheduled for therapeutic colonoscopy (e.g., planned endoscopic mucosal resection for known polyps). * Patients scheduled for assessment of a known colonic lesion. * Patients with a known history of hereditary polyposis syndrome or untreated colon cancer. * Patients with a history of colon resection. * Patients on continuous anti-thrombotic therapy * Pregnancy. * Patients who are ineligible for colonoscopy due to medical or psychiatric conditions. * Patients who are vulnerable or unable to consent