Detecting colorectal cancer with your cell phone – how a simple smartphone test can save lives

Author: Tatjana Weidner (M.Sc., Technical Biology)

: 2025-07-03

Person with the SmarTest FIT rapid test for colon cancer screening and a smartphone.

Introduction

Colorectal cancer is one of the most common cancers – but it is also one of the most preventable. Detected early, bowel cancer is almost always curable.[1,2] And this is where modern technology comes into play: with the Preventis SmarTest® FIT Home, a self-test for colorectal cancer, screening is easier than ever. No doctor's appointment, no laboratory, no more waisting time. Simply at home, with an app on your smartphone.

In this article, we show you why the at home FIT test is a real innovation, what sensitivity and specificity really mean and how your smartphone can help protect your life. We also take a look at the latest study results – including a major study by the German Cancer Research Center (DKFZ).


Why colorectal cancer screening is so important

Every year, around 54,000 people in Germany are diagnosed with colorectal cancer.[3] The good news is that colorectal cancer develops slowly – over a period of years from so-called precancerous stages (adenomas). Detecting these at an early stage can prevent real cancer.[4]

This is why health insurance companies recommend regular bowel cancer screening from the age of 50 – even earlier if there is a family history of the disease. However, many people postpone screening due to fear of a colonoscopy or a lack of time. This is where the smartphone based stool test comes in.


SmarTest FIT® colorectal cancer test at home

With the SmarTest FIT®, you can do your bowel cancer screening easily and discreetly from home. The test measures occult (non-visible) blood in stool, which can be an indication of precancerous lesions or cancer.

The special thing about it: You don't need a lab. Instead, your smartphone does the analysis – simply carry out the test, scan it with the app and receive the result. This type of bowel cancer screening is not only low-threshold, but also ultra-modern.


How reliable is the FIT test? A look at the DKFZ study

An independent study by the German Cancer Research Center (DKFZ) examined the performance of the SmarTest FIT® in 2024. The results are impressive:

  • Sensitivity: 28%
  • Specificity: 92%

Comparable performance with laboratory tests – despite home use and app-based results

Conclusion of the researchers: The test is a “comparably powerful alternative to previous screening tests” – with the potential to significantly increase participation rates.[5,6]

Comparison chart on the sensitivity and specificity of stool tests and laboratory tests for colorectal cancer screening.

Sensitivity and specificity a simple explanation

Many people stumble over these terms – what is the difference between sensitivity and specificity? Here is a simple explanation:

Sensitivity:

If 100 people really have colorectal cancer (or precursors), how many does the test detect correctly?

  • A sensitivity of 28% means that the test detects approximately one in three people with precancerous lesions.
  • That may not sound much at first – but the FIT test is not for diagnosis, but for early detection. And unlike colonoscopy, it is low-threshold and can be repeated regularly.

Specificity:

If 100 people are not ill, how many are correctly identified as healthy?

  • Specificity of 92% means: Only 8 out of 100 receive a “false positive” result.
  • These 8 would be sent for a clarifying colonoscopy – where the all-clear is then given.
Pie chart on the sensitivity and specificity of the SmarTest FIT self-test for colon cancer screening.

The Trade-off:

A test can rarely be both extremely sensitive and extremely specific.[7] This also applies to our colorectal cancer app test. Our strategy: a healthy balance that detects many patients but minimizes unnecessary anxiety.


What makes the bowel cancer self-test so special?

  • can be carried out at home – no waiting times, no doctor's appointment necessary
  • fast and quantitative – results in just a few minutes
  • app-supported evaluation – no room for interpretation
  • anonymous and data secure – highest data protection standards
  • comparable with laboratory methods – according to DKFZ study

And most importantly, the test detects precancerous conditions that often leave only minimal traces of blood. This is the major advantage of this test.


Young people should test too

Bowel cancer does not only affect older people. In recent years, the number of new cases in people under 50 has risen – often unnoticed because there are no symptoms.[8] Young adults with a family history or unclear abdominal complaints should therefore also be screened regularly.

Testing 1x a year prevention is that simple

The SmarTest FIT® is ideal for annual screening, as recommended by statutory health insurance companies. Particularly practical: you can order the test from the Preventis online shop – convenient, discreet and delivered directly to your home.


Conclusion: Detecting colorectal cancer with your cell phone take action now

Detecting colon cancer with your cell phone? It sounds futuristic, but it's reality. The SmarTest FIT® makes colorectal cancer screening simple, digital and effective. The DKFZ study confirms: This type of stool test for colorectal cancer is not only modern, but also scientifically well-founded.

Do not wait. Test regularly. Talk about it.
Because early detection saves lives – and often starts with a simple step.


Other links

Other related topics

Preventis SmarTest® FIT Home

App-based, immunological rapid test for the detection of occult blood in stool. Take colorectal cancer screening into your own hands!

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Smartphone-Based FIT Testing: A Clinically Validated Tool to Increase CRC Screening Participation in General Practice

New DKFZ study: SmarTest FIT Home detects colorectal cancer risk almost as reliably as lab tests. Fast, easy, and smartphone-based.

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Screen for Colon Cancer: FIT Test & Colonoscopy Explained

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[1] Cancer Information Service of the German Cancer Research Center (DKFZ) https://www.krebsinformationsdienst.de/darmkrebs (visited 25.06.2025).
[2] A. Winter et al. (2013) , Entwicklung der Behandlungsqualität, Springer Verlag (Forum Deutsche Krebsgesellschaft e. V.).
[3] Cancer in Germany 2019/ 2020, German centre for cancer registry data of the Robert-Koch-Institut (2024). https://www.krebsdaten.de/Krebs/EN/Content/Publications/Cancer_in_Germany/cancer_in_germany.html.
[4] German Cancer Society, https://www.krebsgesellschaft.de/onko-internetportal/basis-informationen-krebs/krebsarten/darmkrebs/ursache-und-risikofaktoren.html?utm (visited 27.06.2025).
[5] Press Release German Cancer Research Center(DKFZ): Colorectal cancer screening via smartphone? https://www.dkfz.de/en/news/press-releases/detail/darmkrebs-screening-per-smartphone (visited 24.06.2025).
[6] Hoffmeister et al. (2025), Performance of a Smartphone-based Stool Test For Use in Colorectal Cancer Screening: Population-based Study, Clin Gastroenterol Hepatol, May 20:S1542-3565(25)00423-9.
[7] Shreffler et. al (2023), StatPearls, Diagnostic Testing Accuracy: Sensitivity, Specificity, Predictive Values and Likelihood Ratios.
[8] Araghi et al. (2019), Changes in colorectal cancer incidence in seven high-income countries: a population-based study. The Lancet Gastroenterology & Hepatology.

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