Evidence map›Paper›PMID 27036635›Full record

ArticleGastrointestinal endoscopy2016

A tablet-interfaced high-resolution microendoscope with automated image interpretation for real-time evaluation of esophageal squamous cell neoplasia.

Timothy Quang, Richard A Schwarz, Sanford M Dawsey, Mimi C Tan, Kalpesh Patel, Xinying Yu, Guiqi Wang, Fan Zhang, Hong Xu, Sharmila Anandasabapathy and 1 more

Abstract readValidation Study
In one paragraph

Article in Gastrointestinal endoscopy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. The role of artificial intelligence in the endoscopic diagnosis of esophageal cancer: a systematic review and meta-analysis.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2023
    Pooled it
  2. Trial
  3. Cancer prevention research (Philadelphia, Pa.) · 2018
    Trial
  4. Diagnosing Cervical Neoplasia in Rural Brazil Using a Mobile Van Equipped withCancer prevention research (Philadelphia, Pa.) · 2018
    Trial
  5. Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Artificial Intelligence in Endoscopy.Digestive diseases and sciences · 2022
    Review
  14. Multi-task network for automated analysis of high-resolution endomicroscopy images to detect cervical precancer and cancer.Computerized medical imaging and graphics : the official journal of the Computerized Medical Imaging Society · 2022
    Article
  15. Review
  16. Review
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Timothy QuangDepartment of Bioengineering, Rice University, Houston, Texas, USA.
Richard A SchwarzDepartment of Bioengineering, Rice University, Houston, Texas, USA.
Sanford M DawseyDepartment of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, Maryland, USA.
Mimi C TanDepartment of Gastroenterology, Baylor College of Medicine, Houston, Texas, USA.
Kalpesh PatelDepartment of Gastroenterology, Baylor College of Medicine, Houston, Texas, USA.
Xinying YuDepartment of Endoscopy, Cancer Institute and Hospital, The Chinese Academy of Medical Sciences, Beijing, China.
Guiqi WangDepartment of Endoscopy, Cancer Institute and Hospital, The Chinese Academy of Medical Sciences, Beijing, China.
Fan ZhangDepartment of Gastrointestinal Medicine, The First Hospital of Jilin University, Changchun, Jilin, China.
Hong XuDepartment of Gastrointestinal Medicine, The First Hospital of Jilin University, Changchun, Jilin, China.
Sharmila AnandasabapathyDepartment of Gastroenterology, Baylor College of Medicine, Houston, Texas, USA.
Rebecca Richards-KortumDepartment of Bioengineering, Rice University, Houston, Texas, USA.

Funding

High Resolution Microendoscopy for the Management of Esophageal NeoplasiaR01CA181275 · NCI · BAYLOR COLLEGE OF MEDICINE · PI Sharmila Anandasabapathy, Amy L McGuire · 2014 to 2026
$6.3M
NCI NIH HHS R01 CA181275
6 · The paper itself

Abstract

BACKGROUND AND

aimsIn recent years high-resolution microendoscopy (HRME) has shown potential to improve screening for esophageal squamous cell neoplasia. Furthering its utility in a clinical setting, especially in lower-resource settings, could be accomplished by reducing the size and cost of the system as well as incorporating the ability of real-time, objective feedback. This article describes a tablet-interfaced HRME with fully automated, real-time image analysis.

methodsThe performance of the tablet-interfaced HRME was assessed by acquiring images from the oral mucosa in a normal volunteer. An automated, real-time analysis algorithm was developed and evaluated using training, test, and validation images from a previous in vivo study of 177 patients referred for screening or surveillance endoscopy in China. The algorithm was then implemented in a tablet HRME that was used to obtain and analyze images from esophageal tissue in 3 patients. Images were displayed alongside the probability that the imaged region was neoplastic.

resultsThe tablet-interfaced HRME demonstrated comparable imaging performance at a lower cost compared with first-generation laptop-interfaced HRME systems. In a post-hoc quantitative analysis, the algorithm identified neoplasia with a sensitivity and specificity of 95% and 91%, respectively, in the validation set compared with 84% and 95% achieved in the original study.

conclusionsThe tablet-based HRME is a low-cost tool that provides quantitative diagnostic information to the endoscopist in real time. This could be especially beneficial in lower-resource settings for operators with less experience interpreting HRME images.

Indexed as

Computers, HandheldImage Interpretation, Computer-AssistedAlgorithmsCarcinoma, Squamous CellEsophageal NeoplasmsEsophagoscopyHumansIntravital MicroscopyMobile ApplicationsSensitivity and Specificity

Identifiers

PMID27036635
PMCPMC5045314

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.