Evidence map›Paper›PMID 30840732›Full record

ArticleJournal of medical imaging (Bellingham, Wash.)2019

Noha Ghatwary, Amr Ahmed, Enrico Grisan, Hamid Jalab, Luc Bidaut, Xujiong Ye

Abstract read
In one paragraph

Article in Journal of medical imaging (Bellingham, Wash.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Noha GhatwaryUniversity of Lincoln, Computer Science Department, Brayford Pool, Lincoln, United Kingdom.ORCID https://orcid.org/0000-0002-4019-479X
Amr AhmedUniversity of Nottingham, Computer Science Department, Semenyih, Selangor, Malaysia.ORCID https://orcid.org/0000-0002-7749-7911
Enrico GrisanUniversity of Padova, Department of Information Engineering, Padova, Italy.ORCID https://orcid.org/0000-0002-7365-5652
Hamid JalabUniversity of Malaya, Department of Computer System and Technology, Kuala Lumpur, Malaysia.ORCID https://orcid.org/0000-0002-4823-6851
Luc BidautUniversity of Lincoln, Computer Science Department, Brayford Pool, Lincoln, United Kingdom.ORCID https://orcid.org/0000-0001-8253-2606
Xujiong YeUniversity of Lincoln, Computer Science Department, Brayford Pool, Lincoln, United Kingdom.ORCID https://orcid.org/0000-0003-0115-0724

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Barrett's esophagus (BE) is a premalignant condition that has an increased risk to turn into esophageal adenocarcinoma. Classification and staging of the different changes (BE in particular) in the esophageal mucosa are challenging since they have a very similar appearance. Confocal laser endomicroscopy (CLE) is one of the newest endoscopy tools that is commonly used to identify the pathology type of the suspected area of the esophageal mucosa. However, it requires a well-trained physician to classify the image obtained from CLE. An automatic stage classification of esophageal mucosa is presented. The proposed model enhances the internal features of CLE images using an image filter that combines fractional integration with differentiation. Various features are then extracted on a multiscale level, to classify the mucosal tissue into one of its four types: normal squamous (NS), gastric metaplasia (GM), intestinal metaplasia (IM or BE), and neoplasia. These sets of features are used to train two conventional classifiers: support vector machine (SVM) and random forest. The proposed method was evaluated on a dataset of 96 patients with 557 images of different histopathology types. The SVM classifier achieved the best performance with 96.05% accuracy based on a leave-one-patient-out cross-validation. Additionally, the dataset was divided into 60% training and 40% testing; the model achieved an accuracy of 93.72% for the testing data using the SVM. The presented model showed superior performance when compared with four state-of-the-art methods. Accurate classification is essential for the intestinal metaplasia grade, which most likely develops into esophageal cancer. Not only does our method come to the aid of physicians for more accurate diagnosis by acting as a second opinion, but it also acts as a training method for junior physicians who need practice in using CLE. Consequently, this work contributes to an automatic classification that facilitates early intervention and decreases samples of required biopsy.

Indexed as

Barret’s esophagusconfocal laser endomicroscopyenhancementfractional differentiation and integrationgrade classification

Identifiers

PMID30840732
PMCPMC6400244

What OpenQuestion holds

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Registered trials

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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.