Evidence map›Paper›PMID 33028668›Full record

ArticleGut2021

Utilisation of artificial intelligence for the development of an EUS-convolutional neural network model trained to enhance the diagnosis of autoimmune pancreatitis.

Neil B Marya, Patrick D Powers, Suresh T Chari, Ferga C Gleeson, Cadman L Leggett, Barham K Abu Dayyeh, Vinay Chandrasekhara, Prasad G Iyer, Shounak Majumder, Randall K Pearson and 10 more

Registry-linked trialAbstract read
In one paragraph

Article in Gut, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05151939 (Endoscopic Ultrasound), which is not on this map. Cited by 69 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 4 pooled it
13.0field-weighted citation impact, top 1% of its field
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.

NCT05151939 unknown statusnot on this map

Endoscopic Ultrasound (EUS) Assessment of Normal Mediastinal and Abdominal Organ/Anatomic Strictures Using a Novel Developed Artificial Intelligence Model

TypeobservationalSponsorInstituto Ecuatoriano de Enfermedades DigestivasRan2021 to 2022Enrolled60ConditionsAbdomen, Mediastinum, Anatomic Abnormality, StricturesArmsIdentification or discharge visualization of mediastinal and abdominal organ/anatomic strictures through Endoscopic ultrasound (EUS) videos by an expert endoscopist, Recognition of mediastinal and abdominal organ/anatomic strictures through Endoscopic ultrasound (EUS) videos using artificial intelligence (AI)
3 · Its place in the literature

Who cites it

69 citing papers in PubMed, 4 syntheses or guidelines pooled it, 136 citations in OpenAlex.

  1. Pooled it
  2. Artificial Intelligence in Pancreatic Imaging: A Systematic Review.United European gastroenterology journal · 2025
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Type 3 Autoimmune Pancreatitis: What Do We Know So Far?Digestive diseases and sciences · 2026
    Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. Role of endoscopic ultrasound in diagnosis and management of autoimmune pancreatitis.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2025
    Review
  14. Pancreatic cancer in 2025: Have we found a solution?World journal of gastroenterology · 2025
    Review
  15. Review
  16. Review
  17. Review
  18. Review
  19. Artificial intelligence system for EUS navigation and anatomical landmark recognition.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2025
    Article
  20. Article

9 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 3 institutions in 1 country.

Neil B MaryaGastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0001-8654-1948
Patrick D PowersIndependent Researcher, Chelsea, Massachusetts, USA.
Suresh T ChariGastroenterology, Hepatology and Nutrition, University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Ferga C GleesonGastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.
Cadman L LeggettGastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.
Barham K Abu DayyehGastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0001-8084-7225
Vinay ChandrasekharaGastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.
Prasad G IyerGastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0002-9822-1420
Shounak MajumderGastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0001-7687-049X
Randall K PearsonGastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.
Bret T PetersenGastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.
Elizabeth RajanGastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.
Tarek SawasGastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0002-0025-9827
Andrew C StormGastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.
Santhi S VegeGastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.
Shigao ChenDiagnostic Radiology, Mayo Clinic, Rochester, Minnesota, USA.
Zaiyang LongDiagnostic Radiology, Mayo Clinic, Rochester, Minnesota, USA.
David M HoughDiagnostic Radiology, Mayo Clinic, Rochester, Minnesota, USA.
Kristin MaraBiomedical Statistics and Informatics, Mayo Clinic Rochester, Rochester, Minnesota, USA.
Michael J LevyGastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA levy.michael@mayo.edu.
Mayo Clinic · USChelsea Hospital · USThe University of Texas MD Anderson Cancer Center · US

Funding

Mayo Clinic Center for Translational Science ActivitiesUL1TR000135 · NCATS · MAYO CLINIC ROCHESTER · PI KHOSLA, SUNDEEP · 2012 to 2015
$41.2M
NCATS NIH HHS UL1 TR000135
6 · The paper itself

Abstract

objectiveThe diagnosis of autoimmune pancreatitis (AIP) is challenging. Sonographic and cross-sectional imaging findings of AIP closely mimic pancreatic ductal adenocarcinoma (PDAC) and techniques for tissue sampling of AIP are suboptimal. These limitations often result in delayed or failed diagnosis, which negatively impact patient management and outcomes. This study aimed to create an endoscopic ultrasound (EUS)-based convolutional neural network (CNN) model trained to differentiate AIP from PDAC, chronic pancreatitis (CP) and normal pancreas (NP), with sufficient performance to analyse EUS video in real time.

designA database of still image and video data obtained from EUS examinations of cases of AIP, PDAC, CP and NP was used to develop a CNN. Occlusion heatmap analysis was used to identify sonographic features the CNN valued when differentiating AIP from PDAC.

resultsFrom 583 patients (146 AIP, 292 PDAC, 72 CP and 73 NP), a total of 1 174 461 unique EUS images were extracted. For video data, the CNN processed 955 EUS frames per second and was: 99% sensitive, 98% specific for distinguishing AIP from NP; 94% sensitive, 71% specific for distinguishing AIP from CP; 90% sensitive, 93% specific for distinguishing AIP from PDAC; and 90% sensitive, 85% specific for distinguishing AIP from all studied conditions (ie, PDAC, CP and NP).

conclusionThe developed EUS-CNN model accurately differentiated AIP from PDAC and benign pancreatic conditions, thereby offering the capability of earlier and more accurate diagnosis. Use of this model offers the potential for more timely and appropriate patient care and improved outcome.

Indexed as

EndosonographyNeural Networks, ComputerArea Under CurveAutoimmune PancreatitisCarcinoma, Pancreatic DuctalDiagnosis, DifferentialHumansImage Interpretation, Computer-AssistedMachine LearningObserver VariationPancreasPancreatic NeoplasmsROC Curveautoimmune diseasechronic pancreatitispancreaspancreatic cancerpancreatitis

Identifiers

PMID33028668
PMCPMC13163153
OpenAlexW3092422480

What OpenQuestion holds

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Registered trials

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.