Evidence map›Paper›PMID 33308189›Full record

ArticleBMC gastroenterology2020

Deep learning for sensitive detection of Helicobacter Pylori in gastric biopsies.

Sebastian Klein, Jacob Gildenblat, Michaele Angelika Ihle, Sabine Merkelbach-Bruse, Ka-Won Noh, Martin Peifer, Alexander Quaas, Reinhard Büttner

Abstract read
In one paragraph

Article in BMC gastroenterology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

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  4. Detection ofJournal of imaging · 2025
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  5. Rapid and Efficient Screening ofDiagnostics (Basel, Switzerland) · 2025
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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

8 authors.

Sebastian KleinElse-Kröner-Forschungskolleg, Clonal Evolution in Cancer, University Hospital Cologne, Cologne, Germany. Sebastian.Klein@uk-koeln.de.
Jacob GildenblatDeePathology.ai, Raanana, Israel.
Michaele Angelika IhleInstitute for Pathology, University Hospital Cologne, Cologne, Germany.
Sabine Merkelbach-BruseInstitute for Pathology, University Hospital Cologne, Cologne, Germany.
Ka-Won NohInstitute for Pathology, University Hospital Cologne, Cologne, Germany.
Martin PeiferDepartment of Translational Genomics, Center of Integrated Oncology Cologne-Bonn, Medical Faculty, University of Cologne, 50931, Cologne, Germany.
Alexander QuaasInstitute for Pathology, University Hospital Cologne, Cologne, Germany.
Reinhard BüttnerInstitute for Pathology, University Hospital Cologne, Cologne, Germany. Reinhard.Buettner@uk-koeln.de.

Funding

Else Kröner-Fresenius-Stiftung 2015_Kolleg.19
6 · The paper itself

Abstract

backgroundHelicobacter pylori, a 2 × 1 μm spiral-shaped bacterium, is the most common risk factor for gastric cancer worldwide. Clinically, patients presenting with symptoms of gastritis, routinely undergo gastric biopsies. The following histo-morphological evaluation dictates therapeutic decisions, where antibiotics are used for H. pylori eradication. There is a strong rational to accelerate the detection process of H. pylori on histological specimens, using novel technologies, such as deep learning.

methodsWe designed a deep-learning-based decision support algorithm that can be applied on regular whole slide images of gastric biopsies. In detail, we can detect H. pylori both on Giemsa- and regular H&E stained whole slide images.

resultsWith the help of our decision support algorithm, we show an increased sensitivity in a subset of 87 cases that underwent additional PCR- and immunohistochemical testing to define a sensitive ground truth of HP presence. For Giemsa stained sections, the decision support algorithm achieved a sensitivity of 100% compared to 68.4% (microscopic diagnosis), with a tolerable specificity of 66.2% for the decision support algorithm compared to 92.6 (microscopic diagnosis).

conclusionTogether, we provide the first evidence of a decision support algorithm proving as a sensitive screening option for H. pylori that can potentially aid pathologists to accurately diagnose H. pylori presence on gastric biopsies.

Indexed as

Deep LearningGastritisHelicobacter InfectionsHelicobacter pyloriBiopsyGastric MucosaHumansArtificial intelligenceConvolutional neural networksDeep learningGastric cancer preventionHelicobacter pyloriScreening

Identifiers

PMID33308189
PMCPMC7731757

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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.