Evidence map›Paper›PMID 33863970›Full record

ArticleScientific reports2021

Artificial intelligence-assisted analysis of endoscopic retrograde cholangiopancreatography image for identifying ampulla and difficulty of selective cannulation.

Taesung Kim, Jinhee Kim, Hyuk Soon Choi, Eun Sun Kim, Bora Keum, Yoon Tae Jeen, Hong Sik Lee, Hoon Jai Chun, Sung Yong Han, Dong Uk Kim and 3 more

Abstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

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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

13 authors.

Taesung Kim *Graduate School of Artificial Intelligence, KAIST, Daehak-ro 291, Yuseong-gu, Daejeon, 34141, Korea.
Jinhee Kim *Graduate School of Artificial Intelligence, KAIST, Daehak-ro 291, Yuseong-gu, Daejeon, 34141, Korea.
Hyuk Soon ChoiDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Korea University College of Medicine, Korea University Medical Center, Goryeodae-ro 73, Seongbuk-gu, Seoul, 02841, Korea.
Eun Sun KimDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Korea University College of Medicine, Korea University Medical Center, Goryeodae-ro 73, Seongbuk-gu, Seoul, 02841, Korea.
Bora KeumDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Korea University College of Medicine, Korea University Medical Center, Goryeodae-ro 73, Seongbuk-gu, Seoul, 02841, Korea.
Yoon Tae JeenDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Korea University College of Medicine, Korea University Medical Center, Goryeodae-ro 73, Seongbuk-gu, Seoul, 02841, Korea.
Hong Sik LeeDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Korea University College of Medicine, Korea University Medical Center, Goryeodae-ro 73, Seongbuk-gu, Seoul, 02841, Korea.
Hoon Jai ChunDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Korea University College of Medicine, Korea University Medical Center, Goryeodae-ro 73, Seongbuk-gu, Seoul, 02841, Korea.
Sung Yong HanDepartment of Internal Medicine, Pusan National University College of Medicine, Pusan, Korea.
Dong Uk KimDepartment of Internal Medicine, Pusan National University College of Medicine, Pusan, Korea.
Soonwook KwonDepartment of Anatomy, Catholic University of Daegu, Daegu, Korea.
Jaegul ChooGraduate School of Artificial Intelligence, KAIST, Daehak-ro 291, Yuseong-gu, Daejeon, 34141, Korea. jchoo@kaist.ac.kr.
Jae Min LeeDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Korea University College of Medicine, Korea University Medical Center, Goryeodae-ro 73, Seongbuk-gu, Seoul, 02841, Korea. jmlee1202@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The advancement of artificial intelligence (AI) has facilitated its application in medical fields. However, there has been little research for AI-assisted endoscopy, despite the clinical significance of the efficiency and safety of cannulation in the endoscopic retrograde cholangiopancreatography (ERCP). In this study, we aim to assist endoscopists performing ERCP through automatic detection of the ampulla and the identification of cannulation difficulty. We developed a novel AI-assisted system based on convolutional neural networks that predict the location of the ampulla and the difficulty of cannulation to the ampulla. ERCP data of 531 and 451 patients were utilized in the evaluation of our model for each task. Our model detected the ampulla with mean intersection-over-union 64.1%, precision 76.2%, recall 78.4%, and centroid distance 0.021. In classifying the cannulation difficulty, it achieved the recall of 71.9% for the class of easy cases and that of 61.1% for that of difficult cases. Remarkably, our model accurately detected AOV with varying morphological shape, size, and texture on par with the level of a human expert and showed promising results for recognizing cannulation difficulty. It demonstrated its potential to improve the quality of ERCP by assisting endoscopists.

Indexed as

Artificial IntelligenceAgedAmpulla of VaterCatheterizationCholangiopancreatography, Endoscopic RetrogradeFemaleHumansImage Processing, Computer-AssistedMale

Identifiers

PMID33863970
PMCPMC8052314

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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.