Evidence map›Paper›PMID 33904763›Full record

ArticleThe British journal of radiology2021

An artificial intelligence deep learning model for identification of small bowel obstruction on plain abdominal radiographs.

D H Kim, H Wit, M Thurston, M Long, G F Maskell, M J Strugnell, D Shetty, I M Smith, N P Hollings

2 registry-linked trialsOpen access · hybridAbstract read
In one paragraph

Article in The British journal of radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.9field-weighted citation impact, top 6% 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.

NCT05566158 unknown statusnot on this mapstarted 2022, after this paper: background citation

Development and Validation of a CT-based Diagnostic Models Using Artificial Intelligence for Detection of Small Bowel Obstruction

TypeobservationalSponsorFondation Hôpital Saint-JosephRan2022 to 2023Enrolled8,000ConditionsSmall Bowel Obstruction
NCT06321614 unknown statusnot on this mapstarted 2022, after this paper: background citation

Self-supervised Learning for Classifying Bowel Obstruction on Upright Abdominal Radiography

TypeobservationalSponsorThe First Affiliated Hospital of Soochow UniversityRan2022 to 2024Enrolled4,500ConditionsDigestive System Disease, Polyp of Colon, Bowel Disease
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
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  3. Investigation of the Accuracy and Contributing Factors of AI-Based Diagnosis of Urothelial Carcinoma in Canine Abdominal Radiography.Veterinary radiology & ultrasound : the official journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association · 2026
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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

9 authors at 3 institutions in 1 country.

D H KimThe Department of Clinical Imaging, The Royal Cornwall Hospitals NHS Trust, Truro, UK.
H WitThe Medical Imaging Department, University Hospitals Plymouth NHS Trust, Plymouth, UK.
M ThurstonThe Department of Clinical Imaging, The Royal Cornwall Hospitals NHS Trust, Truro, UK.
M LongThe Department of Clinical Imaging, The Royal Cornwall Hospitals NHS Trust, Truro, UK.
G F MaskellThe Department of Clinical Imaging, The Royal Cornwall Hospitals NHS Trust, Truro, UK.
M J StrugnellThe Department of Clinical Imaging, The Royal Cornwall Hospitals NHS Trust, Truro, UK.
D ShettyThe Department of Clinical Imaging, The Royal Cornwall Hospitals NHS Trust, Truro, UK.
I M SmithThe Department of General Surgery, The Royal Cornwall Hospitals NHS Trust, Truro, UK.
N P HollingsThe Department of Clinical Imaging, The Royal Cornwall Hospitals NHS Trust, Truro, UK.
Royal Cornwall Hospital · GBRoyal Cornwall Hospital Trust · GBUniversity Hospitals Plymouth NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesSmall bowel obstruction is a common surgical emergency which can lead to bowel necrosis, perforation and death. Plain abdominal X-rays are frequently used as a first-line test but the availability of immediate expert radiological review is variable. The aim was to investigate the feasibility of using a deep learning model for automated identification of small bowel obstruction.

methodsA total of 990 plain abdominal radiographs were collected, 445 with normal findings and 445 demonstrating small bowel obstruction. The images were labelled using the radiology reports, subsequent CT scans, surgical operation notes and enhanced radiological review. The data were used to develop a predictive model comprising an ensemble of five convolutional neural networks trained using transfer learning.

resultsThe performance of the model was excellent with an area under the receiver operator curve (AUC) of 0.961, corresponding to sensitivity and specificity of 91 and 93% respectively.

conclusionDeep learning can be used to identify small bowel obstruction on plain radiographs with a high degree of accuracy. A system such as this could be used to alert clinicians to the presence of urgent findings with the potential for expedited clinical review and improved patient outcomes. ADVANCES IN KNOWLEDGE: This paper describes a novel labelling method using composite clinical follow-up and demonstrates that ensemble models can be used effectively in medical imaging tasks. It also provides evidence that deep learning methods can be used to identify small bowel obstruction with high accuracy.

Indexed as

Deep LearningIntestine, SmallRadiography, AbdominalAdultAgedFeasibility StudiesFemaleHumansIntestinal ObstructionMaleMiddle AgedSensitivity and Specificity

Identifiers

PMID33904763
PMCPMC8173678
OpenAlexW3158867145

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.