Evidence map›Paper›PMID 34505063›Full record

ArticleIEEE open journal of engineering in medicine and biology2021

Machine Learning Approach for Biopsy-Based Identification of Eosinophilic Esophagitis Reveals Importance of Global features.

Tomer Czyzewski, Nati Daniel, Mark Rochman, Julie M Caldwell, Garrett A Osswald, Margaret H Collins, Marc E Rothenberg, Yonatan Savir

Open access · greenAbstract read
In one paragraph

Article in IEEE open journal of engineering in medicine and biology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Cross-organ Deployment of EOS Detection AI without Retraining: Feasibility and Limitation.Proceedings of SPIE--the International Society for Optical Engineering · 2025
    Article
  3. Review
  4. Article
  5. Cross-Scale Guidance Integration Transformer for Instance Segmentation in Pathology Images.IEEE open journal of engineering in medicine and biology · 2025
    Article
  6. Review
  7. Article
  8. Eosinophils Instance Object Segmentation on Whole Slide Imaging Using Multi-label Circle Representation.Proceedings of SPIE--the International Society for Optical Engineering · 2024
    Article
  9. A Deep Multi-Label Segmentation Network For Eosinophilic Esophagitis Whole Slide Biopsy Diagnostics.Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference · 2022
    Article
  10. Article
  11. Article
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 at 2 institutions in 2 countries.

Tomer Czyzewski *Department of Physiology, Biophysics, and System Biology, Faculty of Medicine, Technion Israel Institute of Technology, Haifa 35254, Israel.
Nati Daniel *Department of Physiology, Biophysics, and System Biology, Faculty of Medicine, Technion Israel Institute of Technology, Haifa 35254, Israel.ORCID 0000-0002-0939-3379
Mark RochmanDivision of Allergy, and Immunology, Cincinnati Children's Hospital Medical Center, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH 45229 USA.
Julie M CaldwellDivision of Allergy, and Immunology, Cincinnati Children's Hospital Medical Center, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH 45229 USA.
Garrett A OsswaldDivision of Allergy, and Immunology, Cincinnati Children's Hospital Medical Center, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH 45229 USA.
Margaret H CollinsDivision of Pathology, Cincinnati Children's Hospital Medical Center, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH 45229 USA.
Marc E RothenbergDivision of Allergy, and Immunology, Cincinnati Children's Hospital Medical Center, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH 45229 USA.
Yonatan SavirDepartment of Physiology, Biophysics, and System Biology, Faculty of Medicine, Technion Israel Institute of Technology, Haifa 35254, Israel.ORCID 0000-0002-5345-8491
Cincinnati Children's Hospital Medical Center · USTechnion – Israel Institute of Technology · IL

Funding

Stem Cell/Organoid and Genome Editing CoreP30DK078392 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI Alexander Miethke · 2007 to 2026
$24.4M
REGULATION OF GASTROINTESTINAL EOSINOPHILSR01AI045898 · NIAID · CINCINNATI CHILDRENS HOSP MED CTR · PI ROTHENBERG, MARC E. · 1999 to 2024
$4.5M
NIAID NIH HHS R01 AI045898NIDDK NIH HHS P30 DK078392
6 · The paper itself

Abstract

goalEosinophilic esophagitis (EoE) is an allergic inflammatory condition characterized by eosinophil accumulation in the esophageal mucosa. EoE diagnosis includes a manual assessment of eosinophil levels in mucosal biopsies-a time-consuming, laborious task that is difficult to standardize. One of the main challenges in automating this process, like many other biopsy-based diagnostics, is detecting features that are small relative to the size of the biopsy.

resultsIn this work, we utilized hematoxylin- and eosin-stained slides from esophageal biopsies from patients with active EoE and control subjects to develop a platform based on a deep convolutional neural network (DCNN) that can classify esophageal biopsies with an accuracy of 85%, sensitivity of 82.5%, and specificity of 87%. Moreover, by combining several downscaling and cropping strategies, we show that some of the features contributing to the correct classification are global rather than specific, local features.

conclusionsWe report the ability of artificial intelligence to identify EoE using computer vision analysis of esophageal biopsy slides. Further, the DCNN features associated with EoE are based on not only local eosinophils but also global histologic changes. Our approach can be used for other conditions that rely on biopsy-based histologic diagnostics.

Indexed as

Decision support systemdeep convolutional networkdigital pathologyeosinophilic esophagitissmall features detection.

Identifiers

PMID34505063
PMCPMC8425173
OpenAlexW3118526643

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.