Evidence map›Paper›PMID 34580155›Full record

ArticleBMJ open gastroenterology2021

Deep learning and capsule endoscopy: automatic identification and differentiation of small bowel lesions with distinct haemorrhagic potential using a convolutional neural network.

Miguel José Mascarenhas Saraiva, João Afonso, Tiago Ribeiro, João Ferreira, Helder Cardoso, Ana Patricia Andrade, Marco Parente, Renato Natal, Miguel Mascarenhas Saraiva, Guilherme Macedo

Open access · goldAbstract read
In one paragraph

Article in BMJ open gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 3% 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.

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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

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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

10 authors at 2 institutions in 1 country.

Miguel José Mascarenhas SaraivaDepartment of Gastroenterology, Hospital São João, Porto, Portugal miguelmascarenhassaraiva@gmail.com.ORCID 0000-0002-0340-0830
João AfonsoDepartment of Gastroenterology, Hospital São João, Porto, Portugal.ORCID 0000-0003-2088-2525
Tiago RibeiroDepartment of Gastroenterology, Hospital São João, Porto, Portugal.
João FerreiraDepartment of Mechanical Engineering, Faculty of Engineering of the University of Porto, Porto, Portugal.
Helder CardosoDepartment of Gastroenterology, Hospital São João, Porto, Portugal.
Ana Patricia AndradeDepartment of Gastroenterology, Hospital São João, Porto, Portugal.
Marco ParenteDepartment of Mechanical Engineering, Faculty of Engineering of the University of Porto, Porto, Portugal.
Renato NatalDepartment of Mechanical Engineering, Faculty of Engineering of the University of Porto, Porto, Portugal.
Miguel Mascarenhas SaraivaEndoscopy and Digestive Motility Laboratory, ManopH, Porto, Portugal.
Guilherme MacedoDepartment of Gastroenterology, Hospital São João, Porto, Portugal.
Universidade do Porto · PTHospital de São João · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCapsule endoscopy (CE) is pivotal for evaluation of small bowel disease. Obscure gastrointestinal bleeding most often originates from the small bowel. CE frequently identifies a wide range of lesions with different bleeding potentials in these patients. However, reading CE examinations is a time-consuming task. Convolutional neural networks (CNNs) are highly efficient artificial intelligence tools for image analysis. This study aims to develop a CNN-based model for identification and differentiation of multiple small bowel lesions with distinct haemorrhagic potential using CE images.

designWe developed, trained, and validated a denary CNN based on CE images. Each frame was labelled according to the type of lesion (lymphangiectasia, xanthomas, ulcers, erosions, vascular lesions, protruding lesions, and blood). The haemorrhagic potential was assessed by Saurin's classification. The entire dataset was divided into training and validation sets. The performance of the CNN was measured by the area under the receiving operating characteristic curve, sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV).

resultsA total of 53 555 CE images were included. The model had an overall accuracy of 99%, a sensitivity of 88%, a specificity of 99%, a PPV of 87%, and an NPV of 99% for detection of multiple small bowel abnormalities and respective classification of bleeding potential.

conclusionWe developed and tested a CNN-based model for automatic detection of multiple types of small bowel lesions and classification of the respective bleeding potential. This system may improve the diagnostic yield of CE for these lesions and overall CE efficiency.

Indexed as

Capsule EndoscopyDeep LearningArtificial IntelligenceHumansIntestine, SmallNeural Networks, Computerendoscopygastrointestinal bleedinginflammatory bowel disease

Identifiers

PMID34580155
PMCPMC8477239
OpenAlexW3204834285

What OpenQuestion holds

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LicenceCC BY-NC
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.