Evidence map›Paper›PMID 34811809›Full record

ArticleJournal of clinical laboratory analysis2022

Combination of artificial intelligence-based endoscopy and miR148a methylation for gastric indefinite dysplasia diagnosis.

Yoshiyuki Watanabe, Ritsuko Oikawa, Shuhei Agawa, Yasumasa Matsuo, Ichiro Oda, Seiji Futagami, Hiroyuki Yamamoto, Tomohiro Tada, Fumio Itoh

Abstract read
In one paragraph

Article in Journal of clinical laboratory analysis, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Advances inOncology letters · 2026
    Review
  2. World Endoscopy Organization Position Statements for Artificial Intelligence in Endoscopic Diagnosis of Gastric Epithelial Neoplasia.Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society · 2026
    Review
  3. Review
  4. Novel biomarkers for early detection of gastric cancer.World journal of gastroenterology · 2023
    Review
  5. Article
  6. 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

9 authors.

Yoshiyuki WatanabeDivision of Gastroenterology and Hepatology, Department of Internal Medicine, St. Marianna University School of Medicine, Kanagawa, Japan.ORCID https://orcid.org/0000-0001-9037-3596
Ritsuko OikawaDivision of Gastroenterology and Hepatology, Department of Internal Medicine, St. Marianna University School of Medicine, Kanagawa, Japan.ORCID https://orcid.org/0000-0003-0444-0081
Shuhei AgawaDivision of Gastroenterology, Department of Internal Medicine, Nippon Medical School, Tokyo, Japan.
Yasumasa MatsuoDivision of Gastroenterology and Hepatology, Department of Internal Medicine, St. Marianna University School of Medicine, Kanagawa, Japan.
Ichiro OdaDepartment of Internal Medicine, Kawasaki Rinko General Hospital, Kanagawa, Japan.
Seiji FutagamiDivision of Gastroenterology, Department of Internal Medicine, Nippon Medical School, Tokyo, Japan.
Hiroyuki YamamotoDepartment of Bioinformatics, St. Marianna University Graduate School of Medicine, Kanagawa, Japan.
Tomohiro TadaTada Tomohiro Institute of Gastroenterology and Proctology, Saitama, Japan.
Fumio ItohDivision of Gastroenterology and Hepatology, Department of Internal Medicine, St. Marianna University School of Medicine, Kanagawa, Japan.

Funding

Grants-in-Aid for Scientific Research from the Ministry of Education, Culture, Sports, Science and Technology of Japan #18K15764Grants-in-Aid for Scientific Research from the Ministry of Education, Culture, Sports, Science and Technology of Japan #19H03521Grants-in-Aid for Scientific Research from the Ministry of Education, Culture, Sports, Science and Technology of Japan #19H03568Grants-in-Aid for Scientific Research from the Ministry of Education, Culture, Sports, Science and Technology of Japan #21K07901Grants-in-Aid for Scientific Research from the New Energy and Industrial Technology Development Organization #19194859
6 · The paper itself

Abstract

BACKGROUND AND

aimGastrointestinal endoscopy and biopsy-based pathological findings are needed to diagnose early gastric cancer. However, the information of biopsy specimen is limited because of the topical procedure; therefore, pathology doctors sometimes diagnose as gastric indefinite for dysplasia (GIN).

methodsWe compared the accuracy of physician-performed endoscopy (trainee, n = 3; specialists, n = 3), artificial intelligence (AI)-based endoscopy, and/or molecular markers (DNA methylation: BARHL2, MINT31, TET1, miR-148a, miR-124a-3, NKX6-1; mutations: TP53; and microsatellite instability) in diagnosing GIN lesions. We enrolled 24,388 patients who underwent endoscopy, and 71 patients were diagnosed with GIN lesions. Thirty-two cases of endoscopic submucosal dissection (ESD) in 71 GIN lesions and 32 endoscopically resected tissues were assessed by endoscopists, AI, and molecular markers to identify benign or malignant lesions.

resultsThe board-certified endoscopic physicians group showed the highest accuracy in the receiver operative characteristic curve (area under the curve [AUC]: 0.931), followed by a combination of AI and miR148a DNA methylation (AUC: 0.825), and finally trainee endoscopists (AUC: 0.588).

conclusionAI with miR148s DNA methylation-based diagnosis is a potential modality for diagnosing GIN.

Indexed as

Artificial IntelligenceEndoscopy, GastrointestinalStomach NeoplasmsAgedAged, 80 and overBiomarkers, TumorDiagnosis, Computer-AssistedDNA MethylationEarly Detection of CancerEndoscopic Mucosal ResectionFemaleHumansMaleMicroRNAsMiddle AgedStomachBiomarkers, TumorMicroRNAsMIRN148 microRNA, humanartificial intelligenceDNA methylationendoscopygastric cancergastric indefinite dysplasiamolecular markers

Identifiers

PMID34811809
PMCPMC8761468

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.