Evidence map›Paper›PMID 35098562›Full record

SynthesisAlimentary pharmacology & therapeutics2022

Systematic review with meta-analysis: artificial intelligence in the diagnosis of oesophageal diseases.

Pierfrancesco Visaggi, Brigida Barberio, Dario Gregori, Danila Azzolina, Matteo Martinato, Cesare Hassan, Prateek Sharma, Edoardo Savarino, Nicola de Bortoli

Erratum issuedAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Alimentary pharmacology & therapeutics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 35 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 8 pooled it
–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

35 citing papers in PubMed, 8 syntheses or guidelines pooled it.

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  6. The role of artificial intelligence in the endoscopic diagnosis of esophageal cancer: a systematic review and meta-analysis.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2023
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  9. Advances in the Diagnosis of Barrett's Esophagus.Diagnostics (Basel, Switzerland) · 2026
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Pierfrancesco VisaggiGastroenterology Unit, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.ORCID 0000-0002-6985-5301
Brigida BarberioDivision of Gastroenterology, Department of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.ORCID 0000-0002-3164-8243
Dario GregoriUnit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, Padova, Italy.
Danila AzzolinaUnit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, Padova, Italy.
Matteo MartinatoUnit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, Padova, Italy.
Cesare HassanDigestive Endoscopy Unit, Nuovo Regina Margherita Hospital, Rome, Italy.
Prateek SharmaUniversity of Kansas School of Medicine and VA Medical Center, Kansas City, Missouri, USA.ORCID 0000-0001-5646-8727
Edoardo SavarinoDivision of Gastroenterology, Department of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.ORCID 0000-0002-3187-2894
Nicola de BortoliGastroenterology Unit, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.ORCID 0000-0003-1995-1060

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundArtificial intelligence (AI) has recently been applied to endoscopy and questionnaires for the evaluation of oesophageal diseases (ODs).

aimWe performed a systematic review with meta-analysis to evaluate the performance of AI in the diagnosis of malignant and benign OD.

methodsWe searched MEDLINE, EMBASE, EMBASE Classic and the Cochrane Library. A bivariate random-effect model was used to calculate pooled diagnostic efficacy of AI models and endoscopists. The reference tests were histology for neoplasms and the clinical and instrumental diagnosis for gastro-oesophageal reflux disease (GERD). The pooled area under the summary receiver operating characteristic (AUROC), sensitivity, specificity, positive and negative likelihood ratio (PLR and NLR) and diagnostic odds ratio (DOR) were estimated.

resultsFor the diagnosis of Barrett's neoplasia, AI had AUROC of 0.90, sensitivity 0.89, specificity 0.86, PLR 6.50, NLR 0.13 and DOR 50.53. AI models' performance was comparable with that of endoscopists (P = 0.35). For the diagnosis of oesophageal squamous cell carcinoma, the AUROC, sensitivity, specificity, PLR, NLR and DOR were 0.97, 0.95, 0.92, 12.65, 0.05 and DOR 258.36, respectively. In this task, AI performed better than endoscopists although without statistically significant differences. In the detection of abnormal intrapapillary capillary loops, the performance of AI was: AUROC 0.98, sensitivity 0.94, specificity 0.94, PLR 14.75, NLR 0.07 and DOR 225.83. For the diagnosis of GERD based on questionnaires, the AUROC, sensitivity, specificity, PLR, NLR and DOR were 0.99, 0.97, 0.97, 38.26, 0.03 and 1159.6, respectively.

conclusionsAI demonstrated high performance in the clinical and endoscopic diagnosis of OD.

Indexed as

Artificial IntelligenceGastroesophageal RefluxEndoscopyHumansOdds RatioROC Curveartificial intelligenceBarrett’s oesophagusgastroesophageal reflux diseasegastrointestinal endoscopyIPCLoesophageal cancer

Identifiers

PMID35098562
PMCPMC9305819

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.