Evidence map›Paper›PMID 36136897›Full record

ArticlePathologica2022

Use of digital pathology and artificial intelligence for the diagnosis of Helicobacter pylori in gastric biopsies.

Daniel S Liscia, Mariangela D'Andrea, Elena Biletta, Donata Bellis, Kejsi Demo, Franco Ferrero, Alberto Petti, Roberto Butinar, Enzo D'Andrea, Giuditta Davini

Open access · diamondAbstract read
In one paragraph

Article in Pathologica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.9field-weighted citation impact, top 7% 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

7 citing papers in PubMed, 29 citations in OpenAlex.

  1. Detection ofJournal of imaging · 2025
    Article
  2. Polarised light scanner for digital pathology.Virchows Archiv : an international journal of pathology · 2025
    Article
  3. Article
  4. Rapid and Efficient Screening ofDiagnostics (Basel, Switzerland) · 2025
    Article
  5. Article
  6. Article
  7. Personalized statistical medicine.The Indian journal of medical research · 2023
    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

10 authors at 3 institutions in 1 country.

Daniel S LisciaUnit of Pathology, Department of Surgery ASL BI, Nuovo Ospedale degli Infermi, Ponderano (BI) Italy.
Mariangela D'AndreaUnit of Pathology, Department of Surgery ASL BI, Nuovo Ospedale degli Infermi, Ponderano (BI) Italy.
Elena BilettaUnit of Pathology, Department of Surgery ASL BI, Nuovo Ospedale degli Infermi, Ponderano (BI) Italy.
Donata BellisUnit of Pathology, Department of Surgery ASL BI, Nuovo Ospedale degli Infermi, Ponderano (BI) Italy.
Kejsi DemoUnit of Pathology, Department of Surgery ASL BI, Nuovo Ospedale degli Infermi, Ponderano (BI) Italy.
Franco FerreroUnit of Gastroenterology, Department of Surgery ASL BI, Nuovo Ospedale degli Infermi, Ponderano (BI) Italy.
Alberto PettiUnit of Clinical Engineering ASL BI, Nuovo Ospedale degli Infermi, Ponderano (BI) Italy.
Roberto ButinarEngineering 365 Srl, Lancenigo di Villorba (TV) Italy.
Enzo D'AndreaEngineering 365 Srl, Lancenigo di Villorba (TV) Italy.
Giuditta DaviniEngineering 365 Srl, Lancenigo di Villorba (TV) Italy.
Ospedale degli Infermi · ITIngegneria dei Sistemi (Italy) · ITEngineering (Italy) · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: A common source of concern about digital pathology (DP) is that limited resolution could be a reason for an increased risk of malpractice. A frequent question being raised about this technology is whether it can be used to reliably detect Methods: The method we propose is based on the Warthin-Starry (W-S) silver stain which allows faster detection of HP in virtual slides. A software tool, based on regular expressions, performed a specific search to select 679 biopsies on which a W-S stain was done. From this dataset 185 virtual slides were selected to be assessed by WSI and compared with microscopy slide readings. To determine whether HP infections could be accurately diagnosed with machine learning. AI was used as a service (AIaaS) on a neural network-based web platform trained with 468 images. A test dataset of 210 images was used to assess the classifier performance. Results: In 185 gastric biopsies read with DP we recorded only 4 false positives and 4 false negatives with an overall agreement of 95.6%. Compared with microscopy, defined as the "gold standard" for the diagnosis of HP infections, WSI had a sensitivity and specificity of 0.95 and 0.96, respectively. The ROC curve of our AI classifier generated on a testing dataset of 210 images had an AUC of 0.938. Conclusions: This study demonstrates that DP and AI can be used to reliably identify HP at 20X resolution.

Indexed as

Helicobacter InfectionsHelicobacter pyloriArtificial IntelligenceBiopsyHumansStomachartificial intelligencedigital pathologyhelicobacter pylori

Identifiers

PMID36136897
PMCPMC9624136
OpenAlexW4296692854

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.