Evidence map›Paper›PMID 37814351›Full record

ArticleJournal of Crohn's & colitis2024

Deep Learning Models Capture Histological Disease Activity in Crohn's Disease and Ulcerative Colitis with High Fidelity.

Dawid Rymarczyk, Weiwei Schultz, Adriana Borowa, Joshua R Friedman, Tomasz Danel, Patrick Branigan, Michał Chałupczak, Anna Bracha, Tomasz Krawiec, Michał Warchoł and 5 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of Crohn's & colitis, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
12.5field-weighted citation impact, top 1% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
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  6. Artificial intelligence in the management of inflammatory bowel disease: What's next?World journal of gastrointestinal pharmacology and therapeutics · 2026
    Review
  7. Article
  8. Review
  9. Review
  10. Review
  11. Review
  12. Review
  13. Artificial intelligence in inflammatory bowel disease.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2025
    Review
  14. Review
  15. Gasdermin D: A New Inflammatory Biomarker in Assessing Clinical Disease Activity in Crohn's Disease.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2025
    Article
  16. Article
  17. Article
  18. Article
  19. How Artificial Intelligence Will Transform Clinical Care, Research, and Trials for Inflammatory Bowel Disease.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2025
    Review
  20. Review
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

15 authors at 3 institutions in 3 countries.

Dawid RymarczykAI Lab, Ardigen SA, Kraków, Poland.ORCID 0000-0002-8543-5200
Weiwei SchultzData Science & Digital Health, Janssen Research & Development, LLC, Spring House, Pennsylvania.
Adriana BorowaAI Lab, Ardigen SA, Kraków, Poland.
Joshua R FriedmanData Science & Digital Health, Janssen Research & Development, LLC, Spring House, Pennsylvania.
Tomasz DanelAI Lab, Ardigen SA, Kraków, Poland.
Patrick BraniganImmunology TA, Janssen Research & Development, LLC, Spring House, Pennsylvania.
Michał ChałupczakAI Lab, Ardigen SA, Kraków, Poland.
Anna BrachaAI Lab, Ardigen SA, Kraków, Poland.
Tomasz KrawiecAI Lab, Ardigen SA, Kraków, Poland.
Michał WarchołAI Lab, Ardigen SA, Kraków, Poland.
Katherine LiImmunology TA, Janssen Research & Development, LLC, Spring House, Pennsylvania.
Gert De HertoghDepartment of Pathology, University Hospitals KU Leuven, Belgium.
Bartosz ZielińskiAI Lab, Ardigen SA, Kraków, Poland.
Louis R GhanemImmunology TA, Janssen Research & Development, LLC, Spring House, Pennsylvania.
Aleksandar StojmirovicData Science & Digital Health, Janssen Research & Development, LLC, Spring House, Pennsylvania.ORCID 0000-0003-0957-6893
Janssen (United States) · USJagiellonian University · PLKU Leuven · BE

Funding

Janssen Research & Development
6 · The paper itself

Abstract

BACKGROUND AND

aimsHistological disease activity in inflammatory bowel disease [IBD] is associated with clinical outcomes and is an important endpoint in drug development. We developed deep learning models for automating histological assessments in IBD.

methodsHistology images of intestinal mucosa from phase 2 and phase 3 clinical trials in Crohn's disease [CD] and ulcerative colitis [UC] were used to train artificial intelligence [AI] models to predict the Global Histology Activity Score [GHAS] for CD and Geboes histopathology score for UC. Three AI methods were compared. AI models were evaluated on held-back testing sets, and model predictions were compared against an expert central reader and five independent pathologists.

resultsThe model based on multiple instance learning and the attention mechanism [SA-AbMILP] demonstrated the best performance among competing models. AI-modelled GHAS and Geboes subgrades matched central readings with moderate to substantial agreement, with accuracies ranging from 65% to 89%. Furthermore, the model was able to distinguish the presence and absence of pathology across four selected histological features, with accuracies for colon in both CD and UC ranging from 87% to 94% and for CD ileum ranging from 76% to 83%. For both CD and UC and across anatomical compartments [ileum and colon] in CD, comparable accuracies against central readings were found between the model-assigned scores and scores by an independent set of pathologists.

conclusionsDeep learning models based upon GHAS and Geboes scoring systems were effective at distinguishing between the presence and absence of IBD microscopic disease activity.

Indexed as

Colitis, UlcerativeCrohn DiseaseDeep LearningIntestinal MucosaColonHumansSeverity of Illness IndexArtificial intelligencehistologyinflammatory bowel disease

Identifiers

PMID37814351
PMCPMC11037111
OpenAlexW4387472858

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.