Evidence map›Paper›PMID 37865629›Full record

ArticleNature communications2023

Intelligent surgical workflow recognition for endoscopic submucosal dissection with real-time animal study.

Jianfeng Cao, Hon-Chi Yip, Yueyao Chen, Markus Scheppach, Xiaobei Luo, Hongzheng Yang, Ming Kit Cheng, Yonghao Long, Yueming Jin, Philip Wai-Yan Chiu and 3 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07392268 (Clinical Utility and Validation of Novel AI-ENDO System in Endoscopic Submucosal Dissection), which is not on this map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
11.4field-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.

NCT07392268 narecruitingnot on this mapstarted 2025, after this paper: background citation

Clinical Utility and Validation of Novel AI-ENDO System in Endoscopic Submucosal Dissection

TypeinterventionalSponsorChinese University of Hong KongRan2025 to 2027Enrolled60ConditionsSuperficial Esophageal, Gastric or Colorectal LesionsArmsAI-ENDO system, Conventional ESD
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
  2. Review
  3. DSTED: decoupling temporal stabilization and discriminative enhancement for surgical workflow recognition.International journal of computer assisted radiology and surgery · 2026
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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

13 authors at 4 institutions in 4 countries.

Jianfeng CaoDepartment of Computer Science and Engineering, The Chinese University of Hong Kong, Hong Kong, China.ORCID 0000-0002-7323-8875
Hon-Chi YipDepartment of Surgery, The Chinese University of Hong Kong, Hong Kong, China. hcyip@surgery.cuhk.edu.hk.
Yueyao ChenDepartment of Computer Science and Engineering, The Chinese University of Hong Kong, Hong Kong, China.ORCID 0009-0008-3084-4032
Markus ScheppachInternal Medicine III-Gastroenterology, University Hospital of Augsburg, Augsburg, Germany.
Xiaobei LuoGuangdong Provincial Key Laboratory of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Hongzheng YangDepartment of Computer Science and Engineering, The Chinese University of Hong Kong, Hong Kong, China.
Ming Kit ChengDepartment of Mechanical and Automation Engineering, The Chinese University of Hong Kong, Hong Kong, China.
Yonghao LongDepartment of Computer Science and Engineering, The Chinese University of Hong Kong, Hong Kong, China.ORCID 0000-0003-4474-7854
Yueming JinDepartment of Biomedical Engineering, National University of Singapore, Singapore, Singapore.
Philip Wai-Yan ChiuMulti-scale Medical Robotics Center and The Chinese University of Hong Kong, Hong Kong, China. philipchiu@surgery.cuhk.edu.hk.ORCID 0000-0001-9292-112X
Yeung YamDepartment of Mechanical and Automation Engineering, The Chinese University of Hong Kong, Hong Kong, China. yyam@mae.cuhk.edu.hk.ORCID 0000-0001-9950-5794
Helen Mei-Ling MengCentre for Perceptual and Interactive Intelligence and The Chinese University of Hong Kong, Hong Kong, China. hmmeng@se.cuhk.edu.hk.ORCID 0000-0002-4427-3532
Qi DouDepartment of Computer Science and Engineering, The Chinese University of Hong Kong, Hong Kong, China. qidou@cuhk.edu.hk.
Chinese University of Hong Kong · HKNanfang Hospital · CNNational University of Singapore · SGUniversity Hospital Augsburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recent advancements in artificial intelligence have witnessed human-level performance; however, AI-enabled cognitive assistance for therapeutic procedures has not been fully explored nor pre-clinically validated. Here we propose AI-Endo, an intelligent surgical workflow recognition suit, for endoscopic submucosal dissection (ESD). Our AI-Endo is trained on high-quality ESD cases from an expert endoscopist, covering a decade time expansion and consisting of 201,026 labeled frames. The learned model demonstrates outstanding performance on validation data, including cases from relatively junior endoscopists with various skill levels, procedures conducted with different endoscopy systems and therapeutic skills, and cohorts from international multi-centers. Furthermore, we integrate our AI-Endo with the Olympus endoscopic system and validate the AI-enabled cognitive assistance system with animal studies in live ESD training sessions. Dedicated data analysis from surgical phase recognition results is summarized in an automatically generated report for skill assessment.

Indexed as

EndometriosisEndoscopic Mucosal ResectionAnimalsArtificial IntelligenceEndoscopyFemaleHumansLearningWorkflow

Identifiers

PMID37865629
PMCPMC10590425
OpenAlexW4387845481

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.