Evidence map›Paper›PMID 38186865›Full record

ArticleWorld journal of gastroenterology2023

Artificial intelligence system for the detection of Barrett's esophagus.

Ming-Chang Tsai, Hsu-Heng Yen, Hui-Yu Tsai, Yu-Kai Huang, Yu-Sin Luo, Edy Kornelius, Wen-Wei Sung, Chun-Che Lin, Ming-Hseng Tseng, Chi-Chih Wang

Open access · hybridAbstract read
In one paragraph

Article in World journal of gastroenterology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
6.7field-weighted citation impact, top 2% 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

16 citing papers in PubMed, 21 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Review
  6. Review
  7. Review
  8. Article
  9. Review
  10. Review
  11. Review
  12. Review
  13. Article
  14. Article
  15. Review
  16. 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.

Ming-Chang TsaiDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Chung Shan Medical University Hospital, Taichung 402, Taiwan.
Hsu-Heng YenDivision of Gastroenterology, Changhua Christian Hospital, Changhua 500, Taiwan.
Hui-Yu TsaiDepartment of Medical Informatics, Chung Shan Medical University, Taichung 402, Taiwan.
Yu-Kai HuangDepartment of Internal Medicine, Chung Shan Medical University Hospital, Taichung 402, Taiwan.
Yu-Sin LuoDepartment of Internal Medicine, Chung Shan Medical University Hospital, Taichung 402, Taiwan.
Edy KorneliusSchool of Medicine, Chung Shan Medical University, Taichung 402, Taiwan.
Wen-Wei SungSchool of Medicine, Chung Shan Medical University, Taichung 402, Taiwan.
Chun-Che LinDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Chung Shan Medical University Hospital, Taichung 402, Taiwan.
Ming-Hseng TsengDepartment of Medical Informatics, Chung Shan Medical University, Taichung 402, Taiwan.
Chi-Chih WangDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Chung Shan Medical University Hospital, Taichung 402, Taiwan.
Chung Shan Medical University Hospital · TWChung Shan Medical University · TWNational Chung Hsing University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBarrett's esophagus (BE), which has increased in prevalence worldwide, is a precursor for esophageal adenocarcinoma. Although there is a gap in the detection rates between endoscopic BE and histological BE in current research, we trained our artificial intelligence (AI) system with images of endoscopic BE and tested the system with images of histological BE.

aimTo assess whether an AI system can aid in the detection of BE in our setting.

methodsEndoscopic narrow-band imaging (NBI) was collected from Chung Shan Medical University Hospital and Changhua Christian Hospital, resulting in 724 cases, with 86 patients having pathological results. Three senior endoscopists, who were instructing physicians of the Digestive Endoscopy Society of Taiwan, independently annotated the images in the development set to determine whether each image was classified as an endoscopic BE. The test set consisted of 160 endoscopic images of 86 cases with histological results.

resultsSix pre-trained models were compared, and EfficientNetV2B2 (accuracy [ACC]: 0.8) was selected as the backbone architecture for further evaluation due to better ACC results. In the final test, the AI system correctly identified 66 of 70 cases of BE and 85 of 90 cases without BE, resulting in an ACC of 94.37%.

conclusionOur AI system, which was trained by NBI of endoscopic BE, can adequately predict endoscopic images of histological BE. The ACC, sensitivity, and specificity are 94.37%, 94.29%, and 94.44%, respectively.

Indexed as

AdenocarcinomaBarrett EsophagusEsophageal NeoplasmsArtificial IntelligenceHospitals, UniversityHumansArtificial intelligence systemBarrett’s esophagusEndoscopyGastroesophageal reflux diseaseNarrow-band imaging

Identifiers

PMID38186865
PMCPMC10768395
OpenAlexW4390246587

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.