Evidence map›Paper›PMID 38400815›Full record

ArticleUnited European gastroenterology journal2024

Computer-aided diagnosis in real-time endoscopy for all stages of gastric carcinogenesis: Development and validation study.

Eun Jeong Gong, Chang Seok Bang, Jae Jun Lee

Open access · hybridAbstract readValidation Study
In one paragraph

Article in United European gastroenterology journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 8% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Artificial Intelligence for Endoscopic Diagnosis of Gastric Premalignant Lesions.The Korean journal of helicobacter and upper gastrointestinal research · 2026
    Review
  3. Prevention of Gastric Cancer.Medicina (Kaunas, Lithuania) · 2026
    Review
  4. Review
  5. Article
  6. Role of artificial intelligence in gastric diseases.World journal of gastroenterology · 2025
    Review
  7. Article
  8. Article
  9. Advancements and challenges in gastrointestinal imaging.World journal of clinical cases · 2024
    Article
  10. 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

3 authors at 1 institution in 1 country.

Eun Jeong GongDepartment of Internal Medicine, Hallym University College of Medicine, Chuncheon, Korea.ORCID 0000-0003-3996-3472
Chang Seok BangDepartment of Internal Medicine, Hallym University College of Medicine, Chuncheon, Korea.ORCID 0000-0003-4908-5431
Jae Jun LeeInstitute of New Frontier Research, Hallym University College of Medicine, Chuncheon, Korea.
Hallym University · KR

Funding

Kangwon Branch of Korean Society of Gastrointestinal Endoscopy KSGE_KW_08Korean Research Corporation for Helicobacter and Microbiome Grant KRAHM-202102003
6 · The paper itself

Abstract

objectiveUsing endoscopic images, we have previously developed computer-aided diagnosis models to predict the histopathology of gastric neoplasms. However, no model that categorizes every stage of gastric carcinogenesis has been published. In this study, a deep-learning-based diagnosis model was developed and validated to automatically classify all stages of gastric carcinogenesis, including atrophy and intestinal metaplasia, in endoscopy images.

designA total of 18,701 endoscopic images were collected retrospectively and randomly divided into train, validation, and internal-test datasets in an 8:1:1 ratio. The primary outcome was lesion-classification accuracy in six categories: normal/atrophy/intestinal metaplasia/dysplasia/early /advanced gastric cancer. External-validation of performance in the established model used 1427 novel images from other institutions that were not used in training, validation, or internal-tests.

resultsThe internal-test lesion-classification accuracy was 91.2% (95% confidence interval: 89.9%-92.5%). For performance validation, the established model achieved an accuracy of 82.3% (80.3%-84.3%). The external-test per-class receiver operating characteristic in the diagnosis of atrophy and intestinal metaplasia was 93.4 ± 0% and 91.3 ± 0%, respectively.

conclusionsThe established model demonstrated high performance in the diagnosis of preneoplastic lesions (atrophy and intestinal metaplasia) as well as gastric neoplasms.

Indexed as

Diagnosis, Computer-AssistedGastroscopyMetaplasiaStomach NeoplasmsAgedAtrophyCarcinogenesisDeep LearningFemaleGastric MucosaHumansMaleMiddle AgedNeoplasm StagingPrecancerous ConditionsReproducibility of Resultsatrophydeep learningendoscopygastric cancergastric neoplasmsintestinal metaplasia

Identifiers

PMID38400815
PMCPMC11091781
OpenAlexW4392130893

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.