Evidence map›Paper›PMID 39284932›Full record

ArticleInflammatory bowel diseases2025

Deployment of an Artificial Intelligence Histology Tool to Aid Qualitative Assessment of Histopathology Using the Nancy Histopathology Index in Ulcerative Colitis.

David T Rubin, Olga Kubassova, Christopher R Weber, Shashi Adsul, Marcelo Freire, Luc Biedermann, Viktor H Koelzer, Brian Bressler, Wei Xiong, Jan H Niess and 11 more

Abstract readMulticenter Study
In one paragraph

Article in Inflammatory bowel diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  5. Artificial intelligence in the management of inflammatory bowel disease: What's next?World journal of gastrointestinal pharmacology and therapeutics · 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

21 authors.

David T RubinDepartment of Pathology, University of Chicago, Chicago, IL, USA.ORCID 0000-0001-5647-1723
Olga KubassovaImage Analysis Group, London, UK.
Christopher R WeberInflammatory Bowel Disease Center, University of Chicago Medicine, Chicago, IL, USA.
Shashi AdsulTakeda, Cambridge, MA, USA.
Marcelo FreireTakeda, Cambridge, MA, USA.
Luc BiedermannUniversity Hospital of Zurich, University of Zurich, Zurich, Switzerland.
Viktor H KoelzerDepartment of Pathology and Molecular Pathology, University Hospital and University of Zurich, Zurich, Switzerland.
Brian BresslerFaculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Wei XiongFaculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Jan H NiessDepartment of Biomedicine and University Digestive Healthcare Center, University of Basel, Clarunis, Basel, Switzerland.
Matthias S MatterInstitute of Medical Genetics and Pathology, University Hospital Basel, Basel, Switzerland.
Uri KopylovChaim Sheba Medical Center Ramat Gan Israel, Ramat Gan, Israel.ORCID 0000-0002-7156-0588
Iris BarshackChaim Sheba Medical Center Ramat Gan Israel, Ramat Gan, Israel.
Chen MayerChaim Sheba Medical Center Ramat Gan Israel, Ramat Gan, Israel.
Fernando MagroCenter for Health Technology and Services Research (CINTESIS@RISE), Faculty of Medicine, University of Porto, Porto, Portugal.
Fatima CarneiroFaculty of Medicine, University of Porto and ULS São João, Porto, Portugal.
Nitsan MaharshakTel Aviv Sourasky Medical Center affiliated with the Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.ORCID 0000-0002-9324-0024
Ariel GreenbergTel Aviv Sourasky Medical Center affiliated with the Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Simon HartImage Analysis Group, London, UK.
Jamshid DehmeshkiImage Analysis Group, London, UK.
Laurent Peyrin-BirouletDepartment of Gastroenterology, INFINY Institute, INSERM NGERE, CHRU Nancy, F-54500 Vandoeuvre-lès-Nancy, France.

Funding

Takeda Foundation
6 · The paper itself

Abstract

backgroundUlcerative colitis (UC) is a chronic inflammatory bowel disease characterized by increased stool frequency, rectal bleeding, and urgency. To streamline the quantitative assessment of histopathology using the Nancy Index in UC patients, we developed a novel artificial intelligence (AI) tool based on deep learning and tested it in a proof-of-concept trial. In this study, we report the performance of a modified version of the AI tool.

methodsNine sites from 6 countries were included. Patients were aged ≥18 years and had UC. Slides were prepared with hematoxylin and eosin staining. A total of 791 images were divided into 2 groups: 630 for training the tool and 161 for testing vs expert histopathologist assessment. The refined AI histology tool utilized a 4-neural network structure to characterize images into a series of cell and tissue type combinations and locations, and then 1 classifier module assigned a Nancy Index score.

resultsIn comparison with the proof-of-concept tool, each feature demonstrated an improvement in accuracy. Confusion matrix analysis demonstrated an 80% correlation between predicted and true labels for Nancy scores of 0 or 4; a 96% correlation for a true score of 0 being predicted as 0 or 1; and a 100% correlation for a true score of 2 being predicted as 2 or 3. The Nancy metric (which evaluated Nancy Index prediction) was 74.9% compared with 72.3% for the proof-of-concept model.

conclusionsWe have developed a modified AI histology tool in UC that correlates highly with histopathologists' assessments and suggests promising potential for its clinical application.

Indexed as

Artificial IntelligenceColitis, UlcerativeDeep LearningAdultFemaleHumansMaleMiddle AgedNeural Networks, ComputerProof of Concept StudySeverity of Illness IndexYoung Adultartificial intelligencehistopathologyulcerative colitis

Identifiers

PMID39284932
PMCPMC12166296

What OpenQuestion holds

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Registered trials

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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.