Evidence map›Paper›PMID 40082585›Full record

ArticleNPJ digital medicine2025

Effect of computer aided detection system on esophageal neoplasm diagnosis in varied levels of endoscopists.

Bing Li, Yan-Yun Du, Wei-Min Tan, Dong-Li He, Zhi-Peng Qi, Hon-Ho Yu, Qiang Shi, Zhong Ren, Ming-Yan Cai, Bo Yan and 2 more

Abstract read
In one paragraph

Article in NPJ digital medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Esophageal cancer: from pathogenesis to precision therapies.Signal transduction and targeted therapy · 2026
    Review
  5. 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

12 authors.

Bing Li *Endoscopy Center, Zhongshan Hospital of Fudan University, Shanghai, China.
Yan-Yun Du *Endoscopy Center, Zhongshan Hospital of Fudan University, Shanghai, China.
Wei-Min Tan *School of Computer Science, Shanghai Key Laboratory of Intelligent Information Processing, Fudan University, Shanghai, China.
Dong-Li He *Endoscopy Center, Xuhui Hospital, Zhongshan Hospital of Fudan University, Shanghai, China.
Zhi-Peng Qi *Endoscopy Center, Zhongshan Hospital of Fudan University, Shanghai, China.
Hon-Ho YuDepartment of Gastroenterology, Kiang Wu Hospital, Macau SAR, China.
Qiang ShiEndoscopy Center, Zhongshan Hospital of Fudan University, Shanghai, China.
Zhong RenEndoscopy Center, Zhongshan Hospital of Fudan University, Shanghai, China.
Ming-Yan CaiEndoscopy Center, Zhongshan Hospital of Fudan University, Shanghai, China.
Bo YanSchool of Computer Science, Shanghai Key Laboratory of Intelligent Information Processing, Fudan University, Shanghai, China. byan@fudan.edu.cn.ORCID http://orcid.org/0000-0001-5692-3486
Shi-Lun CaiEndoscopy Center, Zhongshan Hospital of Fudan University, Shanghai, China. cai.shilun@zs-hospital.sh.cn.
Yun-Shi ZhongEndoscopy Center, Zhongshan Hospital of Fudan University, Shanghai, China. zhongyunshi@yahoo.com.ORCID http://orcid.org/0000-0001-8382-3747

Funding

National Natural Science Foundation of China (National Science Foundation of China) 82203460National Natural Science Foundation of China (National Science Foundation of China) 82273025Science and Technology Commission of Shanghai Municipality (Shanghai Municipal Science and Technology Commission) 22XD1402200Shanghai Shen Kang Hospital Development Center SHDC2023CRT006
6 · The paper itself

Abstract

A computer-aided detection (CAD) system for early esophagus carcinoma identification during endoscopy with narrow-band imaging (NBI) was evaluated in a large-scale, prospective, tandem, randomized controlled trial to assess its effectiveness. The study was registered at the Chinese Clinical Trial Registry (ChiCTR2100050654, 2021/09/01). Involving 3400 patients were randomly assigned to either routine (routine-first) or CAD-assisted (CAD-first) NBI endoscopy, followed by the other procedure, with targeted biopsies taken at the end of the second examination. The primary outcome was the diagnosis of 1 or more neoplastic lesion of esophagus during the first examination. The CAD-first group demonstrated a significantly higher neoplastic lesion detection rate (3.12%) compared to the routine-first group (1.59%) with a relative detection ratio of 1.96 (P = 0.0047). Subgroup analysis revealed a higher detection rate in junior endoscopists using CAD-first, while no significant difference was observed for senior endoscopists. The CAD system significantly improved esophageal neoplasm detection, particularly benefiting junior endoscopists.

Identifiers

PMID40082585
PMCPMC11906877

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.