Evidence map›Paper›PMID 40229187›Full record

ArticleJournal of gastroenterology and hepatology2025

Development of an AI-Assisted System for Automatic Recognition and Localization Marking of Colonic Polyps (With Video).

Jian Chen, Ganhong Wang, Yu Ding, Zihao Zhang, Kaijian Xia, Lu Xu, Xiaodan Xu

Abstract read
In one paragraph

Article in Journal of gastroenterology and hepatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

7 authors.

Jian ChenDepartment of Gastroenterology, Changshu Hospital Affiliated to Soochow University, Suzhou, China.
Ganhong WangDepartment of Gastroenterology, Changshu Traditional Chinese Medicine Hospital (Changshu Hospital Affiliated to Nanjing University of Chinese Medicine), Suzhou, China.
Yu DingDepartment of Gastroenterology, Changshu Hospital Affiliated to Soochow University, Suzhou, China.
Zihao ZhangShanghai Haoxiong Education Technology Co, Ltd, Shanghai, China.
Kaijian XiaChangshu Key Laboratory of Medical Artificial Intelligence and Big Data, Suzhou, China.
Lu XuDepartment of Gastroenterology, Changshu Traditional Chinese Medicine Hospital (Changshu Hospital Affiliated to Nanjing University of Chinese Medicine), Suzhou, China.
Xiaodan XuDepartment of Gastroenterology, Changshu Hospital Affiliated to Soochow University, Suzhou, China.ORCID https://orcid.org/0009-0005-1947-3339

Funding

Changshu City Key Laboratory of Medical Artificial Intelligence and Big Data Capability Enhancement Project CYZ202301Changshu City Medical and Health Science and Technology Plan Project CSWS202316Changshu Science and Technology Development Plan Project CS202019Changshu Science and Technology Development Plan Project CS202452Gusu Health Talent Training Project GSWS2020109Suzhou Health Information and Medical Big Data Society Project SZMIA2402
6 · The paper itself

Abstract

backgroundLocalizing colorectal polyps identified during the initial colonoscopy in minimally invasive endoscopic surgery presents significant challenges. These challenges include imprecise location descriptions, unclear images, a high number of polyps, and polyp characteristics such as flat shapes and low color contrast. To address these issues, we developed an AI-assisted system for the automatic detection and localization of colorectal polyps.

methodsColonic images and videos from three medical centers, collected between January 2018 and August 2024, were categorized based on pathology results into normal, adenomatous polyp, and serrated lesion groups. Transfer learning and fine-tuning were conducted on five pretrained CNN models, with performance evaluated using metrics such as accuracy, precision, sensitivity, and AUC. The best-performing model was selected for interpretability analysis and developed into an AI-assisted system capable of both polyp recognition and location marking.

resultsAmong the five models, EfficientNetV2 performed the best, achieving accuracy, precision, sensitivity, and F1 scores of 0.933, 0.917, 0.916, and 0.917, respectively, on the validation set. On the test set, the model's overall weighted average precision, specificity, and AUC were 0.903, 0.946, and 0.983, respectively. Two representative colonoscopy case videos predicted by the model further demonstrated the feasibility of this AI system in clinical practice.

conclusionsThe AI system we developed for the automatic recognition and localization marking of colonic polyps in colonoscopy aids in the rapid localization of polyps during minimally invasive endoscopic surgery.

Indexed as

Artificial IntelligenceColonic PolypsColonoscopyHumansSensitivity and SpecificityVideo Recordingartificial intelligencecolonic polypsconvolutional neural networksdigestive endoscopylocalization marking

Identifiers

PMID40229187
PMCPMC12212408

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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.